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]
Features a downloadable Online Image Collection that you can use to enhance your presentations. Presents two brand-new chapters covering urinary cytology and fine needle aspiration to keep you up to date. [books.google.ro]
Entire Body System
- Pain
Postoperative pain was assessed and recorded using the visual analog scale (VAS) at postoperative hours 1, 2, 3, 4, 5, 6, 7, 8, 12, 16, 20, 24, and 48. [ncbi.nlm.nih.gov]
[…] bladder spasm Additional relevant MeSH terms: Pain, Postoperative Pain Neurologic Manifestations Nervous System Diseases Postoperative Complications Pathologic Processes Signs and Symptoms [clinicaltrials.gov]
During the TURP Procedure You will be given pain medication (anesthesia) to keep you from feeling pain during the procedure. It may be given to you through an IV (intravenous) line in your hand or arm. [uro-docs.com]
If the patient continues to complain of severe pain even though the bladder is empty, the surgeon should be notified at once, because unusually severe and persistent pain could indicate a perforated bladder. [medical-dictionary.thefreedictionary.com]
You will likely be placed under general anesthesia, so you’ll be unconscious and unable to feel pain. Or you may receive spinal anesthesia, which numbs the nerves in your lower body so you won’t feel pain. [healthline.com]
- Surgical Procedure
Definition (CHV) a surgical procedure in which the doctor removes part of the prostate gland through the urethra Definition (CHV) a surgical procedure in which the doctor removes part of the prostate gland through the urethra Definition (CHV) a surgical [fpnotebook.com]
Other surgical procedures for prostate disease Alternative surgical procedures to TURP include: open enucleative prostatectomy – this involves making a cut in the abdomen to remove a very enlarged prostate. This is the least common form of surgery. [betterhealth.vic.gov.au]
- Fever
And notify your physician if you experience: persistent bleeding signs of TURP syndrome fever or other symptoms of infection impotence that lasts longer than three months pain that can’t be controlled with medication Your doctor can help you learn what [healthline.com]
A perioperative antibiotic prophylaxis reduces postoperative urinary tract infections, fever and may reduce the likelihood for urethral strictures. Preoperative Preparations The patient is placed in lithotomy position. Suprapubic shaving. [urology-textbook.com]
Contact your doctor if you: Are unable to urinate Notice bright red blood or an increase in clots in your urine that doesn't become clear after drinking more fluid and resting for 24 hours Develop a fever above 100.4 degrees Fahrenheit Results TURP typically [mayoclinic.org]
Prostatitis— Inflammation of the prostate gland that may be accompanied by discomfort, pain, frequent urination, infrequent urination, and sometimes fever. [encyclopedia.com]
Tell your healthcare provider to report any of the following: Fever and/or chills Trouble urinating Trouble controlling your bladder Changes in your urine output, color, or odor Increasing blood or clots in your urine Your healthcare provider may give [hopkinsmedicine.org]
- Inflammation
It begins with a look at normal anatomy and histology for each organ system...followed by discussions of the pathology of congenital anomalies, inflammations, non-neoplastic diseases and neoplasia. [books.google.ro]
Symptoms such as frequent urination will continue for a while because of irritation and inflammation caused by the surgery. But they should ease during the first 6 weeks. [oregon.providence.org]
Prostate problems The three main problems that occur in the prostate include: inflammation (prostatitis) non-cancerous enlargement of the middle part of the prostate. This is also called benign prostatic hyperplasia (BPH) cancer of the prostate. [betterhealth.vic.gov.au]
The possible risks and complications that may arise after a Transurethral Resection of the Prostate procedure are: Excessive bleeding from the surgical wound Epididymitis: Excessive pain and inflammation within the epididymis Signs of an infection Loss [dovemed.com]
Prostatitis— Inflammation of the prostate gland that may be accompanied by discomfort, pain, frequent urination, infrequent urination, and sometimes fever. [encyclopedia.com]
- Recurrent Urinary Tract Infection
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 [urology-textbook.com]
This can manifest as an accumulation of residual urine, which can lead to recurrent urinary tract infections and the formation of bladder calculi. [nice.org.uk]
The only situations that are major indications for treatment include acute urinary retention, bladder stones, maybe recurrent urinary tract infections, or a high post-void residual. [harvardprostateknowledge.org]
Medical uses [ edit ] Prostate and nearby organs Benign [ edit ] Indications for removal of the prostate in a benign setting include acute urinary retention, recurrent urinary tract infections, uncontrollable hematuria, bladder stones secondary to bladder [en.wikipedia.org]
It should also be considered in patients with a history of chronic or recurrent urinary tract infections, previous urinary tract surgery, or urolithiasis. [emedicine.medscape.com]
Urogenital
- Incontinence
A 68-year-old man presented with a history of significant urinary urge incontinence, pollakiuria, and weak bladder sensation. He also reported mild fecal incontinence and a hypotrophic and slightly weaker left leg. [ncbi.nlm.nih.gov]
Urinary incontinence – most commonly stress incontinence – due to injury of the external sphincter system, may be prevented by taking the verumontanum of the prostate as a distal limiting boundary during TURP. [en.wikipedia.org]
Incontinence (loss of urine). Fortunately, permanent stress incontinence is uncommon - about 1 in 200 men undergoing TURP have this issue. [metrovanurology.com]
- 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]
It is not usually recommended as a treatment for prostatitis. footnote 1 Risks Urinary incontinence Inability to get or keep an erection (erectile dysfunction) Retrograde ejaculation. [mottchildren.org]
- Urinary Retention
METHODS: One hundred consecutive patients who presented in urinary retention and underwent TURP were identified. [ncbi.nlm.nih.gov]
In this study, all patients were already on hormone deprivation therapy when the urinary retention occurred. [termedia.pl]
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]
The cystoscopic control of the complete removal avoids postoperative problems like urinary retention or chronic infections. [urology-textbook.com]
- Enlargement of the Prostate
Benign Prostatic Hyperplasia (BPH) is a benign non-cancerous enlargement of the prostate gland and is the most common prostate problem in men aged over 50. It may also be referred to as benign prostatic hypertrophy. [qprostate.com.au]
What is a Transurethral Resection of the Prostate (TURP) ? A TURP is an operation for men who have problems passing urine because of an enlargement of the prostate gland. [urologicalsolutions.com.au]
TURP is a common treatment for benign prostatic hyperplasia (BPH), or enlargement of the prostate, which occurs naturally as men age. [prostatecancer.ca]
TURP is a type of surgery used to treat a benign enlargement of the prostate, also known as BPH (benign prostatic hyperplasia). This surgical treatment removes prostate tissue to relieve pressure on the urethra. This helps relieve symptoms. [uro-docs.com]
It is typically used for cases of benign (non-cancer) enlargement of the prostate. Recent advances in drug therapy have reduced the need for this surgery in many patients. [mchp-appserv.cpe.umanitoba.ca]
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
transurethral resection of prostate, transurethral resection of prostate (treatment), genito-urinary tract surgery prostatectomy (TURP), Prostate Transurethral Resections, transurethral resection of prostate (TURP), TURP (transurethral resection of [fpnotebook.com]
In men wishing to delay treatment conservative treatment appears to provide a cost-effective alternative in the short term. [ncbi.nlm.nih.gov]
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]
"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]
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
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]
With larger instruments (28 CH), prophylactic blind urethrotomy was recommended to prevent ischemic damage and consecutive urethral stricture. [urology-textbook.com]
Informații bibliografice Titlu Complications of Urologic Surgery and Practice: Diagnosis, Prevention, and Management Editor Kevin R. [books.google.ro]
Two out of 40 patients on co-trimoxazole developed urosepsis, while pivmecillinam/pivampicillin was effective in preventing septicaemic episodes in all 46 patients treated. [ncbi.nlm.nih.gov]
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]