Transurethral resection of the prostate

Transurethral resection of the prostate

Interventions infobox
Name = Transurethral resection of the prostate


Caption =
ICD10 =
ICD9 = 60.29
MeshID = D
OtherCodes =

Transurethral resection of the prostate (also known as TURP, plural TURPs and as a transurethral prostatic resection TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. This is considered the most effective treatment for BPH. 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. Because of bleeding risks associated with the surgery, TURP is not considered safe for many patients with cardiac problems. As with all invasive procedures, the patient should first discuss medications they are taking with their doctor, most especially blood thinners or anticoagulants, such as warfarin (Coumadin), or aspirin. These may need to be discontinued prior to surgery. Postop complications include bleeding (most common), clotting and hyponatremia (due to bladder irrigation).

Additionally, transurethral resection of the prostate is associated with low but important morbidity and mortality. [Jensen KM-E. Clinical evaluation of routine urodynamic investigations in prostatism. Neurology and Urodynamics 1989;8:545-78.]

References

See also

* Transurethral needle ablation of the prostate
* Prostatectomy
* Prostatic stent

References


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