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Transurethral Prostate Resection

Prostatectomies Transurethral


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]
Persistent Cough
  • General anaesthesia In circumstances where general anaesthesia is preferred (patient has a contraindication to spinal anaesthesia, unable to lie supine for any length of time, or has a persistent cough which make surgery difficult), the choice of airway[ceaccp.oxfordjournals.org]
Regurgitation
  • The lithotomy position in combination with a head-down tilt reduces tidal volume and functional residual capacity, and increases the likelihood of gastric regurgitation.[ceaccp.oxfordjournals.org]
Fecal Incontinence
  • He also reported mild fecal incontinence and a hypotrophic and slightly weaker left leg. At 63 years of age he had presented to a urologist for treatment of irritative lower urinary tract symptoms and incontinence.[ncbi.nlm.nih.gov]
Upper Abdominal Pain
  • Intraperitoneal bladder rupture will present with upper abdominal pain and referred pain to the shoulder. Extraperitoneal bladder rupture may present with inguinal, peri-umbilical pain.[en.wikipedia.org]
Excitement
  • The Nernst equation predicts that a moderate decrease in extracellular sodium concentration only minimally alters membrane excitability. 10 Patients who are hyponatraemic but have a normal osmolality are likely to be asymptomatic.[ceaccp.oxfordjournals.org]
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 TUIP, there is much less risk of retrograde ejaculation compared with TURP. However, it usually gives you symptom relief equal to TURP. One possible downside: Some men need a repeat TUIP.[webmd.com]
  • This is known as retrograde ejaculation and can occur in as many as nine out of 10 cases.[your.md]
  • The volume of semen will likely be reduced; this is due to “retrograde ejaculation”, or backward flow of the semen into the bladder. (The ejaculate will be cleared away with urination.)[prostatecancer.ca]
Urinary Incontinence
  • The actuarial freedom from permanent urinary incontinence at 3 years after implantation was 94%. No patient required urethral dilatation for urethral stricture. Eleven patients were sexually potent prior to implantation.[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]
  • A TURP would make this problem much worse resulting in incurable urinary incontinence. If you have recently had radiotherapy to treat prostate cancer. Again, having a TURP soon after radiotherapy would result in urinary incontinence.[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]
  • Many men also temporarily lose the ability to control their bladder (urinary incontinence) , although this usually passes in a few weeks. In rare cases, it may be persistent and need further treatment.[nhs.uk]
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]
  • 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]
  • 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]

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

  • 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.[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.[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]
  • He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education.[lifeinthefastlane.com]
  • Authors’ Affiliations (1) Department of Surgery, Bayero University and Aminu Kano Teaching Hospital, PMB 3452 Kano, Nigeria (2) Department of Pathology, Bayero University and Aminu Kano Teaching Hospital, PMB 3452 Kano, Nigeria References McConnell JD: Epidemiology[bmcurol.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • 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.[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]
  • A cooperative study of 13 participating institutions evaluating 3,885 patients , J Urol , 1989 , vol. 141 (pg. 243 - 7 ) 3 Fluid absorption in endoscopic surgery , Br J Anaesth , 2006 , vol. 96 (pg. 8 - 20 ) 4 The pathophysiology, diagnosis and therapy[academic.oup.com]

Prevention

  • A grounding ESU pad and irrigation by a nonconducting fluid is required to prevent this current from disturbing surrounding tissues.[en.wikipedia.org]
  • 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]
  • Informații bibliografice Titlu Complications of Urologic Surgery and Practice: Diagnosis, Prevention, and Management Editor Kevin R.[books.google.ro]
  • With larger instruments (28 CH), prophylactic blind urethrotomy was recommended to prevent ischemic damage and consecutive urethral stricture.[urology-textbook.com]

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