Electrovaporization of the Prostate, also known as Transurethral ElectroVaporization of the Prostate (TUVP) or Vaporization of the Prostate, is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland that can cause urinary symptoms. This procedure uses electrical energy to vaporize and remove excess prostate tissue, relieving pressure on the urethra and improving urine flow.

Purpose of Electrovaporization

The goal of electrovaporization is to alleviate symptoms of BPH, such as:

• Difficulty starting urination

• Weak urine stream

• Frequent urination (especially at night)

• Incomplete bladder emptying

• Urinary retention

How Electrovaporization Works

• The procedure is performed under general or spinal anesthesia.

• A resectoscope (a thin, lighted tube with a camera and an electrode) is inserted through the urethra into the prostate.

• Electrical current is passed through the electrode, heating and vaporizing the excess prostate tissue.

• The vaporized tissue is removed, and the remaining tissue is coagulated to minimize bleeding.

Advantages of Electrovaporization

• Minimally invasive: No external incisions are needed.

• Reduced bleeding: The procedure coagulates blood vessels as it vaporizes tissue, minimizing blood loss.

• Shorter recovery time: Compared to traditional surgery like Transurethral Resection of the Prostate (TURP).

• Effective symptom relief: Most patients experience significant improvement in urinary symptoms.

Procedure Steps

1. Preparation:

   • The patient is given anesthesia.

   • The genital area is cleaned, and a sterile drape is placed.

2. Insertion of the resectoscope:

   • The resectoscope is passed through the urethra into the prostate.

3. Vaporization of prostate tissue:

   • The electrode is used to deliver electrical energy, vaporizing the excess prostate tissue.

4. Coagulation:

   • Blood vessels are sealed to prevent bleeding.

5. Catheter placement:

   • A urinary catheter may be placed to drain the bladder and allow healing.

Recovery After Electrovaporization

• Hospital stay: Most patients go home the same day or after a short hospital stay.

• Catheter: A urinary catheter may remain in place for 1-2 days to help the bladder heal.

• Side effects:

  • Blood in the urine (common for a few days).

  • Pain or burning during urination.

  • Frequent urination or urgency.

• Activity restrictions: Patients are advised to avoid heavy lifting and strenuous activities for a few weeks.

Risks and Complications

While electrovaporization is generally safe, potential risks include:

• Bleeding: Blood in the urine may persist for a few days.

• Infection: Risk of urinary tract infection (UTI).

• Retrograde ejaculation: Semen flows backward into the bladder instead of out through the penis (common but not harmful).

• Stricture: Narrowing of the urethra due to scarring.

• Incomplete symptom relief: Additional treatments may be needed if symptoms persist.

Follow-Up After Electrovaporization

• Symptom improvement: Most patients notice improved urine flow and reduced symptoms within a few weeks.

• Monitoring: Regular follow-up appointments to ensure proper healing and assess urinary function.

If you are experiencing symptoms of BPH, consult a urologist to determine if electrovaporization or another treatment option is right for you. Early intervention can significantly improve quality of life and prevent complications.