- published: 19 Jun 2009
- views: 2128434
Transurethral resection of the prostate (commonly known as a TURP, plural TURPs, and rarely 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 anaesthetic. A 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.
BPH is normally initially treated medically. This is done through alpha antagonists such as tamsulosin or 5-alpha-reductase inhibitors such as finasteride and dutasteride. If medical treatment does not reduce a patient's urinary symptoms, a TURP may be considered following a careful examination of the prostate/bladder through a cystoscope. If TURP is contraindicated a urologist may consider a simple prostatectomy, in and out catheters, or a supra-pubic catheter to help a patient void urine effectively. As medical management of BPH improves, the numbers of TURPs have been decreasing.
A Foley catheter is a flexible tube passed through the urethra and into the bladder to drain urine. It is the most common type of indwelling urinary catheter.
The tube of a Foley catheter has two separated channels, or lumens, running down its length. One lumen is open at both ends, and drains urine into a collection bag. The other lumen has a valve on the outside end and connects to a balloon at the tip. The balloon is inflated with sterile water when it lies inside the bladder to stop it from slipping out. Foley catheters are commonly made from silicone rubber or natural rubber.
Foley catheters should be used only when indicated, as use increases the risk of catheter-associated urinary tract infection and other adverse effects.
In an emergency department, indwelling urinary catheters are most commonly used to assist persons who cannot urinate. Indications for using a catheter include providing relief when there is urinary retention, monitoring urine output for critically ill persons, managing urination during surgery, and providing end-of-life care.
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StoreMD™ for Physician Videos: http://store.preop.com Your doctor has recommended that you undergo a Trans Urethral Resection of the Prostate - or TURP. But what exactly does that mean? The prostate gland is a walnut-sized organ that is part of your reproductive system. It provides some of the fluid contained in semen. The prostate is located just under the bladder and behind the testicles. The urethra -- a hollow tube that carries both urine and semen to the penis -- passes through the prostate. In some men, the prostate gland becomes enlarged. Symptoms of an enlarged prostate include: * a full bladder feeling even when the bladder is empty * pain when urinating * weak urinary stream * infertility * and sexual dysfunction. To relieve you of your symptoms, yo...
Trans urethral resection of prostate, an endoscopic technique for the treatment of BPH (Benign prostatic hyperplasia)
TURP Transurethral Resection Prostate Surgery - PreOp® Patient Education - StoreMD™ for Physician videos: http://store.preop.com Patient Education Company Your doctor has recommended that you undergo a Trans Urethral Resection of the Prostate - or TURP. But what exactly does that mean? he prostate gland is a walnut-sized organ that is part of your reproductive system. It provides some of the fluid contained in semen. The prostate is located just under the bladder and behind the testicles. The urethra -- a hollow tube that carries both urine and semen to the penis -- passes through the prostatTe. In some men, the prostate gland becomes enlarged. Symptoms of an enlarged prostate include: Patient Education * a full bladder feeling even when the bladder is empty * pain when urinat...
This video demonstrates the basic set of instruments one may need to perform the bipolar transurethral resection of prostate
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