Bipolar enucleation of prostate (BipolEP) is a useful method for treatment of benign prostatic hyperplasia (BPH). Compared with conventional transurethral resection, the enucleation technique has several advantages. However, since the cost of laser equipment used for enucleation is relatively high, enucleation using bipolar devices has been attempted by many previous surgeons. We consider bipolar enucleation is an effective and safe procedure, and we would like to share our experience of equipment settings and procedures through this article. We will introduce the equipment and settings of BipolEP and then present the actual step‐by‐step procedures and surgical tips. First, circular incisions are made on bladder neck and mucosa at the level of verumontanum. Then, enucleation is performed in the order of median and lateral lobes as in laser enucleation. Haemostasis should be done throughout the procedure. After enucleation and haemostasis, prostatic tissue is evacuated by morcellator. Currently, there are several types of electrode and morcellator systems. In our experience, BipolEP has a steep learning curve but it is safe and effective procedure for managing BPH. In particular, effective haemostasis is the greatest advantage of BipolEP when compared to traditional TUR or laser enucleation.

中文翻译：

---

前列腺的双极摘除术逐步进行。

前列腺双极摘除术（BipolEP）是治疗良性前列腺增生（BPH）的有用方法。与传统的经尿道切除术相比，去核技术具有许多优势。然而，由于用于摘除的激光设备的成本相对较高，因此许多先前的外科医生已经尝试使用双极装置进行摘除。我们认为双极摘除术是一种有效且安全的程序，我们希望通过本文分享我们在设备设置和程序方面的经验。我们将介绍BipolEP的设备和设置，然后介绍实际的逐步操作步骤和手术技巧。首先，在verumontanum的水平上在膀胱颈和粘膜上做圆形切口。然后，如激光摘除术一样，摘除术以中叶和侧瓣的顺序进行。止血应在整个过程中进行。摘除和止血后，通过粉碎器将前列腺组织排空。当前，有几种类型的电极和粉碎器系统。根据我们的经验，BipolEP具有陡峭的学习曲线，但是它是管理BPH的安全有效的过程。特别是，与传统的TUR或激光摘除术相比，有效止血是BipolEP的最大优势。