TURP (Transurethral Resection of the Prostate) and TURIS (Transurethral Resection in Saline) are both surgical procedures used to treat benign prostatic hyperplasia (BPH), a condition characterized by the enlargement of the prostate gland.
TURP is a well-established surgical technique that has been used for many years. During TURP, a special instrument called a resectoscope is inserted through the urethra into the prostate gland. The resectoscope has a wire loop or electrode that is used to remove excess prostate tissue by cutting or vaporizing it. This procedure helps to relieve urinary obstruction and improve urine flow.
On the other hand, TURIS is a newer variation of the traditional TURP procedure. TURIS involves using a saline solution instead of traditional irrigation fluid (glycine or sorbitol) during the resection of the prostate tissue. The use of saline as an irrigation fluid aims to reduce the absorption of fluids into the bloodstream and minimize the potential complications associated with fluid absorption, such as dilutional hyponatremia.
The principles and techniques of TURIS are similar to TURP, with the main difference being the type of irrigation fluid used. The use of saline during TURIS helps maintain electrolyte balance during the procedure and reduces the risk of complications related to fluid overload.
Both TURP and TURIS are effective procedures for relieving urinary symptoms caused by BPH. The choice between the two techniques may depend on the surgeon’s preference, the patient’s specific condition, and the availability of equipment and resources in the medical facility. It is important to consult with a urologist to determine the most appropriate treatment approach for an individual case.