Bipolar TURP: Saline, Energy Delivery and OR Preparation

Bipolar TURP and saline

Bipolar TURP removes obstructing prostate tissue through the urethra using a local bipolar circuit and saline irrigation. Saline addresses the classic dilutional electrolyte problem associated with non-isotonic irrigants, but fluid absorption and overload still require monitoring.

Clinical interpretation

EAU guidance describes similar functional efficacy to monopolar TURP with a more favourable perioperative safety profile. Individual outcomes, procedure duration and hospital stay cannot be guaranteed.

Prepare the complete system

Plasma EDGE combines the MCB generator, compatible working element and dedicated electrodes. Specify the resectoscope, optic, sheath and intended electrodes, and confirm existing equipment compatibility. TURP and PlasmaLEP enucleation are different techniques requiring appropriate training.

Adapted in Thai from Lamidey Noury’s bipolar TURP article with clinical context from EAU; checked 10 November 2026. The image is illustrative, not a guide to procedural settings.