HF Energy—Simplified.

In the standard version of TURP, monopolar current flows from the resection loop through the prostate tissue to the neutral electrode which is attached to the patient’s body with full-surface contact. An electrically conductive irrigation medium must be used when carrying out resection with monopolar current. The preset for monopolar TURP on the HF-GENERATOR 2260 is specifically set to ensure excellent cutting results when resecting the prostate tissue.

Bipolar TURP represents a technological step forward compared to conventional monopolar TURP. Bipolar uses a different solution, 0.9% saline, (i.e. NaCl solution) that is an electrically conductive irrigation medium. The current circuit is closed via the loop and the branch of the electrode, which means that the current does not flow through the patient’s body. In the case of bipolar TURP, a plasma bubble forms on the electrode loop which enables ablation of the prostate tissue. The preset for bipolar TURP on the HF-GENERATOR 2260 features excellent ignition and cutting behavior from the electrode. The plasma bubble forms on the electrode loop even without direct tissue contact and ensures excellent resection, vaporization, and coagulation of the prostate tissue.

Excellent cutting behavior, especially with the monopolar and bipolar electrodes from Richard Wolf.

Particularly in the case of larger prostates, endoscopic enucleation of the prostate (EEP) is proving to be a more patient-friendly method than standard TURP and is becoming increasingly established around the world. Holmium and thulium laser enucleation (HoLEP & ThuLEP) are most commonly used with this type of procedure. Bipolar enucleation (bipolEP) is a cost-efficient alternative to laser therapy. The HF-GENERATOR 2260 provides a specially coordinated preset for bipolEP and ensures excellent performance when used on tissue, particularly in combination with the bipolar enucleation electrode from Richard Wolf.

Bipolar enucleation electrode for endoscopic enucleation of the prostate (EEP).

From a technical perspective, monopolar TURBT works in the same way as monopolar resection of the prostate (TURP). The preset for monopolar TURBT on the HF- GENERATOR 2260 is ideal for precise cutting performance, and ensures effective resection and coagulation of the tissue.

This method increases patient safety as the emitted current does not flow through the entire body. In the case of bipolar TURBT, a plasma bubble forms on the electrode loop. The preset for bipolar TURBT on the HF-GENERATOR 2260 ensures that the plasma bubble forms quickly on the electrode tip even without direct tissue contact. It is critical that the electrode delivers effective and precise ignition and cutting behavior for sampling and treatment of a bladder tumor, particularly when it comes to the resection of surface tissue and marking of the tumor edges.

Cutting Electrode

The aim of en bloc resection (EBR) is to remove the bladder tumor in one piece. With classic TURBT, it is specifically the fractionated manner in which the tumor is removed that presents certain disadvantages – the individual tumor fragments make it impossible to carry out an exact pathological assessment of the free resection margins and prevent spatial mapping of the specimen. The horizontal and vertical resection margins and the general invasion depth are a key indicator for the quality and completeness of a resection. Richard Wolf provides a thin cutting electrode as well as a special oval cutting electrode for tumor resection.

Oval cutting electrode for en bloc resection