Transurethral resection of the prostate (TURP) in Iran

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Transurethral resection of the prostate (TURP) in Iran

transitional resection of prostate in iran

Transurethral resection of the prostate (TURP) in Iran

Transurethral resection of the prostate (TURP) is a type of prostate surgery done to relieve moderate to severe urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH).

During TURP, a combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. Using the resectoscope, your doctor trims away excess prostate tissue that's blocking urine flow and increases the size of the channel that allows you to empty your bladder.

TURP is one of the most effective options for treating urinary symptoms caused by BPH. To determine whether TURP or another treatment is the right choice for you, your doctor will consider how severe your symptoms are, what other health problems you have, and the size and shape of your prostate.

 

Types of TURP in iran


Laser TURP: In this, an insertion of a scope is done through the urinary channel up into the prostate. The removal of the obstructing prostatic tissue is done with the help of laser.
Traditional TURP: In this, an insertion of a scope is done through the urinary channel up into the prostate. The removal of obstructing prostatic tissue is done with the help of an electric cutting instrument.
These two procedures provide about 80% improvement in urinary symptoms.

TURP for Treatment of Benign Prostate Hyperplasia
The most common surgical procedure for treating benign prostatic hyperplasia or BPH is known as TURP. An overgrowth of prostate cells that obstructs the flow of the urine and a person faces difficulty to pass urine is known as benign prostatic obstruction. BPH is considered as the most common urological condition and is commonly seen in elderly male who are above 60 years of age. This enlargement of the prostate gland is non-cancerous that obstructs the flow of the urine from the bladder.

Advantage of Transurethral resection of the prostate (TURP)

TURP helps reduce urinary symptoms caused by BPH.

Urinary symptoms caused by BPH can include:

Frequent, urgent need to urinate
Difficulty starting urination
Slow (prolonged) urination
Increased frequency of urination at night (nocturia)
Stopping and starting again while urinating
The feeling you can't completely empty your bladder
Urinary tract infections
The inability to urinate
TURP may also be done to treat or prevent complications due to blocked urine flow, such as:

Recurring urinary tract infections
Bladder or kidney damage
Inability to control urination (incontinence)
Bladder stones
Recurring blood in your urine
Although a number of procedures are available to treat BPH, TURP is the most commonly performed procedure. TURP is associated with specific risks and complications that should be discussed with your physician.

transitional resection of prostate in iran

Risks of Transurethral resection of the prostate (TURP)

Heavy bleeding. Some men lose enough blood during TURP to require a blood transfusion. This is rare. Men with larger prostates appear to be at higher risk of significant blood loss.
Low sodium in the blood. This rare complication is called TURP syndrome or transurethral resection (TUR) syndrome. It occurs when the body absorbs too much of the fluid used to wash (irrigate) the surgical area during the procedure. TURP syndrome can be life-threatening if it isn't treated. A technique called bipolar TURP allows the use of a salt (saline) solution for irrigation, which lessens the risk of TURP syndrome.
Temporary difficulty urinating. You may have trouble urinating (urinary retention) for a few days after the procedure. Until you can urinate on your own, you will need to have a tube inserted through your penis to carry urine out of your bladder (urinary catheter).
Urinary tract infection. Urinary tract infections are a possible complication after any enlarged prostate procedure. An infection is increasingly likely to occur the longer you have a catheter in place and may require antibiotics or other treatment. In some cases, men who have TURP have recurring urinary tract infections.
Difficulty holding urine. Rarely, loss of bladder control (incontinence) is a long-term complication of TURP.
Dry orgasm. TURP can cause retrograde ejaculation, which means semen released during sexual climax (ejaculation) enters your bladder rather than exiting the penis. Retrograde ejaculation isn't harmful and generally doesn't affect sexual pleasure. But it can interfere with your ability to father a child. This long-term side effect occurs in about 75 percent of men who have TURP.
Erectile dysfunction. The inability to keep or maintain an erection is a possible long-term side effect of TURP. While this isn't common with TURP, it can occur.
Need for re-treatment. Some men require follow-up treatment after TURP, either because symptoms return over time or because they never adequately improve. This is less common with TURP than with less invasive office-based prostate treatments. In some cases, further treatment is needed because TURP causes narrowing (stricture) of the urethra or the bladder neck.

Praparing for Transurethral resection of the prostate (TURP) in Iran:

Before the procedure, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder (cystoscopy). This allows the doctor to check the size of your prostate and examine your urinary system. Your doctor may also want to do other tests, such as blood tests or tests to specifically measure the prostate or urine flow.

Follow your doctor's instructions on what to do before your treatment. Here are some issues to discuss with your doctor:

Your medications. Tell your doctor about any prescription or over-the-counter medications or supplements you take. This is especially important if you take blood-thinning medications, such as warfarin (Coumadin) or clopidogrel (Plavix), and nonprescription pain relievers such as aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others). Your surgeon may ask you to stop taking medications that increase your risk of bleeding several days before the surgery.
Fasting before the procedure. Your doctor will likely ask you to not eat or drink anything after midnight. On the morning of your procedure, take only the medications your doctor tells you to with a small sip of water.
Arrangements after the procedure. Ask your doctor how long to expect to be in the hospital, and arrange ahead of time for a ride home. You won't be able to drive yourself home after the procedure.
Activity restrictions. You may not be able to work or do strenuous activity for several weeks after surgery (typically three to six weeks). Ask your doctor how much recovery time you may need.

transitional resection of prostate in iran

How long does TURP surgery take?


TURP generally takes 60 to 90 minutes. You'll be given either a spinal anesthetic, which allows you to be awake during the procedure but unable to feel pain in the surgical area, or a general anesthetic, which will put you to sleep. The doctor may also give you a dose of antibiotics to prevent infection.

During the TURP surgery


A combined visual and surgical instrument (resectoscope) is inserted into the tip of your penis and extended through your urethra and into the prostate area. By accessing the prostate through your penis, your doctor won't need to make any cuts (incisions) on the outside of your body. The resectoscope has a light, valves for controlling irrigating fluid, and an electrical loop to cut tissue and seal blood vessels.

The doctor will use the resectoscope to trim tissue from the inside of your prostate gland, one small piece at a time. As small pieces of tissue are cut from inside your prostate, irrigating fluid carries them into your bladder. They're removed at the end of the operation.

BPH usually isn't a symptom of prostate cancer, and it doesn't increase your risk of prostate cancer. However, the prostate tissue from your procedure will be sent to a lab to check for hidden cancer cells or other conditions.

After TURP surgery (in Hospital)

After surgery, you'll need to stay in the hospital for one to two days. Talk to your doctor about what you can expect and any precautions you need to take after you go home.

You'll have a catheter. The catheter enters through the tip of your penis and goes into your bladder to drain your urine into a collection bag. The catheter is generally left in place for four to seven days, until you're able to urinate on your own. In some cases, a catheter is needed for a longer period of time — especially if you have a relatively large prostate. You may urinate around the catheter, which is normal because your bladder may try and squeeze out more urine than the catheter can accommodate.
Urination may be painful. You may have a sense of urgency as urine passes over the surgical area. You may also need to urinate frequently. Painful urination generally improves in one to four weeks.
You may see blood in your urine. This is common right after surgery. If you have clots or so much blood in your urine that you can't see through it, contact your doctor.
These steps can help you recover after your procedure.

After TURP surgery (at Home)


Drink plenty of water to flush out the bladder.
Avoid straining during a bowel movement. Eat fiber-containing foods and avoid foods that can cause constipation. Ask your doctor if you should take a laxative if you do become constipated.
Don't take blood-thinning medications until your doctor says it's OK.
Don't do any strenuous activity, such as heavy lifting, for four to six weeks or until your doctor says it's OK.
Don't have sex. You'll likely be able to resume sexual activity in about four to six weeks.
Don't drive until your doctor says it's OK. Generally, you can drive once your catheter is removed and you're no longer taking prescription pain medications.

1Is HoLEP better than TURP?
HoLEP vs TURP for Enlarged Prostate. HoLEP vs TURP is one comparison that men with benign prostatic hyperplasia (BPH) might make when deciding on a treatment for their enlarged prostate. ... Transurethral resection of the prostate (TURP) is a surgical procedure that has been around for more than a century, since 1901
2What is the success rate of TURP surgery?
TURP is used most often for non-cancerous blockage, but may also be used in some cases of prostate cancer. This is the most common form of surgery (around 95 per cent of surgical procedures) for BPH. The average hospital stay is three to four days.
3How long does it take to recover from a TURP procedure?
Recovery. Most TURP surgeries take between 1 and 2 hours and require several hours recovery under continuous monitoring. The catheter is usually kept in place for 2 to 3 days after TURP surgeries and removed when the bladder has been completely flushed.
4Is TURP surgery painful?
Surgery for BPH. TURP can be done while you're under general anesthesia, which means you're asleep. It can also be done under spinal anesthesia, which means you're awake but won't feel any surgical pain. ... The entire TURP procedure takes about 60 to 90 minutes if there are no complications.
5Can TURP cause prostate cancer?
TURP is a common treatment for benign prostatic hyperplasia (BPH), or enlargement of the prostate, which occurs naturally as men age. The enlarged prostate can compress the urethra narrowing the urinary channel, thus causing problems with urine flow.
6Can TURP cause incontinence?
BACKGROUND: Urinary incontinence after radical prostate surgery is common immediately after surgery, although the chance of incontinence is less after TURP than following radical prostatectomy. ... The therapists provided standardised PFMT and bladder training for male urinary incontinence and erectile dysfunction.
7Does a TURP remove the entire prostate?
Removing the inner part of the prostate gland (TURP) Find out about surgery to remove the inner part of the prostate gland. Sometimes a prostate cancer can press on the tube that carries urine from the bladder (the urethra). ... The surgeon removes some of the cancer so that you can pass urine more easily.
8What are the side effects of TURP?
Risks of TURP can include: Temporary difficulty urinating. You might have trouble urinating for a few days after the procedure. ... Urinary tract infection. ... Dry orgasm. ... Erectile dysfunction. ... Heavy bleeding. ... Difficulty holding urine. ... Low sodium in the blood. ... Need for retreatment.
9Can the prostate grow back after a TURP?
Approximately 75% of patients experience this after TURP. Regrowth of the prostate. Although we remove a lot of the prostate, the prostate gland can grow back again, causing the original problem to return (usually after five to ten years). If this happens, you may need to have another operation.
10Is prostate surgery major surgery?
Surgery is a common choice to try to cure prostate cancer if it is not thought to have spread outside the prostate gland. ... In this operation, the surgeon removes the entire prostate gland plus some of the tissue around it, including the seminal vesicles. A radical prostatectomy can be done in different ways.

 

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