Advanced Prostate Surgery in Chennai: Bipolar TURP, TURis & Plasma Vaporization

Understanding Prostate Enlargement (BPH)

Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland, common in men over 50. The enlarged gland presses against the urethra, causing urinary problems such as frequent urination, weak stream, difficulty starting urination, nocturia (night-time urination), and incomplete bladder emptying.

When medications are insufficient, minimally invasive endoscopic surgeries — Bipolar TURP, TURis, and Plasma Vaporization — offer effective, long-lasting relief through the urethra without any external incisions.

Bipolar TURP Surgery

Bipolar TURP is a refined version of the traditional transurethral resection of the prostate (TURP). It uses bipolar electrical current in a saline solution to precisely cut and simultaneously seal prostate tissue, reducing blood loss significantly compared to older monopolar methods.

• A resectoscope is inserted through the urethra
• Bipolar energy resects tissue with minimal bleeding
• Duration: 60–90 minutes under general or spinal anaesthesia
• Effective for moderate to large prostates
• Lower risk of fluid absorption complications (no TUR syndrome)

TURis Surgery (Transurethral Resection in Saline)

TURis is a bipolar system that performs transurethral resection entirely in saline irrigation, enhancing patient safety — particularly for those at risk of electrolyte imbalances. It combines the proven effectiveness of resection with improved safety.

• Similar technique to bipolar TURP using a saline-irrigated resectoscope
• Prevents hyponatraemia (low sodium levels) associated with older monopolar techniques
• Duration: 45–75 minutes; hospital stay 1–2 days
• Minimal bleeding with simultaneous coagulation

Plasma Vaporization

Plasma vaporization uses low-temperature plasma energy to vapourise prostate tissue gently without direct contact, making it ideal for smaller to medium-sized glands and patients on anticoagulants.

• A button-shaped electrode creates a plasma corona to vapourise tissue
• Virtually bloodless — very rarely requires transfusion
• Duration: 30–60 minutes; often same-day discharge
• Shorter catheter time (1–2 days) and quicker symptom relief
• Less thermal damage to surrounding structures, preserving erectile function

Comparing the Three Procedures

Aspect	Bipolar TURP	TURis	Plasma Vaporization
Best For	Moderate to large prostates	Moderate prostates / high-risk patients	Small to medium prostates
Duration	60–90 min	45–75 min	30–60 min
Hospital Stay	1–2 days	1–2 days	Often same day
Bleeding Risk	Low	Low	Very low
Recovery	2–4 weeks	2–4 weeks	1–3 weeks

Recovery and Aftercare

• Catheter for 1–3 days to aid bladder drainage
• Mild discomfort managed with pain relief
• Avoid heavy lifting and strenuous activity for 2–4 weeks
• Increase fluid intake; avoid caffeine and alcohol initially
• Gradual improvement in urinary symptoms over 4–6 weeks
• Follow-up appointments to monitor PSA and urine flow

Cost at Unittas Hospital, Chennai

We offer transparent, all-inclusive pricing based on your preferred accommodation. All packages include surgery, anaesthesia, and standard post-operative care.

Room Type	Package Cost (INR)
General Ward Sharing Occupancy	₹1,40,000
Single Room Non AC Deluxe	₹1,60,000
Single Room AC	₹1,80,000

* Additional charges may apply for extended stay, extra investigations, or complications. Detailed estimates provided during consultation.

Frequently Asked Questions