transurethral resection of the prostate


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Related to transurethral resection of the prostate: benign prostatic hyperplasia, transurethral resection of bladder tumor

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.
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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 ?
Selective transurethral resection of the prostate combined with transurethral incision of the bladder neck for bladder outlet obstruction in patients with small volume benign prostate hyperplasia (BPH): a prospective randomized study.
Transurethral resection of the prostate in northern Nigeria, problems and prospects.
Complications of transurethral resection of the prostate (TURP) - incidence, management, and prevention.
Prostate cancer is most commonly discovered today because of an elevated PSA or abnormal DRE or as an incidental histopathological finding on a transurethral resection of the prostate (TURP) specimen.
(6) studied 557 men with symptomatic improvement (25% or more reduction of total IPSS) at 3 months after transurethral resection of the prostate, and found that their LUTS were primarily due to BOO.
(No dietary or herbal supplements are recommended.) Surgical procedures include transurethral resection of the prostate (TURP), in which an electrically charged loop is fed through the urethra to cut out prostate tissue, and newer procedures, such as photovaporization of the prostate, using lasers to vaporize or excise excess prostate tissue, or the entire prostate, more safely, and with less recovery time than TURP.
Meanwhile, he continued to have haematuria and a debulking transurethral resection of the prostate was needed to control the haematuria.
This incompatibility was encountered during the recent case of a 70-year-old male, ASA II, undergoing cystocopy and transurethral resection of the prostate. An 18-gauge BD Insyte catheter with a Smart Site needle-free valve port 200E was inserted into a superficial vein on the dorsum of the right hand.
With bothersome symptoms, transurethral resection of the prostate (TURP) remains the benchmark for treatment.
His surgical history included transurethral resection of the prostate (TURP) for benign prostatic hypertrophy, approximately 10 years prior to his current presentation.
Transurethral resection of the prostate (TURP) was the primary surgical approach during most of the 20th century and remains the benchmark.

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