Transurethral prostatic resection

Overview Of Transurethral prostatic resection

Transurethral prostatic resection (TURP) is a surgical procedure used to treat urinary symptoms caused by an enlarged prostate, a condition known as **benign prostatic hyperplasia (BPH)**. During TURP, a resectoscope (a thin, lighted instrument) is inserted through the urethra to remove excess prostate tissue that is obstructing urine flow. This procedure is considered the gold standard for treating moderate to severe BPH and is effective in relieving symptoms such as difficulty urinating, frequent urination, and incomplete bladder emptying. TURP is minimally invasive compared to open surgery and typically involves a shorter recovery time. However, like all surgeries, it carries risks, including bleeding, infection, and urinary incontinence.

Causes of Transurethral prostatic resection

• TURP is performed to address symptoms caused by an enlarged prostate, which can result from:
• Benign Prostatic Hyperplasia (BPH): Non-cancerous growth of the prostate gland, common in aging men.
• Urinary Obstruction: Blockage of urine flow due to prostate enlargement.
• Recurrent Urinary Tract Infections (UTIs): Caused by incomplete bladder emptying.
• Bladder Stones: Formed due to stagnant urine in the bladder.
• Kidney Damage: Resulting from prolonged urinary retention.

Risk Factors of Transurethral prostatic resection

• Several factors increase the likelihood of needing TURP, including:
• Age: BPH is more common in men over
• Family History: A genetic predisposition to prostate enlargement.
• Obesity: Excess weight can exacerbate BPH symptoms.
• Lifestyle Factors: Sedentary behavior or poor diet.
• Chronic Conditions: Diabetes or cardiovascular disease.

Prevention of Transurethral prostatic resection

• Preventing the need for TURP involves managing BPH symptoms and maintaining prostate health:
• Healthy Diet: A diet rich in fruits, vegetables, and whole grains.
• Regular Exercise: To maintain a healthy weight and improve urinary function.
• Medication Adherence: Taking prescribed medications to manage BPH.
• Regular Check-Ups: Monitoring prostate health and urinary symptoms.
• Avoiding Bladder Irritants: Limiting caffeine, alcohol, and spicy foods.

Prognosis of Transurethral prostatic resection

• The prognosis for men undergoing TURP is generally excellent, with most experiencing significant improvement in urinary symptoms. However, some men may require additional treatments or experience complications. Long-term follow-up is essential to monitor for recurrence of symptoms or complications like urinary incontinence or erectile dysfunction.

Complications of Transurethral prostatic resection

• While TURP is generally safe, potential complications include:
• Bleeding: During or after the procedure.
• Infection: Urinary tract infections or prostatitis.
• Urinary Incontinence: Temporary or permanent loss of bladder control.
• Retrograde Ejaculation: Semen flowing backward into the bladder during ejaculation.
• Erectile Dysfunction: Rare but possible.
• Stricture or Scarring: Narrowing of the urethra requiring further treatment.

Related Diseases of Transurethral prostatic resection

• TURP is often associated with several related conditions, including:
• Benign Prostatic Hyperplasia (BPH): The primary condition treated by TURP.
• Prostate Cancer: A malignant growth of the prostate gland.
• Urinary Retention: Inability to empty the bladder completely.
• Bladder Stones: Formed due to stagnant urine.
• Chronic Kidney Disease (CKD): Resulting from prolonged urinary obstruction. Understanding these related diseases provides valuable context for diagnosing and managing BPH effectively.

Treatment of Transurethral prostatic resection

TURP is a surgical treatment for BPH, but other options may be considered depending on the severity of symptoms: 1. **Medications**: - **Alpha-Blockers**: Relax prostate muscles to improve urine flow (e.g., tamsulosin). - **5-Alpha Reductase Inhibitors**: Shrink the prostate over time (e.g., finasteride). 2. **Minimally Invasive Procedures**: - **Transurethral Microwave Therapy (TUMT)**: Uses heat to reduce prostate tissue. - **Prostate Lift**: Implants to hold the prostate away from the urethra. 3. **Surgical Options**: - **TURP**: The most common surgical treatment for BPH. - **Laser Surgery**: Using laser energy to remove or vaporize prostate tissue. - **Open Prostatectomy**: For very large prostates.