What should you know about cystoscopy bipolar turp?

TURP means transurethral resection of the prostate. In a bipolar procedure, electrical energy acts between parts of the instrument to cut tissue and control bleeding. The operation aims to create a clearer channel for urine without a routine skin incision.

Under anaesthesia, the surgeon passes a resectoscope through the urethra, examines the bladder and prostate channel, and removes small pieces of obstructing prostate tissue. Irrigation fluid maintains visibility, and the removed tissue can be sent for laboratory examination. The term bipolar describes the energy system; it does not mean that two separate operations are performed.

A catheter is commonly placed at the end so urine and irrigation fluid can drain while early bleeding settles. The timing of catheter removal depends on urine colour, drainage, swelling, and the surgeon's plan.

Provide an accurate list of medicines and supplements, flag any blood thinners, and report fever, burning urination, or other infection symptoms before admission. Follow personalised fasting and medicine instructions. Discuss transport and support at home because anaesthesia and catheter care can affect discharge arrangements.

Urinary frequency, urgency, mild discomfort, and blood-tinged urine can occur during healing. Follow directions on fluids, activity, catheter handling, and prescribed medicine. Avoid straining or heavy exertion until the surgical team permits it, since these can provoke fresh bleeding. Keep the follow-up visit for symptom review and any tissue result.

Notify the clinical team promptly about fever, chills, worsening pelvic pain, foul-smelling urine, increasing bleeding, or leakage around a catheter that is not draining. A sudden reduction in drainage may mean that a clot, kink, or bladder spasm needs attention.

Seek urgent assessment for inability to urinate after catheter removal, heavy bleeding with clots, severe pain, faintness, confusion, breathing difficulty, or rapidly worsening illness. Do not attempt to flush or remove a catheter unless a clinician has specifically taught and authorised that action.

Ask why bipolar TURP is recommended, which alternatives fit your situation, what anaesthesia will be used, and how long a catheter is expected. Discuss possible changes in ejaculation, urinary control, erections, medicine use, and the plan for reporting tissue findings.