Complications of transurethral electrovaporization of the prostate

Objective To review the intra and post operative complications of transurethral electrovaporization of prostate(TVP). Methods TVP was undertaken for 380 symptomatic BPH patients with a mean age of 68.3.Blood routine,serum sodium were measured pre and post operatively.The patients have been followed up at 1 and 3 months. Results The mean blood loss was 86ml.There were no obvious changes in hematocrit and serum sodium.TURS was noted in only 2.Postoperative complications included urethral stricture in 3.2%,bleeding in 0.5%,urinary infection in 4.7%,impotence in 2.3% and retrograde ejeculation in 45.6%. Conclusions Operative injury is usually the cause of urethral stricture and a clear operative field is the key point to prevent surgical complications.