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Transurethral Resection of the Prostate (Principals (Performed under…
Transurethral Resection of the Prostate
Indications
Surgical Rx of choice for BPH when medical Rx has failed.
Principals
Performed under spinal anaesthetic
Cystoscopic inspection
Locate external urethral sphincter and use as distal resection landmark
Electrosurgical resection of prostatic tissue under direct vision
Send chippings for histology
Insert 3-way catheter post-op to irrigate bladder
Complications
Immediate
TUR syndrome
Absorption of large quantity of fluids → ↓Na
Haemorrhage
Early
Haemorrhage
Infection
Clot retention: requires bladder irrigation
Late
Retrograde ejaculation: common
ED: ~10%
Incontinence: ≤10%
Urethral stricture: LUTS following TURP
Recurrence