Title: Bipolar enucleation of the prostate—step by step
Abstract: AndrologiaVolume 52, Issue 8 e13631 INVITED REVIEW Bipolar enucleation of the prostate—step by step Seung Hoon Ryang, orcid.org/0000-0002-0974-2073 Department of Urology, Seoul National University Hospital, Seoul, KoreaSearch for more papers by this authorTam Hoai Ly, Department of Urology, Chợ Rẫy Hospital, Ho Chi Minh City, VietnamSearch for more papers by this authorAhn Vu Tran, orcid.org/0000-0002-8744-9438 Department of Urology, Chợ Rẫy Hospital, Ho Chi Minh City, VietnamSearch for more papers by this authorSeung-June Oh, orcid.org/0000-0002-0322-3539 Department of Urology, Seoul National University Hospital, Seoul, KoreaSearch for more papers by this authorSung Yong Cho, Corresponding Author [email protected] orcid.org/0000-0001-9271-6951 Department of Urology, Seoul National University Hospital, Seoul, Korea Correspondence Sung Yong Cho, Department of Urology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea. Email: [email protected] for more papers by this author Seung Hoon Ryang, orcid.org/0000-0002-0974-2073 Department of Urology, Seoul National University Hospital, Seoul, KoreaSearch for more papers by this authorTam Hoai Ly, Department of Urology, Chợ Rẫy Hospital, Ho Chi Minh City, VietnamSearch for more papers by this authorAhn Vu Tran, orcid.org/0000-0002-8744-9438 Department of Urology, Chợ Rẫy Hospital, Ho Chi Minh City, VietnamSearch for more papers by this authorSeung-June Oh, orcid.org/0000-0002-0322-3539 Department of Urology, Seoul National University Hospital, Seoul, KoreaSearch for more papers by this authorSung Yong Cho, Corresponding Author [email protected] orcid.org/0000-0001-9271-6951 Department of Urology, Seoul National University Hospital, Seoul, Korea Correspondence Sung Yong Cho, Department of Urology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea. Email: [email protected] for more papers by this author First published: 22 May 2020 https://doi.org/10.1111/and.13631Citations: 2Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat Abstract Bipolar enucleation of prostate (BipolEP) is a useful method for treatment of benign prostatic hyperplasia (BPH). Compared with conventional transurethral resection, the enucleation technique has several advantages. However, since the cost of laser equipment used for enucleation is relatively high, enucleation using bipolar devices has been attempted by many previous surgeons. We consider bipolar enucleation is an effective and safe procedure, and we would like to share our experience of equipment settings and procedures through this article. We will introduce the equipment and settings of BipolEP and then present the actual step-by-step procedures and surgical tips. First, circular incisions are made on bladder neck and mucosa at the level of verumontanum. Then, enucleation is performed in the order of median and lateral lobes as in laser enucleation. Haemostasis should be done throughout the procedure. After enucleation and haemostasis, prostatic tissue is evacuated by morcellator. Currently, there are several types of electrode and morcellator systems. In our experience, BipolEP has a steep learning curve but it is safe and effective procedure for managing BPH. In particular, effective haemostasis is the greatest advantage of BipolEP when compared to traditional TUR or laser enucleation. Citing Literature Supporting Information Filename Description and13631-sup-0001-VideoS1.mp4MPEG-4 video, 71.4 MB Video S1 Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. Volume52, Issue8Special Issue: Anatomical Endoscopic Enucleation of the ProstateSeptember 2020e13631 RelatedInformation