Our Technique for Bipolar Transurethral Resection of the Prostate and the Sphincter Irrigation Test (Azayem Test)

Abstract Introduction: This video illustrates our technique for bipolar transurethral resection of the prostate (TURP)1 and the sphincter irrigation test. Materials and Methods: A retrospective study of prospective data on 118 TURP procedures performed at our urology department in Saudi German Hospital–Jeddah, from October 2011 to October 2013, was conducted. Exclusion criteria were prostate cancer, previous prostate surgery, and preoperative urinary incontinence. Surgery was conducted under spinal or general anesthesia. The sphincter irrigation test was routinely performed before the start and at the end of the resection, and at any time needed during the resection (e.g., if the prostatic tissue exceeds the level of the verumontanum) to sharpen the surgeon's perception of the normal structures in this region, which enables contractile elements to be spared from resection. Our routine postoperative outpatient checkups were conducted every month for 3 months, then every 3 months for 1 year, and included, a...