Presentation
At 63 years of age he had presented to a urologist for treatment of irritative lower urinary tract symptoms and incontinence. A transurethral resection of the prostate had been performed. [ncbi.nlm.nih.gov]
Urogenital
- Retrograde Ejaculation
This side effect is called retrograde ejaculation. As a result, there may be little or no semen when you ejaculate. This is harmless, and the feeling of orgasm won’t change. Retrograde ejaculation can also be a side effect of certain medications. [uro-docs.com]
Retrograde ejaculation Retrograde ejaculation is the most common complication of a TURP and it occurs in an estimated 70% of cases. [hse.ie]
With TURP, some men might get what’s called “retrograde ejaculation,” (ejaculation of semen into the bladder instead of through the urethra). Transurethral incision of the prostate (TUIP). This surgery does not involve removing prostate tissue. [webmd.com]
This is known as retrograde ejaculation and can occur in as many as nine out of 10 cases. [your.md]
Longer-term complications can include ED, retrograde ejaculation, and incontinence, all of which can be treated. [healthcommunities.com]
- Urinary Incontinence
The current gold standard of management for persistent urinary incontinence after prostatectomy is the placement of an artificial urinary sphincter.[11] Male slings are an alternative for mild to moderate post-prostatectomy incontinence.[12][13] Retrograde [en.wikipedia.org]
RESULTS: Only one patient developed mild urinary stress incontinence, 6 months following his I-125 implant. The actuarial freedom from permanent urinary incontinence at 3 years after implantation was 94%. [ncbi.nlm.nih.gov]
Urinary incontinence Urinary incontinence is very common in the first few weeks after surgery, affecting 30-40% of men. It can be caused by a number of factors, such as unstable bladder muscles. [your.md]
Urinary incontinence Around three per cent of men will develop urinary incontinence after having a TURP which usually takes one of three forms: urge incontinence - where you have a sudden urge to pass urine and, if you do not find a toilet quickly enough [hse.ie]
Side effects of surgery include urinary incontinence, erectile dysfunction (impotence) and infertility. Open prostatectomy is surgical removal of the prostate through an abdominal incision. [betterhealth.vic.gov.au]
- Hematuria
It has been shown that finasteride decreases bleeding in patients with hematuria of prostatic origin. [ncbi.nlm.nih.gov]
TURP results in characteristic imaging features. acute urinary retention recurrent infection recurrent hematuria azotemia symptomatic bladder outlet obstruction prostate cancer Ultrasound or MRI irregular midline gap in the prostate at the bladder neck [radiopaedia.org]
Complications of TURP Blood in the urine (hematuria) is common after TURP surgery and usually resolves by the time the patient is discharged. Bleeding also may result from straining or activity. [healthcommunities.com]
Indications for transurethral resection of the prostate (TURP) Benign prostatic hyperplasia with symptoms should be treated with medication, until complications make surgery necessary: Recurrent urinary retention Recurrent urinary tract infection Recurrent hematuria [urology-textbook.com]
Coagulating intermittent cutting device A modified cutting system designed to decrease blood loss and hematuria has been developed for TURP. [emedicine.medscape.com]
- Painful Ejaculation
Cautery involving the verumontanum is discouraged because it can result in painful ejaculation. Immediately cauterize larger bleeding vessels that interfere with vision because another chance may not be available later. [emedicine.medscape.com]
Workup
Cystoscopy Cystoscopy is another optional test that is not specifically required or recommended as part of the routine TURP workup. [emedicine.medscape.com]
Treatment
Therefore, many doctors will postpone invasive treatment until a year after the surgery. [en.wikipedia.org]
In men wishing to delay treatment conservative treatment appears to provide a cost-effective alternative in the short term. [ncbi.nlm.nih.gov]
Despite the more recent development of less-invasive treatments, TURP is still considered the “gold standard” of prostate surgery options and the preferred treatment for BPH. [roboticoncology.com]
Prognosis
Outlook (Prognosis) TURP relieves symptoms of an enlarged prostate most of the time. You may have burning with urination, blood in your urine, frequent urination, and need to urgently urinate. References Kaplan SA. [stlukes-stl.com]
Outlook (Prognosis) TURP relieves symptoms of an enlarged prostate most of the time. You may have burning with urination, blood in your urine, frequent urination, and need to urgently urinate. This usually resolves after a little bit of time. [mountsinai.org]
Etiology
Therefore, etiologies other than cerebral edema are postulated as the cause of the neurologic manifestations. [ncbi.nlm.nih.gov]
Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103. [medlineplus.gov]
Epidemiology
Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103. [medlineplus.gov]
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
"Epidemiology of radical prostatectomy for localized prostate cancer in the era of prostate-specific antigen: an overview of the Department of Defense Center for Prostate Disease Research national database". [en.wikipedia.org]
Pathophysiology
Transurethral resection of the prostate (TURP) syndrome: a review of the pathophysiology and management. Anesth Analg. 1997 Feb;84(2):438-46. Review. PubMed PMID: 9024044. [ Free Full Text ] Hamilton Stewart PA, Barlow IM. [lifeinthefastlane.com]
TURP syndrome - current concepts in the pathophysiology and management. [indianjurol.com]
Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103. [medlineplus.gov]
Prevention
A grounding ESU pad and irrigation by a non conducting fluid is required to prevent this current from disturbing surrounding tissues. [en.wikipedia.org]
You might also have a dose of antibiotics to prevent infection. During the procedure The resectoscope is inserted into the tip of your penis and extended through your urethra and into the prostate area. [mayoclinic.org]
With larger instruments (28 CH), prophylactic blind urethrotomy was recommended to prevent ischemic damage and consecutive urethral stricture. [urology-textbook.com]
After discharge, precautions are recommended for the purpose of healing, comfort, and preventing damage to the treated area. [roboticoncology.com]