Abstract
Transurethral Resection of the Prostate (TUR-P) is the most common surgical procedure for Benign Prostatic Hyperplasia (BPH). However, damage to the mucous membrane of the urethra and extended surgery lead to complications. In order to resolve these problems, we propose a new prostatectomy, and develop a TUR-P manipulator, which has a prostate displacement mechanism and a continuous perfusion-resection mechanism. Using these mechanisms, our manipulator can remove enlarged tissue rapidly through small incision on urethra, thus minimizing damage to the mucous membrane. In the experiments, 640 gf of power was delivered to the bending mechanism. The bending motion was highly repeatable, to within ±0.4 degrees. The device removed material from a swine-tissue test sample at 0.7 g/min. These results showed the machine’s groundbreaking capability to shorten surgery times by one hour, from 90 to 30 minutes.
Chapter PDF
Similar content being viewed by others
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
References
Berry, S.J., Coffey, D.S., Walsh, P.C., Ewing, L.L.: The Development of Human Benign Prostatic Hyperplasia with Age. Journal of Urology 132(3), 474–479 (1984)
Girman, C.J., Jacobsec, S.J., Guess, H.A., Oesterling, J.E., Chute, C.G., Panser, L.A., Lieber, M.M.: Natural History of Prostatism: Relationship among Symptoms, Prostate Volume and Peak Urinary Flow. Journal of Urology 153(5), 1510–1515 (1995)
Koshiba, K., Egawa, S., Ohori, M., Uchida, T., Yokoyama, E., Shoji, K.: Does Transurethral Resection of the Prostate Pose a Risk to Life - 22-Year Outcome. Journal of Urology 153(5), 1506–1509 (1995)
Crowley, A.R., Horowitz, M., Chan, E., Macchia, R.J.: Transurethral Resection of the Prostate Versus Open Prostatectomy - Long-term Mortality Comparison. Journal of Urology 153(3), 695–697 (1995)
Heide, C., Weninger, E., Ney, L., Sachs, M., Niklas, M., Schmeller, N., Peter, K.: Early Diagnosis of the TUR Syndrome - Ethanol Measurement in Patients with Artificial Respiration. Anasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie 32(10), 610–615 (1997)
Vivien, A., Lazard, T., Rauss, A., Laisne, M.J., Bonnet, F.: Infection after Transurethral Resection of the Prostate: Variation among Centers and Correlation with a Long-lasting Surgical Procedure. European Urology 33(4), 365–369 (1998)
Mei, Q., Harris, S.J., ArambulaCosio, F., Nathan, M.S., Hibberd, R.D., Wickham, J.E., Davies, B.L.: PROBOT - A Computer Integrated Prostatectomy System. Visualization in Biomedical Computing 1311, 581–590 (1996)
Harris, S.J., ArambulaCosio, F., Mei, Q., Hibberd, R.D., Davies, B.L., Wickham, J.E., Nathan, M.S., Kundu, B.: The Probot - an Active Robot for Prostate Resection. Proceedings of the Institution of Mechanical Engineers Part H-Journal of Engineering in Medicine 211(4), 317–325 (1997)
Matumiya, K., Masamune, K., Kobayashi, E., Sakuma, I., Dohi, T.: A New Robotic Device for Less Invasive Transurethral Resection of the Prostate. Computer Assisted Radiology and Surgery - CARS2000, 134–138 (2000)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Hashimoto, R., Kim, D., Hata, N., Dohi, T. (2003). A Transurethral Prostate Resection Manipulator for Minimal Damage to Mucous Membrane. In: Ellis, R.E., Peters, T.M. (eds) Medical Image Computing and Computer-Assisted Intervention - MICCAI 2003. MICCAI 2003. Lecture Notes in Computer Science, vol 2878. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-39899-8_19
Download citation
DOI: https://doi.org/10.1007/978-3-540-39899-8_19
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-20462-6
Online ISBN: 978-3-540-39899-8
eBook Packages: Springer Book Archive