This operation remains associated with significant morbidity and the occurrence of turp syndrome. Transurethral resection of prostate turp syndrome is a systemic complication of transurethral resection of the prostate or bladder tumours, caused by excessive absorption of electrolytefree irrigation fluids. Powerpoint is the worlds most popular presentation software which can let you create professional benign prostatic hyperplasia powerpoint presentation easily and in no time. Ct of the abdomen and pelvis with delayed imaging shows a midline defect in the prostate compatible with a turp defect. It is a flexible plastic tube used to drain urine from your bladder when you cant urinate on your own. Transurethral resection of the prostate radiology reference. It is the most common benign enlargement of the prostate. The syndrome has a reported incidence of 18%1, 2, 3 and can be fatal. Transurethral resection of prostate by dr vishal kr.
Bph affects 50% of males at 60 years and 90% of 85 yearolds, so turp is most commonly performed on elderly. While in hospital, you may be given fluids directly into a vein intravenously until youve recovered from. This syndrome may potentially cause neurologic disturbance, pulmonary edema, cardiovascular compromise, and death. Bipolar electrosurgery devices and various laser and microwave systems have been introduced, and these devices are compatible with electrolytecontaining irrigation and distension solutions 15. Tissue removed during a resection of the prostate or turp is routinely screened for the presence of cancer. Some recent studies suggest that a new way of performing turp, called a bipolar turp, may. Transurethral resection of the prostate commonly known as a turp, plural turps, and rarely as a transurethral prostatic resection, tupr is a urological operation. Another potential problem with turp is the absorption of too much irrigating fluid, causing toxicity known as turp syndrome. However, as with all types of surgery, there are potential risks. Turp transurethral resection of the prostate patient. Turp syndrome is a complication that potentially occurs during turp surgery. An overview of transurethral resection of the prostate turp. Turp is the 2nd most common procedure in men over 65 yrs of age. Bph causes symptomatic obstruction of the cervix vesicae in men older than 60 years of age.
Nov 27, 2016 for most of the 20th century, from 1909 until the late 1990s, the premier treatment for symptomatic benign prostatic hypertrophy bph was transurethral resection of the prostate turp. To this day, it remains the criterion standard therapy for obstructive. Retrograde ejaculation is the most common longterm complication of turp and can occur in as many as 90% of cases. However, absorption of a large volume of saline solution will. History of transurethral resection of the prostate turp. Importantly, these fluids are nonconductive nonelectrolyte containing and are able to be.
Transurethral resection of the prostate turp syndrome. Turp syndrome and severe hyponatremia under general anaesthesia. Transurethral resection of the prostate turp is surgery to remove prostate tissue. Powerpoint is the worlds most popular presentation software which can let you create professional benign prostatic hyperplasia bph powerpoint presentation easily and in no time.
It is done when an overgrown prostate gland is pressing on the urethra and making it hard for a man to urinate. A transurethral resection of the prostate commonly abbreviated as turp is an operation on the prostate gland for men who are having trouble urinating due to enlargement of the prostate gland. Occurs in up to 8% of cases in mild form, but is severe in 12% of cases. Introduction benign prostate hyperplasia is responsible for majority of urinary symptoms in men over 50 yrs of age turp is a type of prostate surgery done to relieve moderate to severe urinary symptoms caused by an enlarged prostatebph turp uses cystoscopy and. Even in the best of hands, the incidence of turp syndrome is up to 20% and carries a significant mortality rate. If so, share your ppt presentation slides online with. It can affect around 1 out of 100 men 1 per cent who have a turp. An instrument called a resectoscope is inserted through the tip of your penis and into the tube that carries urine from your bladder urethra.
Transurethral resection of the prostate turp health. Transurethral resection of the prostate turp typically utilizes large volumes of irrigation fluids for distension and irrigation during the procedure. Do not engage in activities requiring heavy lifting greater than 1020 lbs. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. Oxygen, ventilation, inotropes anticonvulsants diuretics. Another transurethral method utilizes laser energy to remove tissue. Turp syndrome definition of turp syndrome by medical. This article discusses the presentation, aetiology, treatment and prevention of central nervous system disturbances after transurethral resection of the prostate. Transurethral resection of the prostate, or turp, is an effective treatment to relieve bph symptoms and improve urinary flow. Turp was the first successful, minimally invasive surgical procedure of the modern era. Transurethral resection of the prostate turp healthdirect. Excess prostate tissue is removed with a device known as a resectoscope inserted through the penis. Turp syndrome definition of turp syndrome by medical dictionary. This tool is about 12 inches long and a half inch in diameter.
A 3d reconstruction shows the gap in the prostatic urethra to good effect. It is a water intoxication related to hyponatremia and acidbased imbalance. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk.
Turp is still the standard surgical procedure for treatment of benign prostate hyperplasia. It is used to treat benign prostatic hyperplasia bph. Turp syndrome current concepts in the pathophysiology and. Transurethral resection of the prostate turp is generally a safe procedure. Turp syndrome free download as powerpoint presentation.
Hyponatremia that results from bladder irrigation with dilute fluids during and after transurethral resection of the prostate gland. Bipolar turp allows saline irrigation and eliminates the need for an esu grounding pad thus preventing post turp hyponatremia tur syndrome and reducing other complications. What are complications of transurethral resection of the. Historically, these fluids were slightly hyposomolar solutions of glycine, sorbitol, or glucose. Benign prostatic hyperplasia powerpoint presentation. Introduction benign prostate hyperplasia is responsible for majority of urinary symptoms in men over 50 yrs of age turp is a type of prostate surgery done to relieve moderate to severe urinary symptoms caused by an enlarged prostatebph turp uses cystoscopy and a resectoscope to remove tissue protruding into the.
Transurethral resection of the prostate turp syndrome is a rare but potentially fatal syndrome with multifactorial pathophysiology that is now better understood. A transurethral resection of prostate turp is done by removing the inner portion of the prostate that is pressing on the urethra. A transurethral resection removes only enlarged prostatic tissue, as in benign prostatic hypertrophy. It explains the benefits, alternatives and risks of having the procedure and what it involves. Transurethral resection of the prostate authorstream. Aug 23, 2017 during this immediate postoperative period your doctors will monitor closely for post turp syndrome, a rare but serious condition that occurs when too much fluid is absorbed during the turp. During this immediate postoperative period your doctors will monitor closely for postturp syndrome, a rare but serious condition that occurs when too much fluid is absorbed during the turp.
This helps you give your presentation on benign prostatic hyperplasia in a conference, a school lecture, a business proposal, in a webinar and business and professional representations. This will increase the pressure your abdomen puts on your bladder and may result in more blood in your urine. Turp introduction the current gold standard surgical treatment for benign prostatic hyperplasia bph. The neurologic symptoms are often related to hypervolemic hyponatremia due to an excess of total body water in the setting of normal body sodium levels and include headache, restlessness, confusion or seizures. The surgeon reaches the prostate by putting a tool resectoscope into the end of the penis and through the urethra. Hypotonicity after absorption of the irrigating fluid causes cerebral. Transurethral resection of the prostate turp mayo clinic. As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. Transurethral resection of the prostate turp syndrome is a rare but potentially lifethreatening complication of a transurethral resection of the prostate procedure. Transurethral resection of the prostate turp risks nhs. Turp irrigating fluid complications openanesthesia. Use of these solutions has reduced the incidence of turp syndrome. The surgeon will insert an instrument up the penis through the urethra and cut away the prostate tissue until the passage is well open. Turp syndrome turp often opens the extensive network of venous sinuses in the prostate and allows systemic absorption of irrigation fluid.
If you have any questions, please speak to your prostate nurse specialist, who will be happy to help. As a result, bipolar turp is also not subject to the same surgical time constraints of conventional turp. Trans urethral resection of prostate turp syndrome is one of the commonest and dreaded complications of urological endoscopic surgery. Bph affects 50% of males at 60 years and 90% of 85 year. Use of isotonic saline or ringers lactate solution will not generate hyponatremia.
Discharge instructions for transurethral resection of the. However, while patients may be at reduced risk for hyponatremia. As with any surgery, in an older population these issues could then lead to circulatory problems with the heart, or. A transurethral resection of the prostate turp is surgery to remove parts of the prostate gland through the penis. A transurethral resection of the prostate or turp is an operation on an enlarged prostate, which can make it difficult for men to urinate. You had transurethral resection of the prostate turp surgery to treat an enlarged prostate your surgeon inserted a tubelike tool called a cystoscope or endoscope through your urethra the tube that carries urine from the bladder out of the penis. Nausea and vomiting, visual symptoms, and altered slates of consciousness have been reported as complications due to intravascular absorption of irrigating fluid. Turp this leaflet gives you information about having a turp, which is an operation to treat an enlarged prostate gland. Turp syndrome can develop during surgery or immediately after. This helps you give your presentation on benign prostatic hyperplasia bph in a conference, a school lecture, a business proposal, in a webinar and business and professional representations. Le turp syndrome is the property of its rightful owner. Turp syndrome, or tur syndrome, is an uncommon but serious complication of a specific type of prostate surgery. Its best reserved for when other treatments havent worked, and symptoms are interfering with your life. Transurethral resection of the prostate turp is a traditional therapy for lower urinary tract symptoms luts and prostatism from benign prostatic hyperplasia.
There are multiple types of prostate surgeries, but the turp is one of the most common, and the one most closely associated with tur syndrome. A transurethral resection of the prostate turp is an operation used to treat men with serious prostate problems. Turp syndrome current concepts in the pathophysiology. Turp is designed to relieve symptoms of an enlarged prostate by reducing the size of the prostate. In the treatment of benign prostatic hyperplasia bph, most men whove had transurethral resection of the prostate turp, an incisionfree surgical procedure that cuts away excess prostate tissue with an electrical loop, experience retrograde ejaculation during sexual activity that is, the semen does not come out of the penis, but instead flows backward into the bladder. Transurethral resection of the prostate syndrome wikipedia. The tissue that is cut away will drain out through the. During trans urethral resection of the prostate surgery turp, a sterile irrigation. Mar 28, 2016 turp syndrome turp syndrome is a term applied to a constellation of symptoms and signs caused primarily by excessive absorption of irrigating fluid. Scribd is the worlds largest social reading and publishing site. Surgeons are trained to reduce the risk of tur syndrome for example, by making sure your operation does not take longer than an hour. Ppt le turp syndrome powerpoint presentation free to. One unique complication of turp is tur syndrome, a.
Transurethral resection of the prostate turp recovery. Following a transurethral resection of the prostate turp, youll usually need to recover in hospital for1 to 3 days before you can go home. Benign prostatic hyperplasia bph powerpoint presentation. Turp syndrome may occur at any time perioperatively and has been observed as early as few minutes after surgery has started and as late as several hours after surgery has been completed.
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