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Saturday, February 14, 2009

Transurethral Resection of Prostate TURP) - Lesson 50

A transurethral resection of the prostate gland (TURP) is a removal of portion of the prostate, gland by means of an instrument that is passed through (trans-) the urethra. The procedure is necessary when the prostatic tissue enlarges (hypertrophics) and interferes with urination.

This is a urological operation. It is used to treat benign prostatic hyperplasia abbreviated as BPH.

As the name indicates, it is performed by visualising the prostate gland through the urethra and removing tissue by electrocautery or sharp dissection.

This is considered as the most effective treatment for benign prostatic hyperplasia. This procedure is done with spinal or general anesthetic.

A large triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. Outcome is considered excellent for 80-90% of BPH patients.

Risks of BPH surgey:

BPH surgery is associated with bleeding risks, so TURP is not considered safe for many patients with cardiac problems.Postoperative complications include bleeding (most common), clotting, and hyponatremia (due to bladder irrigation). As well as, transurethral resection of the prostate is associated with low, but important morbidity and mortality.

In the next posting we will learn about SYMPHYSIS...ok

Come on..