The Endoscopic Surgical Monitoring System-Guided Impact Factors Exploring Blood Loss and Fluid Absorption During Plasmakinetic TURP: A Prospective Study in High-Risk BPH Patients
November 2025
in “
BMC Urology
”
TLDR Larger prostate size, longer surgery, and smoking increase risks, while finasteride and experienced surgeons reduce them during prostate surgery.
This prospective study of 512 high-risk BPH patients undergoing plasmakinetic TURP (PK-TURP) used an endoscopic surgical monitoring system (ESMS) to identify factors affecting intraoperative blood loss and fluid absorption. Key risk factors for increased blood loss and fluid absorption included larger prostate volume, longer operation time, greater resected tissue weight, venous sinus opening, smoking, and surgical capsule perforation. In contrast, preoperative finasteride treatment and greater surgeon experience were associated with reduced risks. The ESMS proved effective for real-time monitoring, enhancing perioperative decision-making. Limitations of the study include its single-center design and lack of long-term outcome evaluation.
