More about transurethral resection in the prostate adenoma

Transurethral resection of the prostate (also commonly used the abbreviation TURP) is a minimally invasive method of dealing with a benign tumor of the prostate. With it, the complications are minimized. Efficiency, positive impact on the quality of life of the operated patients, and short postoperative period did this procedure (transurethral resection) the gold standard in the treatment of BPH.

When men recommend this procedure?

Surgery — transurethral resection of the prostate, is commonly recommended for those men who have traditional methods have not achieved the desired results. Surgery is required when there are complications. The main indications for its implementation are the following:

• The frequent recurrence of infectious diseases of the urinary system.
• The delay of urine, which persists for a long time and cannot be cured with medication, constantly causing complications.
• The regular appearance of blood in the urine (hematuria).
• The presence of stones in the bladder.
• If the blockage in the prostate has led to the emergence of the patient's renal failure.
• Anatomical features of (a diverticulum of the bladder) and functional disorders caused by benign prostatic hyperplasia.

It is believed that the number of candidates for transurethral resection include men, conservative treatment of an adenoma which has not led to recovery. These patients develop severe and sometimes moderate the symptoms of diseases of the urinary tract, and treatment with inhibitors of 5-alpha-reductase inhibitor and alpha-blocker gives no results.

The procedure is better than open surgery?

Operation TUR (transurethral resection) of the prostate has a number of advantages over open surgery:

• Allows to preserve sexual function, which is especially important for young patients.
• Can be used if there is suspicion on prostate cancer.
• Successfully carried out in the presence of concomitant diseases of the cardiovascular, endocrine, respiratory, obesity.
• In case if there are multiple diseases of the urinary and reproductive systems.
• TUR (transurethral resection) of the prostate is effective when an adenoma occurs on the background of prostatitis, cystitis, stones in the bladder.
• Transurethral resection are effective, if you have previously had surgery on the bladder, abdominal wall, intestines, the treatment of benign dysplasia of the prostate.

Features of anaesthesia

In the channel after TUR (transurethral resection) of the prostate for some time remains in the catheter. After urinationwill be back to normal, it is removed, in rare cases, the patient's temperature rises.

It is important in the recovery period after the procedure (transurethral resection in the prostate) to drink more water to avoid constipation. Prohibited products containing caffeine. After conducting a tour on the prostate may occur the following complications:

• Water intoxication. Appears when excessive quantities of irrigation fluid used for irrigation, the following appears General weakness, decreased temperature, I want to sleep.
• Bleeding. Occurs after surgical removal of the adenoma, if you have violated procedure. Stopped by applying a styptic means may be used in endoscopic surgical diathermy.
• Retrograde ejaculation or the entry of sperm into the bladder.

These complications are very rare and depend on the skill level of the surgeon.

A bit of history

Despite the fact that the first attempts to restore normal excretion of urine from diseased men were made by the ancient doctors of 2,500 years ago, the methods have made it possible to TUR of the prostate, appeared in clinical practice after, in the late nineteenth century. During this period there were made important discoveries:

• The appearance in 1879, the incandescent lamp of Edison.
• Development of a device for examination of the bladder called cytoscopy.
• Perforated tube Yang to cut away the fabric that prevent the passage of urine through the duct.
• The study of the properties of high frequency current, capable not only to warm the tissue, but to destroy them by a direct local impact.

The beginning of the twentieth century was marked by the first successful attempts of surgeons to use high frequency currents for medical purposes. After that, it became possible to conduct in 1909, the first TOUR operations in the adenoma. Now it is successfully used in the prostate adenoma, and in many other cases.