ABSTRACT
This chapter aims to review the intra- and postoperative complications of two main techniques—transurethral incision of the prostate (TUIP) and TURP. The advantages of this technique are the absence of significant bleeding and irrigation fluid absorption, the short surgical time and a lower incidence of postoperative bladder neck sclerosis when compared with TURP for small glands. Furthermore, about 90% of the patients who undergo TUIP have their ejaculatory function preserved. Electrosurgery is based on the therapeutic use of heat generated within a tissue when it is transversed by an electric current. Depending on the amount of energy applied, on the wave form of the electric current, and on the extent of the area involved, local effect such as tissue coagulation or cutting may be obtained. The urethra must be lubricated with glycerin instead of an anesthetic gel such as lydocaine or liquid vaseline. Lydocaine gel has no insulating properties, which increases the risk of thermal lesion of the urethra.
