As one of the few centers in Germany, the West German Prostate Center now also has TURiS (Transurethral Resection in Saline) plasma vaporization for the treatment of benign prostate enlargement, in addition to TUR-P and the state-of-the-art laser procedures (Life Diode Laser and Greenlight Laser ). Unlike traditional peeling, TURiS plasma vaporization uses well-tolerated saline instead of hypotonic irrigation solution. This prevents the potentially life-threatening wash-in syndrome (TUR syndrome). Surgical complications such as urinary incontinence and impotence can also be virtually avoided with this gentle and minimally invasive procedure.
The surgeon can combine two different techniques with the system: planing (resection) using electric current and vaporization (vaporization) through the use of a vaporization electrode. The plasma vaporization electrode vaporizes the tissue in a similar way to a laser, but without generating intense heat. At the same time, the tissue is scabbed over, thus preventing bleeding from the outset The vaporization electrode is mainly used in the area of mucous membranes with a strong blood supply. The prostate tissue behind it has fewer blood capillaries and can be planed off with the electric snare. The tissue shavings resulting from the resection are examined by the pathologist for tumor cells.
Thanks to the unique combination of vaporization and electric snare, the respective electrode can be selected and inserted into the prostate via the working channel as required, i.e., whether hemostasis or tissue removal is the primary objective. Another advantage is the shortened operating time. The procedure is particularly attractive for patients who tend to have a high risk of bleeding and suffer from concomitant diseases such as cardiovascular disease.