Complications: Trouble shooting during and after TUR/Laser enucleation

Thematic Session 02

  • Location:
    Room Madrid (Hall B2, level 0)
  • Chair:
     J. Rassweiler, Heilbronn (DE)
  • Aims and objectives of this session

    Transurethral resection of the prostate (TURP) and laser enucleation of the prostate (HoLEP, ThuLEP) represent the standard operations for minimally invasive management of the benign prostatic syndrome (BPS). Due to technological progress and improvement of armamentarium both techniques have become safe and reproducible. Nevertheless, both can lead to significant intra-operative and postoperative complications. This thematic session focuses on the main pitfalls of TURP and HoLEP/ThuLEP using video-assisted illustration of intra-operative situations and providing tips and tricks for prevention and management. We are happy to present a high-lighted faculty for this session, which should be as interactive as possible to discuss all main issues with the delegates.

Video presentation TUR-syndrome
 T. Sulser, Zürich (CH)
Aims and objectives of this presentation

In this presentation you will have the possibility to learn how dangerous situations leading to a TUR-syndrome can be recognized early during the transurethral intervention, how to prevent such situations, what are the clinical signs and implications for the patient and how does the treatment look like.

Video presentation Bleeding
 M. Fiedler, Erlenbach (DE)
Video presentation Extravasation
 K-D. Sievert, Salzburg (AT)
Video presentation Urethral and prostatic strictures
 A. Tasca, Vicenza (IT)
Aims and objectives of this presentation

This presentation includes some videos in which the step by step endoscopic treatment of middle term-late complications of TURP, that is bladder neck contraction and urethral stenosis, are illustrated. It also includes some slides in which the prevalence of those diseases, as well as some literature data concernig the pathogenesis and the results of their treatment using different technologies, are presented.

Video presentation Laser enucleation: Bleeding and the wrong layer
 S.A. Ahyai, Göttingen (DE)
Video presentation Morcellation problems
 F. Gomez Sancha, Madrid (ES)
Aims and objectives of this presentation

This video presentation reviews common problems that arise with morcellation and how to tackle them for a safe outcome of enucleation and morcellation.