Benign prostate enlargement surgical treatment systems
There is a range of different surgical approaches and techniques in therapy for benign enlargements of the prostate (BPH). On the one hand, an enlargement of the prostate can be treated by bipolar Transurethral Resection of the Prostate (TURP). On the other hand, minimally invasive laser procedures can be used to provide treatment. Richard Wolf supplies the appropriate equipment for both techniques with the latest system solutions. The company’s latest system for bipolar enucleation of the prostate was presented by Professor Thorsten Bach, Chief Physician at the Urological Centre of the Askelpios Hospital Hamburg, in a pre-recorded video showing the intervention during the European Association of Urology (EAU) 2017 Congress in London. Richard Wolf has developed a special electrode to meet the diverse requirements of bipolar enucleation. This electrode was used for this intervention. The geometry of the new bipolar enucleation electrode has been provided with a number of special features. A very small electrode head with a wedge-shaped contact surface at the distal end enables very delicate working whether using mechanical enucleation or with effective vaporization and incision using HF current. The "doughnut" footprint of the distal tip permits an efficient vaporization with reduced bleeding, and coagulation. Together with the refined Shark resectoscope and the highly efficient Piranha Morcellator, the electrode in the system offers a cost-effective alternative to laser enucleation but naturally also for standard procedures such as TUR. Richard Wolf also presented its new Holmium:YAG Laser MegaPulse 70+ for minimally invasive laser enucleation at the EAU Congress. The HoLEP (Holmium Laser Enucleation of the Prostate) can be easily carried out with a 70 watt power. Its high frequency and power means that it can also be used for fast and effective stone therapy. This therefore provides users with a high-speed system for stone lithotripsy. A new, special 200 μm "power" laser fibre generates the power output of a 272 μm laser fibre. The automatic laser fibre recognition using an RFID antenna provides the user with very convenient and efficient identification of the laser-fibre size. Recognition can also be carried out in the packed sterile status of laser fibres. A flexible ureterorenoscopic lithotripsy with the COBRA vision and the new MegaPulse 70+ laser was also presented at the EAU Congress in a pre-recorded video carried out by Dr. Michael Straub, Managing Senior Physician and Head of the Urinary Stone Centre at the Clinic and Policlinic for Urology, Rechts der Isar Hospital, Munich.
