Descrizione TURP


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It Descrizione TURP 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 anaesthetic.

A triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. BPH is normally Descrizione TURP treated medically.

This is done through alpha antagonists such as Descrizione TURP or 5-alpha-reductase inhibitors such as finasteride and dutasteride. If TURP is contraindicated a urologist may consider a simple Descrizione TURPin and out catheters, or a supra-pubic catheter to help a patient void urine effectively. The scope is passed through the urethra to the prostate where surrounding prostate tissue can then be excised.

A monopolar device utilizing a wire loop with electric current flowing in one direction thus monopolar can be used to excise tissue via the resectoscope. A grounding ESU pad and irrigation by a nonconducting fluid is required to prevent this current Descrizione TURP disturbing surrounding tissues.

This fluid usually glycine can cause damage to Descrizione TURP tissue after prolonged exposure, resulting Descrizione TURP TUR syndrome, so surgery time is limited. TURP using a bipolar device is a newer technique that uses bipolar current to remove the tissue. Descrizione TURP transurethral method utilizes laser energy to remove tissue. With laser prostate surgery a fiber optic cable pushed through the urethra is used to transmit lasers such as holmium-Nd:YAG high powered "red" or potassium titanyl phosphate KTP "green" to vaporize the adenoma.

More recently the KTP laser has been supplanted by a higher power laser source based on a Descrizione TURP triborate crystal, though it is still commonly referred to as a "Greenlight" or KTP procedure.

The specific advantages of utilizing laser energy rather than a traditional electrosurgical TURP is a decrease in the relative blood loss, elimination of the risk of post-TURP hyponatremia TUR syndromethe ability to treat larger glands, as well as treating patients who are actively being treated with anti-coagulation therapy for unrelated diagnoses. Because of bleeding risks associated with the surgery, TURP is not considered safe for many patients with cardiac problems.

Postoperative complications include [2]. Additionally, transurethral resection of the prostate is associated with a low risk of mortality.

Descrizione TURP resection of the prostate. Redirected from TURP. For Descrizione TURP village in Iran, see Turp, Iran. Micrograph of a transurethral resection of the prostate TURP specimen, showing BPH nodular hyperplasia of the prostate — left-of-center in image.

Postoperative complications include [2] Bleeding most common. Bleeding may be reduced Descrizione TURP pre-treatment with an anti-androgen such as finasteride [3] [4] [5] or flutamide. Intraperitoneal bladder rupture will present Descrizione TURP upper abdominal pain and referred pain to the shoulder. Extraperitoneal bladder rupture may present with inguinal, peri-umbilical pain.

TURP Syndrome : Hyponatremia and water intoxication symptoms resembling brain stroke in an elderly presenting patient caused by an overload of fluid absorption e. This complication can lead to confusion, changes in mental status, vomiting, nausea, and even coma.

To prevent TURP syndrome the 1 length of the procedure is limited to less than one hour in many centers, and 2 Descrizione TURP height of the container of irrigating solution above the surgical table determining the hydrostatic pressure driving fluid into the Descrizione TURP veins and sinuses is kept to a minimum. Distilled water has the highest risk for intravascular hemolysis, hypervolemia, and dilutional hyponatremia.

Sorbitol Descrizione TURP mannitol solutions may lead to hyperglycemia sorbitolintravascular fluid expansion with absorption mannitol and an osmotic diuresis sorbitol and mannitol.

Transurethral incision of the prostate Transurethral greenlight laser Descrizione TURP Transurethral steam treatment Rezum. Archived from the original on Retrieved Eur Urol. CS1 maint: multiple names: authors list link.

Medscape: Transurethral Resection of Descrizione TURP Prostate.

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Posted 5 Descrizione TURP ago94 users are following. JUst wanted to share my experience with my Descrizione TURP surgery. I'm 45yrs old, too young some say for me to having prostate issues but I put it down to my father side of the family my father and uncles all currently suffer from enlarge Descrizione TURP. For Descrizione TURP last couple of years been suffering from weak urine stream, having a full night sleep and waking up in the morning with the urge to go wee just Descrizione TURP wee a small trickle.

I also suffered from time to time Descrizione TURP blood in the urine. Went to see the Urologist, he did some testing, test on the strengh on my urine flow Descrizione TURP weak the doc said he put a camera up my penis to see inside and we could see clearly that my prostate was enlarge and was putting pressure on my bladder which probably explained why Descrizione TURP I could see blood on my urine.

I have a benign enlarged prostate, no cancer worries which is good. While I decided if I wanted to have surgery, doctor put me on Avodart. It did help but I wasn't sure if Descrizione TURP wanted to take antibiotics for the rest of my life. Avodart Descrizione TURP reduces the size of the prostate but if you stop taking it, you will still have the same problem again and it will only get worse.

Dedided to have the Descrizione TURP, I had it three weeks ago. Catheter was removed the following day in the morning, had to Descrizione TURP a few times into a container, followed by a scan Descrizione TURP pressed to my belly to see how much urine was left in the bladder. I can see the immediate benefit of the Descrizione TURP where my urine stream is very strong.

When I get up in the morning with a full bladder, Descrizione TURP more urine trickle, just a strong urine flow. The doctor says is normal for this symptoms Descrizione TURP happen and it will take weeks before everything is back to normal.

Anyone that had Turp done, Descrizione TURP long it took until you where pain free? Posted 5 years ago. Posted 2 years ago. When you have a bladder infection you need to complete the course of antibiotics. If you stop the antibiotics early it will come back. Be careful of what you eat, don't eat with your hands, things like unwashed lemon peel can cause problems. I had a lot of prostate removed and it was about 9 weeks for the symptoms to subside.

Just before and after my Turp I bled fresh blood for about 30 days not burgundy colored pee, but spaghettic sauce colored fresh blood. I needed a total of 6 pints of blood just before and after the turp.

Maybe you should get your blood counts checked mainly Hemoglobin and Red Descrizione TURP cells. Descrizione TURP caused me a Descrizione TURP of fatigue because I was anemic for several months. But the burning and urgency were gone in 9 weeks. I don't know what prostate symptoms would last 4 to 6 months. Report Reply ray art Posted 2 years ago. Yes I did get intermittant pain with the foley cath. It came on as bladder spasms every Descrizione TURP or so that would last for about a half minute.

I think it was due to the inflatible balloon rubbing aginst my bladder mouth. When in hospital with a three way irrigating cath I asked the nurse to remove a bit of the sterile water in the baloon, which helped a bit. I've had no problems to date. I still take dutasteride daily. My yearly sonogram in Nov, showed my prostate was g. I had expected the dutasteride to shrink the prostate but so far it has only slowed Descrizione TURP growth rate.

Descrizione TURP so far, so good. No problems voiding or urgency or leaking. Sex is fine, the retro didn't effect the sensation for me at all. Because Descrizione TURP bph reduced my bladder capacity, I go every few hours. I usually go 3 times at night but use a couple of plastic Descrizione TURP in a basket by my Descrizione TURP, so I can sit on the edge of the bed in the dark, use the Descrizione TURP and get right back to sleep.

No side affects at all. If it works I expect to take it for life. My uro wanted to give me finasteride Descrizione TURP I Descrizione TURP for dutasteride because I had read it was more potent.

My uro Descrizione TURP worried about side effects but I haven't had any. I Descrizione TURP been taking it for 12 months when I had my last sonogram which showed an increase from g. Hopefully my next sonogram in Nov. Ray, There actually was a side affect of decreasing my PSA from 8. They say you need to double your PSA score if on dutasteride, but that puts it at 3.

My PVR also lowered a bit from 32 mls. Can't think of Descrizione TURP else it could be. I had 2 Greenlight lasers and the turp Descrizione TURP three years from to My PSA had been Descrizione TURP about a half a point a Descrizione TURP for the past 10 years. This was the only time it went down. It's great to know. Your prostate should be much smaller now I would think. I just started Finasteride. Did think about dutasteride but it's not on my insurance list. Well I am at 60 days but I spent a week after surgery in another Descrizione TURP after having completions three days post op.

That cleared up fever and rib pain probably rolled wrong off operation table to bed they figured after every test Ct scan IV pain meds and same antibiotics. My doctor told me direct as he has done thousands of these over the years he said and with the size of Descrizione TURP prostate and part removed he said some men take up Descrizione TURP 6 months to fully recover so I pray I am.

Just don't have the energy to do anything but lay in bed and relax, I feel best there after I get my chores taking care of my 92 ur old. Sh it heating pad which now as my old hot one quit the new ones are a quarter as hot go figure lawsuit city probably. I hope I am turning the corner but the two for sure bladder infections have slowed things down damn antibiotics make me sick, and the third I thought I had he said no infection and the urin is normal with some blood bla bla so that clears.

In bed with heating pad or soaking in hot bath only relaxing thing I can do I take Tylenol as needed one at a time probably three a day still passing scabs and drinking lots of Descrizione TURP Dr warned me this could be a month recovery as my prostate was huge and removed a lot I want to Descrizione TURP back to normal as my wife is sic of me laying around, I do take care of my 92 yr old mom daily 65 mile round trip and do the lawn.

I'm now 4 weeks post TURP. Like you I have had intermittent blood in urine and passing small bits of material. That all changed today Descrizione TURP I passed about 6 large blood clots.

On average when looking at mine they were about the size of a 10 cent piece. Bladder Descrizione TURP to slow me down and Descrizione TURP I tore my colon again in the same place but ended up being thrombosis no tear thank god. This has been a nitemare but the nitemare before was worse being cathed when I could not pee Report Reply art werner Posted 2 years ago.

Good morning. I had a TURP on August 25, and from time to time my urine is real blood red and it has some large blood clots in it. I'm wondering if this is normal. Bob I messaged you before about having to self cath. I just can't find your message Descrizione TURP the moment when you said your cousin had to do it all the time. I am still having trouble. I get really strong urges to go to the toilet but when I get here nothing. You said your cousin did not get any urges to go. Is that correct.

If I have to go for a bowell motion I do urinate at the same time. The urologist who did my TURP said me bladder had failed. I would have thought that I wouldn't be able to pee at all. To me it seems like there is a blockage of some kind. Any thoughts. The last event was only two days ago which was after Descrizione TURP days of voiding clear urine. Like you I was most concerned and worried after the first event, in particular due to the size of the clots. I wish you well in your recovery.

Charles, it's Descrizione TURP been about 6 weeks and I think 8 weeks or so is a normal time to recuperate. Most of what looks like blood in urine is a little bit of blood coloring the urine. It looks like burgundy wine. Frank blood whole blood is like thick spaghetti sauce. I have had both. If you are worried, when you see blood, pee in a small bathroom plastic or paper cup. Blood colored urine stays Descrizione TURP, like red wine. Frank blood will form a film like pudding over the surface in a couple of minutes.

As far as Descrizione TURP, they have Descrizione TURP come out. I had two Green light lasers and a turp, Time to get clear urine ranged from 6 to 9 weeks.

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Transurethral Descrizione TURP of the Prostate TURP Syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. Treatment is largely supportive and relies on removal of the underlying cause, and organ and physiological support. Pre-operative prevention strategies are extremely important.

The Descrizione TURP picture of TURP syndrome will vary according to its severity, and may further be influenced by the type of irrigant used. There is no classical presentation for TURP syndrome, indeed signs and symptoms are often vague and non-specific, therefore in the correct clinical context the clinician should have a high index of suspicion. Most of the manifestations are secondary to fluid overload. Descrizione TURP pathophysiology of TURP syndrome is complex and does not always follow the same sequence of events, which explains why the set of signs and symptoms are variable and non-specific.

Commonly used fluids for TURP procedures include glycinesterile water and glucose solution. Absorption of small volumes of Descrizione TURP fluid via the prostatic venous sinuses will inevitably occur in most TURP operations. Fluid absorption leads to rapid volume expansion, which causes hypertension and reflex bradycardia. The Descrizione TURP pressure of blood will decrease as a Descrizione TURP of the dilution of serum proteins, and Descrizione TURP coupled with hypertension will push fluid from the intra-vascular to the interstitial compartment causing pulmonary and cerebral edema.

Patients with impaired left ventricular function may furthermore develop pulmonary edema Descrizione TURP a result Descrizione TURP the acute circulatory overload. The excessive absorption of fluid will rapidly dilute the serum sodium concentration.

This fall in sodium concentration will create an osmotic gradient between intra- and extra- fluid within the brain, leading to net fluid shift away from intra-vascular compartment resulting in cerebral oedema and raised intra-cranial pressure.

The symptoms resulting from Descrizione TURP will depend on both the severity of the drop as well as the speed at which the concentration decreased. Glycine, a commonly used fluid for irrigation, gains entry to the intra-vascular compartment via the prostatic venous sinuses, and is then metabolized in the portal bed and kidneys. Ammonia is a major by-product of glycine metabolism.

Descrizione TURP may ensue if ammonia serum concentration rise sufficiently. Descrizione TURP irrigation is a significant source of heat loss. Body core temperature may fall if the irrigating fluids used are instilled at room temperature for a prolonged period Descrizione TURP time during the operation. There are Descrizione TURP definite criteria to diagnose TURP syndrome. The symptoms and signs have been listed and Descrizione TURP varied and non-specific, however the following findings soon after a TURP procedure would be strongly suggestive of a TURP syndrome diagnosis:.

Due to the severe morbidity and mortality associated with the TURP syndrome, precautions must be taken to reduce the risk of this developing in so Descrizione TURP as possible. Regional anaesthesia is preferred, as it allows for detection of early signs of TURP syndrome such as confusion, restlessness and altered consciousness. Fluids containing glycine can be toxic to the Descrizione TURP and central nervous systems if infused in large Descrizione TURP and should be avoided.

Length of surgery should be reduced as much as is safely possible, and ideally be kept under 1 hour. Surgical experience is therefore paramount in order to minimize the time of surgery.

Large prostates should be resected in staged procedures Descrizione TURP avoid prolonged operative Descrizione TURP, and care should be taken to avoid damage to the prostate capsule. The height of the irrigating fluid above the patient should not be excessive. This is so to minimize hydrostatic pressure of the fluid. The treatment of TURP syndrome is mainly supportive, and is most successful where diagnosis is made early and interventions are instituted before systemic complications occur.

The diagnosis may indeed be made peri-operatively, in which case the procedure should be terminated as soon as possible. The patient should preferably be transferred to a Descrizione TURP dependency unit and be attached to continuous monitoring. Endotracheal Descrizione TURP and positive pressure ventilation may be necessary where pulmonary oedema has developed. Blood pressure should be monitored via insertion of a central line and arterial line.

Inotropes may be employed judiciously Descrizione TURP support blood pressure. Plasma expansion may be necessary if hypotension and low cardiac output develop. Hypertonic saline may be given intravenously, however this must be done carefully as a rapid increase in serum Descrizione TURP concentration may lead to central pontine myelinolysis.

Concurrently the slow administration of intravenous diuretics such as furosemide can correct the sodium by diuresis, however these should be given with caution as they may paradoxically cause a reduction in serum sodium concentration. Nausea and vomiting can be treated with intravenous anti-emetics. Seizures and convulsions may be Descrizione TURP with benzodiazepines. Disseminated intravascular coagulation must be managed by careful transfusion of packed red cells, fresh frozen plasma, Descrizione TURP and platelets, but this rarely helps and can be deleterious by "adding fuel" to microvascular thrombosis.

Regular blood tests will be necessary to monitor improvement in clotting status. Transurethral resection of the prostate syndrome. Transurethral resection of the prostate syndrome Specialty Urology Contents. Fluid overload Edit Absorption of small volumes of irrigating fluid via the prostatic venous sinuses Descrizione TURP inevitably occur in most TURP operations.

Descrizione TURP Edit The excessive absorption of fluid will rapidly dilute the serum sodium concentration. Hypothermia Edit Bladder irrigation is a significant source of heat loss. Regional vs. Operative time Edit Length of surgery should be reduced as much as is safely possible, and ideally be kept under 1 hour. Prostate size Edit Large prostates should be resected in staged procedures to avoid prolonged operative times, and care should be taken to avoid damage to the prostate capsule.

Irrigating fluid bag height Edit The height of the irrigating fluid above the patient should not Descrizione TURP excessive. Cardiovascular support Edit Blood pressure should be monitored via insertion of a central line and arterial line. Correction of hyponatraemia Edit Hypertonic saline may be given intravenously, however this Descrizione TURP be done carefully as a rapid increase in serum Descrizione TURP concentration may lead to central pontine myelinolysis.

Replacement of clotting factors Edit Disseminated intravascular coagulation must be Descrizione TURP by careful transfusion of packed red cells, fresh frozen plasma, fibrinogen and platelets, but this rarely helps and can be deleterious by "adding fuel" to microvascular thrombosis.

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If the inner Descrizione TURP of the prostate gland obstructs the urethra Descrizione TURP urination, this will irritate the bladder and cause urinary symptoms.

Urinary symptoms may include:. The actual size of the prostate does not appear to determine whether or not there is a blockage. Some men with large prostates never develop obstruction, but some men with small Descrizione TURP can have severe bladder obstruction, which causes difficulty with urinating. Around one in three Victorian men over the age of 50 years have some urinary symptoms. In most cases, these symptoms are Descrizione TURP to a blockage caused by an enlarged prostate, but they may Descrizione TURP due to other causes.

Transurethral resection of the prostate TURP is sometimes referred to as a 'rebore'. It involves inserting a slender instrument through the urethra to the prostate and removing prostate tissue back through the urethra. Only the middle part of the prostate is removed to release the blockage and allow you to pass urine more easily. TURP is used most often for non-cancerous Descrizione TURP, but may Descrizione TURP be used in Descrizione TURP cases of prostate cancer.

This is Descrizione TURP most common form of surgery around 95 per cent of surgical procedures for BPH. The average hospital Descrizione TURP is three to four days. While surgery can improve Descrizione TURP dramatically, TURP can have significant unwanted side effects. It is recommended that you discuss the pros and cons of both Descrizione TURP management and surgery with your doctor before you make a decision.

The following content is displayed as Tabs. Once you have activated a link navigate to the end of the list to Descrizione TURP its associated content. The activated link is defined as Active Tab. Brain surgery is performed for a number of reasons, Descrizione TURP alterations in brain tissue, brain blood flow and cerebrospinal fluid Day surgery is completed in one day, usually the person does not have to stay in hospital overnight A colonoscopy can be used to look for cancer of the colon bowel cancer or colon polyps, which are growths on the lining of the colon An endoscope or fibrescope is a long, usually flexible tube with a lens at one end and a video camera at the other The advantage of laparoscopy is that only a small incision is required, which is why it is also known as 'keyhole surgery' Corneal transplant surgery would not be possible without generous donors and their families, who have Descrizione TURP corneal tissue so that others may see Descrizione TURP are often donated after death but more people are choosing to donate one of their kidneys while still alive living kidney donation Discover the facts about organ and tissue donation, decide about becoming a donor and discuss your decision with the people close to you Transplantation varies depending on the transplant organ or tissue so speak with your medical team about surgical procedures, recovery and medications A 'tummy tuck', or abdominoplasty, is cosmetic surgery to remove fat Descrizione TURP excess loose skin from the abdomen Eyelid surgery, or blepharoplasty, aims Descrizione TURP improve the appearance of the upper eyelids, lower eyelids or both Body contouring is surgery to remove sagging skin and extra fat, and improve the shape and tone of underlying tissue An 'arm lift' is surgery to reshape or Descrizione TURP the underside of the upper arm from the armpit to the elbow Breast reduction surgery removes excess breast fat, Descrizione TURP tissue and skin to achieve a breast size in proportion with your body Cosmetic genital surgery involves reshaping the labia, vulva or penis to alter their size or shape Buttock and pectoral implants involve surgery to insert shaped silicone pieces into skin cavities Cosmetic surgery carries risks and, in some cases, the results are not what you may anticipate Descrizione TURP correction surgery, or otoplasty, is usually done to move prominent ears closer to the head or to reduce the size of large ears A facelift is a type of cosmetic surgery that removes or tightens facial skin to make a person look younger Facial implants are Descrizione TURP by people who want to restore or improve the normal shape of their face Hair transplant surgery involves taking skin from parts of the scalp where hair is growing and grafting it to the thinning or bald areas, or areas of trauma Liposuction is invasive surgery and is not a substitute for weight reduction or a cure for obesity People may choose to travel overseas to seek medical or surgical treatment that is unavailable in their home country.

This is called medical tourism, and it's a booming industry worldwide. IVF in-vitro-fertilization Descrizione TURP ICSI intracytoplasmic sperm injection are assisted reproductive Descrizione TURP ART procedures in which fertilisation of an egg occurs outside the body A caesarean section is usually performed when it Descrizione TURP safer for the mother or the baby than a vaginal birth Sterilisation is a permanent method of contraception that a woman can choose if she is sure that she does not want children in the future Having a vasectomy does not affect a man?

The conditions that prompt Descrizione TURP hysterectomy can often be treated by other means, and hysterectomy should only be a last resort Some women choose to have breast reconstruction surgery to give a similar appearance to the look of their original breast in normal clothes Descrizione TURP craniotomy is an operation to open the skull cranium in order to access the brain for surgical repair During laser eye surgery, a computer-controlled laser Descrizione TURP used to remove microscopic amounts of tissue from the front surface of the eye After Descrizione TURP bypass surgery, eat a wide variety of fresh fruit and vegetables, wholegrain cereals and cold-water fish People with coronary heart Descrizione TURP talk about the medical procedures that followed their heart attack and diagnosis Knee replacement surgery removes a diseased knee joint and replaces it with an artificial joint A laparotomy Descrizione TURP a surgical incision into the abdominal cavity used to examine the abdominal organs and aid diagnosis Obesity surgery is not a form of cosmetic surgery, nor an alternative to good eating habits and regular exercise A tracheostomy is a surgical procedure that involves making a cut in the trachea windpipe and inserting a tube into the opening Surgery on the prostate gland can have many side effects, including erectile problems and urinary incontinence The aim of a radical prostatectomy is to remove the cancer before it spreads to other parts of the body This page has been produced in consultation with and approved by: Healthymale Andrology Australia.

Content on this website is provided Descrizione TURP information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional.

The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the Descrizione TURP.

All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances.

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