TURis instead of TURP

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I have just read a report in yesterday's daily mail (18/11/14) of a relatively new technique which is the same as TURP but uses electric current (TURis) instead of thermal heat. Time in hospital is reduced to 1 day instead of the 2-3 days for TURP and to those who bleed a lot or have thin blood like me it was 5 days.It apparently reduces bleeding and the TUR syndrome (that some patients may experience) as it uses saline instead of Glycine to wash urethra during operation.If there are any patients that have had TURis it would be beneficial to all to have your experiences. Regards Peter

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  • Posted

    Thanks, Peter

    I will keep this in the back of my mind because I would rather go to a witch doctor than a real doctorsmile I have had little success with urlolgists. Surgery would be a tough one for me, but....you never know.

    I still pray that this non-gluten (thanks Joe), aloe vera, mini-trampoline (lymph movement) regimen will save me. I have tried ALL the rest including Derek's "wierd stretching" techniques.

    I also believe that this disease is as much an emotional/spiritual/stress condition as as a physical one. I have seen people healed of much worse in minutes. Hey, you're in the UK. Ever hear of Alice Cresswell? Check her out!!

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    • Posted

      You are blaming the wrong person for stretching techniques! The only thing I ever stretch is the truth:-)

      I do take Aloe Vera for my digestion. It has not helped me but it has helped my wife a lot for stomach pain that other meds did not help and investigations had not found a reason for.

      Some people are treated for prostatitis with Valium type drugs and say that it improved their symptoms.

      Alice Cresswell? Oh me of little faith. 

       

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    • Posted

      Hi Derek 

      Valium indeed!

      Once I took a Valium to go to an acupuncturist. I was completely healed of my prostatitis until I realized it was the Valium-- not the accupuncturist.

      if we could develop a Valium - like patch worn between the navel and public bone we would be richer than Richard Bransonsmile

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    • Posted

      How rich is Richard Branson? He seem to be expert at using oher peoples money for his projects. Who would you sooner have manage you, Branson or Don King?
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  • Posted

    I commented on the article saying that it has been around since 2006/2207 when they did 1000 procedures in America and that NICE are considering it and will report on it in February.

    The Mail loves to do stories on new treatments that will be impossible to get apart from at the hospitals doing trials on it. There are other variants of TURP being done without Glycine.

    PVP, Green Light Laser and the other laser procedures are also in the main day surgery and practically bloodless as the laser seals off blood vessels as it goes along..

    From The US national library of medicine

    OBJECTIVE:

    TURis((R)) is an emerging technique that shows the same efficacy of monopolar resection. However, there is currently little available data on the safety of bipolar devices. We assessed outcome and safety of TURis on a large cohort of patients with at least 6 months' follow-up.

    PATIENTS AND METHODS:

    Between January 2006 and October 2007, 1000 consecutive transurethral resection (TUR), 376 transurethral resection of prostate, 480 transurethral resection of bladder neoplasm, and 144 transurethral incision of prostate were performed. All procedures were carried out with a bipolar device in physiologic saline (TURis). The resectoscope used was an Olympus 26F in continuous flow-type Iglesias with continuous aspiration. The loops were all disposable/single use. The incidence of unwanted stimulation of the obturator reflex, TUR syndrome, thermal skin lesion, blood transfusion, urethral strictures, and bladder neck contractures were recorded.

    RESULTS:

    None of the patients operated experienced a TUR syndrome or a thermal skin lesion. The median follow-up of the entire cohort was 12 months (range, 6-24 months); 663 patients had at least 1-year follow-up (66.3%). Urethral stricture occurred in 27 patients (2.7%). Four patients developed a bladder neck contracture after transurethral resection of prostate (1%). Early postoperative clot retention occurred in 21 patients (2.1%), and 11 patients needed one or more transfusion (1.1%). Only six patients (2%) submitted to TUR of a neoplastic lesions at the lateral bladder wall experienced an unwanted trigger of the obturator reflex.

    CONCLUSIONS:

    TURis offers the patient the same results as monopolar technology guaranteeing maximum safety without increasing the incidence of urethral strictures.

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