Dec 03, 2009 transurethral resection of the prostate turp syndrome is a rare but potentially fatal syndrome with multifactorial pathophysiology that is now better understood. Metabolic syndrome and smoking are associated with. It is this portion of the prostate that enlarges with age and causes progressive blockage to the flow of urine out of the bladder. Transurethral resection of the prostate turp prostate problems affect as many as half of all men over the age of 50. This syndrome may potentially cause neurologic disturbance, pulmonary edema, cardiovascular compromise, and death. It is situated at the base of the bladder and surrounds the urethra tube that allows urine to pass. The function of the prostate gland is to secrete fluid which makes up part of the semen. Transurethral resection of the prostate turp syndrome is a rare but potentially fatal syndrome with multifactorial pathophysiology that is now better understood. This surgical treatment removes prostate tissue to relieve pressure on the urethra.
Five patients who developed the turp syndrome during transurethral resection of the prostate absorbed an average of 4. Transurethral resection syndrome in elderly patients. Symptomatology, pathophysiology and treatment of the. Transurethral resection of the prostate turp alternatives. Laser vaporization of the prostate with the 180w xpsgreenlight laser in patients with ongoing platelet aggregation inhibition and oral anticoagulation. A transurethral resection removes only enlarged prostatic tissue, as in benign prostatic hypertrophy. It is done in order to treat symptoms of an enlarged prostate. Transurethral resection tur syndrome, one complication that can occur during a turp procedure, is water intoxication of the body that results in hyponatremia and other acid. Transurethral resection of the prostate syndrome wikipedia. 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. Only two patients fulfilled the criterion for tur syndrome caused by. Transurethral resection of the prostate turp prostate cancer uk.
Transurethral resection definition of transurethral. The male reproductive structures include the penis, the scrotum, the testes, the epididymis, the seminal vesicles, and the prostate. Bipolar transurethral resection of the prostatea new. Krames online transurethral resection of the prostate turp. Transurethral resection of prostate urology surgeon.
Transurethral resection of the prostate turp is a common surgical procedure for treatment of bph. Your prostate may need to be removed if these steps do not help. We concluded that bipolar transurethral resection of prostate is clinically comparable to monopolar trans urethral. Transurethral resection of the prostate turp button and.
Transurethral resection of the prostate information mount. Transurethral resection of the prostate turp has historically been the standard surgical treatment for patients with benign prostatic hyperplasia bph. Transurethral resection syndromeit does not have to be a. The surgeon will insert an instrument up the penis through the urethra and cut away the prostate tissue until the passage is well open. Transurethral resection of the prostate multimedia. Transurethral resection of the prostate turp is generally a safe procedure. Turp is surgery to treat a noncancer benign enlargement of the prostate. Prostate enlargement or benign prostate hypertrophy bph is a. The serum sodium and chloride decreased an average of 36 and 21 meql respectively.
Anaesthesia for transurethral resection of the prostate bja education. Pdf turp syndrome and severe hyponatremia under general. From april 2012 to may 2014, 86 patients with a prostate volume of 80 ml were divided into 2 groups to undergo mtuerp and bturp. A 80yearold man with grade iii prostatomegaly was scheduled for transurethral resection of the prostate under spinal. Plasmakinetic resection of the prostate versus standard.
The purpose of the present study was to identify risk factors related to tur syndrome in the elderly. Transurethral resection of the prostate turp is one of the most common types of prostate surgery. All of our publications are available to download and order. Transurethral resection of the prostate commonly known as a turp, plural turps, and rarely as a transurethral prostatic resection, tupr is a urological operation. Plasmakinetic resection of the prostate has advantages over. As a man ages, his prostate may enlarge and tighten around the urethra, making it difficult to urinate. Transurethral resection of the prostate turp involves the risk of transurethral resection tur syndrome owing to hyponatremia.
Transurethral resection of the prostate turp is performed to remove the part of the prostatic tissue that is obstructing or blocking urine outflow. The prostate is a walnutsized gland that is found only in men. The presented case describes a typical turp syndrome, which was diagnosed and treated early. A transurethral resection of prostate turp is done by removing the inner portion of the prostate that is pressing on the urethra. Normal prostatic tissue and its outer capsule are left intact.
Transurethral resection of the prostate baptist health. Uracs accreditation program is an independent audit to verify that a. Patients with a preoperative prostate weight of 75 g should receive additional treatment to reduce the risk of tur syndrome, such as blood. Its main function is to produce seminal fluid which is the main component of semen. Turp remains the surgical gold standard for the treatment.
This article is from the pan african medical journal, volume 14. Absorption of large volumes of irrigation fluid during transurethral resection of the prostate turp can produce hyponatremia, coma, blindness, and cardiorespiratory depression. Prediction of clinical manifestations of transurethral resection. Plasmakinetic resection of the prostate has advantages. Turp syndrome current concepts in the pathophysiology and. Transurethral resection of the prostate turp has been the standard treatment for moderate to severe benign prostatic hypertrophy since the 1930s. Transurethral incision of prostate compared with transurethral resection of prostate in 2 matching cases. Apr 12, 2019 transurethral resection of the prostate turp has historically been the standard surgical treatment for patients with benign prostatic hyperplasia bph. Transurethral resection of the prostate turp syndrome is the result of complex changes in intravascular volume, solute, and neurophysiologic function.
The veterans affairs cooperative study group on transurethral resection of the prostate. Transurethral resection of the prostate turp button and regular. 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. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. The operation takes approximately an hour and is often performed under spinal or epidural anaesthetic. Technological advances in transurethral resection of the prostate.
Transurethral resection of the prostate definition of. An overview of transurethral resection of the prostate turp. Transurethral resection of the prostate turp risks nhs. The aim of our study was to evaluate the relationship between smoking, metabolic syndrome mets and persistence of nocturia in patients with moderatesevere nocturia nocturia episodes. The aim of this study was to compare the clinical results of plasmakinetic resection of the prostate prp with standard transurethral resection tur of the prostate turp. Pdf transurethral resection of the prostate syndrome. Transurethral resection of the prostate turp series. Transurethral resection of the prostate information. The majority of the transurethral resections were performed by surgical or urological trainees. Transurethral resection of the prostate turp is an operation. The following is the supplementary data to this article. It surrounds the urethra the tube that drains urine from the bladder.
Retrograde ejaculation is the most common longterm complication of turp and can occur in as many as 90% of cases. We report a case of transurethral resection of prostate turp syndrome. Transurethral resection versus holmium laser enucleation of. Your doctor will consider the following when deciding on the type of surgery. A 78yearold man with prostatic hypertrophy was scheduled for transurethral resection of the prostate under spinal. Transurethral resection of the prostate turp turp is a type of surgery used to treat a benign enlargement of the prostate, also known as bph benign prostatic hyperplasia. Pdf we report a case of transurethral resection of prostate turp syndrome. The pathophysiology and management of this syndrome are controversial. Irrigation fluid type, duration of operation, and weight of resected mass have been evaluated as risk factors for tur syndrome. Transurethral resection of the prostate turp is the most common type of surgical procedure for benign prostatic hyperplasia bph. Transurethral resection of the prostate turp series home medical encyclopedia transurethral resection of the prostate transurethral resection of the prostate transurethral resection of the prostate turp is surgery to remove the inside part of the prostate gland in order to treat an enlarged prostate. The prostate is a gland that sits below the bladder in men.
Transurethral resection of the prostate turp syndrome. Transient acute liver failure complicating the transurethral resection syndrome has been reported 61 a. Typically, turp is performed using monopolar electric current and a wire electrode. This paper highlights the various pathophysiological mechanisms of turp syndrome, steps to preventdelay the onset of manifestations and the treatment of. Shah, md, assistant professor, department of urology, the icahn school of medicine at mount sinai, new york, ny.
In a retrospective study of 522 consecutive patients who were subjected to transurethral resection of the prostate with suprapubic trocar technique, six patients were suspected of having transurethral prostatic resection syndrome. During the operation an instrument like a telescope is inserted through the penis. A comparison of transurethral surgery with watchful waiting for moderate symptoms of benign prostatic hyperplasia. You will be given medicine before surgery so you dont feel pain. It is used to treat benign prostatic hyperplasia bph. Transurethral resection versus holmium laser enucleation. But recently its position begins to be challenged and the transurethral holmium laser enucleation of the prostate holep is a potential one of many outstanding challenges.
During turp, a combined visual and surgical instrument resectoscope is inserted through the tip of. Transurethral resection an overview sciencedirect topics. Transurethral resection of the prostate turp excess prostate tissue is removed during a turp to let urine flow freely through the urethra. Excess prostate tissue is removed with a device known as a resectoscope inserted through the penis. Symptoms and signs are varied and unpredictable, and result from fluid overload and. 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. If your prostate becomes too large, your doctor may recommend a surgical procedure known as transurethral resection of the prostate turp. Transurethral resection of the prostate turp what is the prostate. A 54yearold man, without susceptibility factors for hepatitis, underwent transurethral resection of the prostate for benign prostatic hyperplasia followed by irrigation with glycine 1. Medical treatment consisted of hypertonic saline solution 3% and. The surgeon will insert an instrument up the penis through the urethra and cut. However, as with all types of surgery, there are potential risks. Transurethral resection of the prostate turp is a surgery to remove the inside part of the prostate gland.
Transurethral resection of the prostate turp syndrome is a rare but potentially lifethreatening complication of a transurethral resection of the prostate procedure. Turp syndrome treatment can be divided into management of volume changes and management of solute changes. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk. A case of severe postturp syndrome due to the absorption of hypotonic. Transurethral resection of the prostate, or turp, is an effective treatment to relieve bph symptoms and improve urinary flow. Prostate enlargement or benign prostate hypertrophy bph is a common cause of prostate difficulties. Transurethral resection of the prostate turp is a surgery used to treat urinary problems that are caused by an enlarged prostate. An instrument called a resectoscope is inserted through the tip of your penis and into the tube that carries urine from your bladder urethra. The serum cytal increased an average of 892 mg100 ml. In the mtuerp group, we proposed combining the 12mm trocar suprapubic cystostomy and using the techniques of umbrellashaped resection, point resection, and segmental enucleation to modify the transurethral enucleation and resection of. Jan 09, 20 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.
A transurethral resection of the prostate or turp is an operation on an enlarged prostate, which can make it difficult for men to urinate. A case of severe postturp syndrome due to the absorption of hypotonic glycine irrigant is. Pdf transurethral resection of prostate turp syndrome is a complication characterised by symptoms changing. Abstractwe report a case of transurethral resection of prostate turp syndrome. Jul 31, 2019 turp is typically successful at removing the symptoms of an enlarged prostate. The posttransurethral resection of prostate syndrome. Transurethral resection of the prostate turp button and regular 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. The tissue that is cut away will drain out through the. Transurethral resection of the prostate turp mayo clinic. Transurethral resection of prostate a transurethral resection of prostate or turp procedure involves the surgical removal of the central portion of the prostate the transition zone.
Turp syndrome has been reported after endoscopic procedures performed under irrigation. Aug 22, 2006 the aim of this study was to compare the clinical results of plasmakinetic resection of the prostate prp with standard transurethral resection tur of the prostate turp. Irrigant absorption may occur in up to 46% of resections 510% of patients absorbing 1 liter or more observed in 210% of all prostate resections of approximately 400,000 turp procedures each year, 10% to 15% incur turp syndrome and the mortality is 0. A novel modification of transurethral enucleation and.
453 1078 996 695 1568 1530 612 234 653 368 355 1291 672 393 1187 557 21 637 847 1607 107 527 1230 835 1080 215 1072 444 1277 529 590 765 170