Type of Surgery

Information

Last updated: 11/24/2009

Resources

BOOKS

Barrett, D. M., ed. Mayo Clinic on Prostate Health: Answers from the World-Renowned Mayo Clinic on Prostate Inflammation-Enlargement Cancer. New York: Kensington Pub. Corp., 2000.

Blandy, J. P. & R. G. Notley....

Transurethral Resection. Boston: Butterworth-Heinemann, 1992.

Childs, S. J. Laser-Assisted Transurethral Resection of theProstate (TURP). Philadelphia: Lippincott, Williams & Wilkins, 1993.


PERIODICALS

Cimentepe, E., A. Unsal, and R. Saglam. "Randomized Clinical Trial Comparing Transurethral Needle Ablation with Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Hyperplasia: Results at 18 Months."Journal of Endourology 17 (March 2003): 103-7.

Kaplan, S. A. "Comparison of Long-term Results of Transurethral Incision of the Prostate with Transurethral Resection of the Prostate, in Patients with Benign Prostatic Hypertrophy."Journal of Urology 168 (October 2002): 1657.

Kumar, P. V., M. P. Gomes, B. L. Davies, and A. G. Timoney. "A Computer Assisted Surgical Trainer for Transurethral Resection of the Prostate."Journal of Urology 168 (November 2002): 2111-14.

Kursh, E. D., R. Concepcion, S. Chan, P. Hudson, M. Ratner, and R. Eyre. "Interstitial Laser Coagulation versus Transurethral Prostate Resection for Treating Benign Prostatic Obstruction: A Randomized Trial with 2-year Follow-up."Urology 61 (March 2003): 673-8.

McAllister, W. J., O. Karim, R. O. Plail, D. R. Samra, M. J. Steggall, Q. Yang, and C. G. Fowler. "Transurethral electrovaporization of the Prostate: Is it Any Better than Conventional Transurethral Resection of the Prostate."British Journal of Urology International 91 (February 2003): 211-14.

Merrill, R. M., & C. L. Wiggins. "Incidental Detection of Population-based Prostate Cancer Incidence Rates through Transurethral Resection of the Prostate."Urologic Oncology 7 (September/October 2002): 213-19.

van Melick. H. H., G. E. van Venrooij, M. D. Eckhardt, and T. A. Boon. "A Randomized Controlled Trial Comparing Transurethral Resection of the Prostate, Contact Laser Prostatectomy and Electrovaporization in Men with Benign Prostatic Hyperplasia: Analysis of Subjective Changes, Morbidity and Mortality."Journal of Urology 169 (April 2003): 1411-16.

Yung, P. M., S. Chui-Kam, P. French, and T. M. Chan. "A Controlled Trial of Music and Pre-operative Anxiety in Chinese Men Undergoing Transurethral Resection of the Prostate."Journal of Advanced Nursing 39 (August 2002): 352-9.


ORGANIZATIONS

American Foundation for Urologic Disease (AFUD). 1128 North Charles Street, Baltimore, MD 21201. (410) 468-1800. .

American Urological Association (AUA). 1120 North Charles Street, Baltimore, MD 21201. (410) 727-1100. .

Cancer Information Service. National Cancer Institute, Building 31, Room 10A19, 9000 Rockville Pike, Bethesda, MD 20892. (800)4-CANCER. .


OTHER

"Anatomy of the Prostate Gland."University of Maryland Medicine..

"Prostate Disease Awareness."Monash University..

"Transurethral Resection of the Prostate (TURP)."Family Practice Notebook..

"What is the Prostate?"AFUD..



 
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A Transurethral Resection of the Prostate or TURP is a procedure to expand the dimensions of the urethra or urine outflow tract. This video shows what a urologist sees during a TURP. Note that this video shows surgery on an living human.

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An enlarged prostate can cause urinary problems due to its location around the male urethra (A). In TURP, the physician uses a cystoscope to gain access to the prostate through the urethra (B). The prostate material that has been restricting urine flow is cut off in pieces, which are washed into the bladder with water from the scope (B). (Illustration by GGS Inc.) An enlarged prostate can cause urinary problems due to its location around the male urethra (A). In TURP, the physician uses a cystoscope to gain access to the prostate through the urethra (B). The prostate material that has been restricting urine flow is cut off in pieces, which are washed into the bladder with water from the scope (B). (Illustration by GGS Inc.)




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Other Information

Transurethral resection of the prostate (also known as TURP, plural TURPs and as a transurethral prostatic resection TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. This is considered the most effective treatment for BPH. This procedure is done with spinal or general anesthetic. A large triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. Outcome is considered excellent for 80-90% of BPH patients. Because of bleeding risks associated with the surgery, TURP is not considered safe for many patients with cardiac problems. As with all invasive procedures, the patient should first discuss medications they are taking with their doctor, most especially blood thinners or anticoagulants, such as warfarin (Coumadin), or aspirin. These may need to be discontinued prior to surgery. Postop complications include bleeding (most common), clotting and hyponatremia (due to bladder irrigation).


From http://en.wikipedia.org/wiki/Transurethral_resection_of_the_prostate

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