transurethral resection of the prostate

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Related to Trans-urethral resection: transurethral resection syndrome

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.

transurethral resection of the prostate (TURP)

resection of the prostate by means of a cystoscope passed through the urethra.
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Transurethral resection of the prostate
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TRANSURETHRAL RESECTION OF THE PROSTATE

transurethral resection of the prostate

Abbreviation: TUR, TURP
The removal of prostatic tissue using a device inserted through the urethra.
See: prostatectomy; illustration
See also: resection

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 ?
Key Words: Carcinoma prostate, Trans-Urethral Resection of Prostate(TURP), Benign Prostatic Hyperplasia (BPH).
Organ-conservation in invasive bladder cancer treated by trans-urethral resection, chemotherapy, and radiation: results of urodynamic and quality of life study on long-term survivors.
European Association of Urology guidelines currently recommend an immediate single, post-operative instillation of a chemotherapeutic agent following trans-urethral resection of a bladder tumor in all patients with low risk bladder cancer, as it has been shown in clinical studies to decrease the risk of recurrence.
These results and the immediate post-operative clinical results show that the two major clinical measurements of effectiveness (flow rate and AUA symptom score improvement) are as good or better than any other treatment available, including those published for the current gold standard procedure, trans-urethral resection of the prostate (TURP).
Krahn stated, "We have now treated more than 1,000 men with BPH with Trimedyne's Holmium laser, and their satisfaction with the procedure is so high and complications so rare that we no longer offer the conventional Trans-Urethral Resection of the Prostate ("TURP") procedure for BPH in our institution.
The agreement grants to Imagyn an exclusive, worldwide license to the urological applications of the resectoscope sheath, including its use in trans-urethral resection of the prostate (TURP), the standard of care for treating benign prostatic hyperplasia (BPH).

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