TURP


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resection

 [re-sek´shun]
removal, as of an organ, by cutting; called also excision.
gastric resection gastrectomy.
root resection (root-end resection) apicoectomy.
transurethral resection of the prostate (transurethral prostatic resection) see transurethral resection of the prostate.
wedge resection removal of a triangular mass of tissue.

transurethral

 [trans″u-re´thral]
performed through the urethra.
transurethral resection of the prostate (TURP) removal of a portion of the prostate by means of an instrument passed through the urethra. A transurethral resection removes only enlarged prostatic tissue, as in benign prostatic hypertrophy. Normal prostatic tissue and its outer capsule are left intact.

Patient Care. Preoperatively the patient will probably have some difficulty in urination, owing to the fact that the prostate encircles the urethra. The patient's fluid intake and output should be measured and recorded, even though he may not have an indwelling catheter to relieve bladder distention from retained urine.



Most patients having this procedure are over the age of 65. A thorough nursing assessment should be done to identify the special needs of the patient, especially those related to chronic illnesses such as heart disease and diabetes, and to such sensory deficits as impaired sight and hearing. Safety measures such as side rails are particularly important, as well as caution in the administration of sedatives and analgesics.

During the immediate postoperative period the patient is monitored for signs of hemorrhage. Drainage through the urinary catheter is expected to be bright red for the first 24 hours after surgery and might upset the patient or someone not familiar with the effects of the surgical procedure. However, an increasingly darker red color could indicate fresh bleeding and should be reported to the surgeon.

In addition, special attention is given to the catheter and tubing leading from the bladder to be sure it is open and draining freely. Severe pain could indicate bladder spasms caused by blood clots and bits of tissue. Before administering any analgesic for relief of bladder pain, the nurse should first note whether the catheter is draining as it should. Irrigations often are prescribed to remove the obstructing material and maintain adequate flow. The irrigation procedure must be done under sterile conditions because infection is a very real danger after prostatectomy. If the patient continues to complain of severe pain even though the bladder is empty, the surgeon should be notified at once, because unusually severe and persistent pain could indicate a perforated bladder.

A transurethral resection does not affect the hormonal level of a male, nor does it render him sterile. After recovery from his surgery he should be able to resume his former level of sexual activity.
Transurethral resection of the prostate. Hyperplastic prostate tissue is removed through a resectoscope inserted through the urethra. From Polaski and Tatro, 1996.

TURP

transurethral resection of the prostate.

TURP

TURP

Transurethral resection of prostate, see there.

TURP

Abbrev. for transurethral resection of the prostate, the commonest type of operation for enlargement of the PROSTATE GLAND.

Transurethral resection of the prostate (TURP)

Surgical removal of a portion of the prostate through the urethra, a method of treating the symptoms of an enlarged prostate, whether from BPH or cancer.
Mentioned in: Prostate Cancer
References in periodicals archive ?
Senior residents (R3-R4-R5) would like additional exposure to GreenLight, bipolar TURP, Olympus PlasmaButton, HoLEP, Thulium and monopolar TURP during their residency (Fig.
TURP remains the primary form of surgical therapy for BPH, still representing more 90% of all procedures in 2011.
For patients without a catheter, compliance was defined as those receiving an antibiotic prior to TURP.
Costs included all primary care and hospital/surgery costs, based on: (a) resource use associated with disease severity states (maintenance healthcare visits or routine care), (b) resource use associated with AUR, and (c) resource use associated with TURPs.
Third, the utility model used by the authors assumes that patients undergoing successful TURP have the same health state utility as those with moderate voiding symptoms.
This occurs when too much of the irrigant fluid used during traditional TURP is absorbed, leading to a dilution of salts (principally sodium) in the blood, a potentially life-threatening complication.
Both TURP and PVP offer highly safe and effective recovery options.
A meta-analysis of short- and long-term data from 10 randomized controlled trials comparing TUIP with TURP found similar LUTS improvements and lower, but not significant, improvements in maximum flow rates for TUIP patients with small prostates, without enlarged prostate median lobes.
The study, which looked at the durability of outcomes of Holmium Laser Enucleation of the Prostate (HoLEP) in nearly 1,000 patients over 10 years, demonstrated that complication rates are minimal and the need for further treatment, even up to a decade later, is less than 1 per cent, compared to 10-16 per cent with TURP.
Keywords: Chinese medicine, Chinese herbal medicine, urology, benign prostatic hypertrophy (BPH), TURP