Video-resection does not stop corneal contamination during transurethral resection of the prostate

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Abstract

Objectives

To determine the efficacy of video-resection systems in reducing the risk of corneal contamination during transurethral resection of the prostate (TURP) and thus in decreasing the possibility of transmission of blood-borne diseases from the patient.

Materials and methods

After performing a TURP using a video camera system in 30 patients, the number of potential corneal droplets was measured for one operator wearing a pair of spectacles and, for a second operator, over an identically sized area of a standard disposable plastic eyeshield.

Results

In 20 (67%) of cases, droplets were observed on the eye protection, correlating with potential corneal contamination. Splashes were also seen on the facemask of the eyeshield.

Conclusion

Urologists should use eye and face protection when performing TURP using a video system.

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