Resection Of The Prostate)
What is Transurethral resection of
the prostate (TUR-P)?
TUR-P is surgery to remove all or
part of the prostate gland. It is the most common
surgical procedure used to treat benign prostatic
hyperplasia (BPH), a non-cancerous growth of the prostate
How is it done?
Transurethral resection of the prostate
takes less than 90 minutes. A general or regional
anesthesia may be used. During the procedure the surgeon
inserts a thin tube-like telescope called a resectoscope
into the penis through the urethra and up to the prostate
gland. An electrical loop at the end of the scope
is used to remove obstructing prostate tissue and
seal blood vessels. The area then is irrigated and
all tissue is removed. A hospital stay of three days
is normally required during which time a catheter
will remain in place to remove urine and any remaining
debris from surgery.
Why is it done?
TUR-P is recommended for patients
who experience complications resulting from benign
prostatic enlargement such as inability to urinate;
bleeding through the urethra; kidney damage caused
by urine backing up; frequent urinary tract infections;
stones in the bladder.
Risks & complications
There are possible risks and complications
associated with anesthesia, including respiratory
or cardiac malfunction. Other complications include
the possibility of:
- Bleeding requiring blood transfusion
- Infection requiring antibiotics and in some cases
- Fluid - Electrolyte imbalance during and immediately
after surgery , mild degree will not need treatment,
Severe degree can leads to coma.
- Problems controlling urine flow (incontinence)
and urethral stricture (tightening of the urethral
- Difficulties achieving and maintaining erection
- Emptying of semen into the bladder instead of
out of the urethra (retrograde ejaculation also
called "dry orgasm")
- Risks can be reduced by following the surgeon's
instructions before and after surgery.
- Long term rigidity and narrowing of bladder neck
, resulting in poor urination.
The surgeon may discuss alternative
approaches to the TUR-P. Some medicines can improve
the flow of urine or shrink the prostate. A short
tube (called a stent) can be inserted into the urethra
to improve urine flow. Saw palmetto extract is one
of several herbal remedies that maybe helpful. Heat
therapy using microwaves, lasers or electric current
can be used to destroy excess prostate tissue. If
symptoms are not troublesome, some men choose not
to have any treatment. Symptoms do not always worsen
over time and can sometimes improve.
The best candidates for TUR-P are
men with moderate to severe symptoms caused by prostate
enlargement that have not responded to medication.
The surgeon will make the final determination of each
patient's eligibility for the transurethral surgery
after an examination and consultation with the patient.
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