Transurethral resection of the prostate: features of the

Transurethral resection of the prostate, or TURP for short, is one of the most effective and today one of the popular methods created for curing the prostate. Used in cases where the disease does not require large-scale surgery. It can also be used when a person has any contraindications to surgery.

It is in such situations that the procedure to remove glandular enlargement may be the best option for timely effective treatment. It should be noted that TURP is accompanied by the elimination of unnecessary tissues, but the procedure is carried out only as part of therapy.

The essence of resection of prostate adenoma

Transurethral resection of the prostate by its nature of impact refers to the types of minimally invasive endoscopic procedures. The idea and meaning of this procedure is to completely remove benign glandular hyperplasia without doing any external cuts.

You can carry out this procedure thanks to the fact that a special device called a resectoscope has been created. He is injected to the man directly into the urethra. With the help of this drug, the surgeon, controlling all procedures visually and using specialized loops, carves out layered lesions that appeared in the parenchyma.

Important point: transurethral resection of the prostate is one of the most jewelery and fine surgical interventions from all existing procedures in this field. For this reason, the success of this intervention will largely depend on the experience and qualifications of the medical specialist.

Features of the methodology

To date, there are several important points from which the success of treatment and its duration may depend.

How is transurethral resection of prostate adenoma performed? The consequences depend entirely on the following factors:

• Accuracy of the actions and speed of the surgeon's work. The patient during the procedure lies only on the back, and his legs are raised up. In the urethra (a channel for urine output) a small diameter (7.6 mm) device is introduced. When working, it creates some vibration. The doctor needs to make the duration of the process as short as possible. Most often, one such session takes no more than one hour.
• Visibility. It's about how good visibility is in the urethra. In order to clarify its level, the resectoscope is slowly introduced into the urethra. At the end there is a source of strong light, as well as a small-sized hose. With the help of it, there is an ongoing supply and extraction of excess water. Because of its design, the resectoscope makes the place for carrying out the operation clean, so the picture often turns out to be of high quality. According to it, the attending physician will be able to monitor his actions and control the process.

The procedure for removing the formed tissue can easily be explained by the work of an ordinary construction excavator.

With the aid of a special loop, the medical worker gradually, layer by layer, begins to cut all unnecessary until the moment when there is no visual contact with the natural, normal parenchyma of the prostate. So, gradually removing pathological tissues, the doctor restores the necessary space for the urine flow. Also, this procedure, conducted by a qualified specialist, will allow maintaining a normal, natural level of potency.

Varieties of the TURP procedure

Transurethral resection of the prostate has several varieties:

• Pseudo-TURP. This procedure is characterized by partial liquidation. With pseudo-TURP, only 15-20% of all modified and infected structures are deleted. This type of treatment is symptomatic. In other words, carrying out this procedure can only alleviate some of the most common symptoms. These can be attributed to problems with the emission of urine.
• Partial TURP. This type of procedure provides for greater removal. Here, up to 80 percent of the substrate is carved.
• Full transurethral resection of prostate adenoma. Here all 100% of the affected gland are removed. This method is a full-fledged operation.

Method advantages

Here are the main advantages:

• Absence of any visually noticeable cuts of the skin;
• Short duration of operation;
• High patient tolerance;
• Complete absence or minimal amount of adverse reactions and effects;
• A small period of rehabilitation.

Indications

TUR (transurethral resection of the prostate) is performed with the following indications:

• Relatively young age of the patient. It is about the age at which it is necessary not only to carry out the procedure, but also to preserve the natural potency and attraction.
• Presence of any operations already performed on the prostate.
• Increased in the volume of iron (up to 80 centimeters cubic). If the size of the gland is only slightly larger than this mark, then the necessary therapeutic effects from the process may not be achieved.
• Any accompanying diseases, especially if they are severe. These include renal, cardiac, as well as liver disease or infectious processes in the body.
• Combination of prostatitis and adenoma.

Important point: similarly carried out and the procedure for the removal of prostate cancer. The only difference is that a malignant tumor is removed here.

Contraindications

Transurethral bipolar resection of the prostate has the following contraindications:

• Acute pathology;
• Any violations associated with blood coagulability;
• A critical condition at the time of the procedure.

A person before and after surgery is prohibited from taking those foods that have caffeine.

An important point: due to the fact that there is no tissue damage during the operation, it has minimal complications. Therefore, the postoperative period is also short. Literally the next day the patient can get up and move independently.

Complications after transurethral resection of prostate adenoma

After the procedure, such complications can be seen:

• Intoxication of the whole body with water. This complication is evident if there is a large amount of irrigation fluid that is used for irrigation. Usually in this case, there may come a general weakness. In some cases, the person is insignificant, but the temperature of the body is noticeably lower. The patient will want to sleep.
• Mild bleeding. It can occur after the operation is completed, and only in those cases when the procedure was violated. From this complication get rid through cupping. This is done by using various authorized means to stop the blood. Endoscopic diathermocoagulation can also be used.

Complications are rare, mostly they depend only on what level of professionalism the surgeon has.

Reviews

Transurethral resection of prostate testimonials is mostly positive. This is explained by the fact that there are practically no complications with such an operation, it is well tolerated. Takes a little time, almost painless.

Rehabilitation period

After the operation, the patient can already drink, but not in very large amounts. By the evening after the procedure, he can independently get up and walk. In this case, he will not feel any more severe pain or discomfort. However, if they do exist, you can take painkillers that belong to a group of non-narcotic or narcotic analgesics.

A catheter from the urethra will not be removed for a few more days. This is necessary so that damaged healthy tissues can recover and heal. It is also necessary in order to prevent the stagnation of urine. Do not be afraid that at first the urine with an admixture of blood will flow through the catheter. At first it is the norm. Three to four days after the procedure, the catheter can be removed.

Rehabilitation and rehabilitation at home

With regard to recovery after the procedure at home, it is necessary to remember here some important points. This will help not only to avoid possible complications, but also greatly accelerate the recovery process.

You need to drink as much as possible. This is necessary in order to rinse the urethra as soon as possible. It also helps to improve the natural process of urination. Drink best in the day or morning, it is important to avoid heavy drinking during the night.

It is also necessary to completely eliminate alcohol and coffee in any of its manifestations. The fact is that such and similar liquids dilate the vessels, thereby provoking bleeding in a person.

It is also necessary to avoid possible problems associated with bowel movement. In other words, if a person has constipation, it is necessary to take laxative preparations without fail.

What should I do to treat the house?

It is important to exclude loads until complete recovery. It is best to practice Kegel exercises, but only if the doctor can do it. These exercises are necessary in order to strengthen the muscles that are responsible for the process of urination.

Even if there are no infectious complications, it is still necessary to follow the rules and recommendations for antibiotic therapy.

Important point: in order to restore the flora of the intestine faster, it is necessary to take additional drugs, which contain useful bacteria.

Consequences of transurethral resection of the prostate

The TURP procedure is not dangerous in its action and is necessary for men not only to improve their health in the disease, but in order to minimize the risk with natural potency and level of sexual desire.

If you follow all the recommendations of the attending physician and surgeon who conducted this procedure, the operation and rehabilitation period will pass without any problems and complications. After that, a person will be able to return to his daily activities and normal life. In this case, the operation itself is not an operation in the standard sense of the word. Here such remarkable procedure - a transurethral resection of an adenoma of a prostate. Feedback is fully confirmed.