Transurethral resection of the prostate

Question 1

complications of TURP

Answer 1

retrograde ejaculation - common

haemorrhage (primary, recreationary or secondary 2-10%)

clot retention

incontinence - rare

TUR syndrome - seizures or CVS collapse caused by hypovolaemia and hyponatraemia due to absorption pf glycine irrigation fluid

urinary infection

erectile dysfunction

haematospermia

hypothermia

infection, prostatitis

late: urethral stricture

Question 2

indications for TURP

Answer 2

BPH

approx 12% need redoing in 8yrs

Question 3

definition of TURP

Answer 3

electrocautery-mediated resection from within the prostatic urethra

removal of bits of an enlarged prostate gland through the urethra using a retroscope

Question 4

post-op advice for TURP

Answer 4

avoud driving fior 2wk post op

avoid sex 2wk post

may be infertile

retrograde ejaculation - sperm flows back into the bladder, harmless but = cloudy urine

rarely orgasmic sensations are reduced

haematuria for the 1st 2 weeks

may have polyuria initially - in 6wks things get better

cant guarentee that it will work

if feverish or urination hurts - take urine sample to the doctor