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Transurethral resection of the prostate TURP is a surgical procedure by which portions of the prostate gland are removed through Bad nach TURP urethra.
The prostate is a gland that is part of the male reproductive system. It consists of Bad nach TURP lobes, and surrounds the neck of the bladder and urethra tube that channels urine from the bladder to the outside through the tip of the penis.
The prostate weighs approximately one ounce 28 gand is walnut-shaped. It is partly muscular and partly glandular, with ducts opening into the Bad nach TURP. It secretes an antigen called prostate-specific antigen PSAand a slightly alkaline fluid that forms part of the seminal fluid semen Bad nach TURP carries sperm.
BPH is due to hormonal changes in the prostate, and is characterized by the enlargement or overgrowth of the gland as a result of an increase in the number of its constituent cells. Men with increased PSA levels have a higher chance of developing prostate cancer. BPH usually affects the innermost part of the prostate first, and enlargement frequently results in a gradual squeezing of the urethra at the point where it runs through the prostate.
The Bad nach TURP sometimes causes urinary problems, such as difficulty urinating. BPH may progress to the point of generating a dense capsule that blocks the flow of urine from the bladder, resulting in the inability to completely empty the bladder. Eventually, this could lead to bladder and kidney malfunction. Transurethral resection of the prostate TURP is the treatment of choice for BPH, and the most common surgery performed for the condition.
Prostate disease usually occurs in men over age Prostate cancer occurs in one out of 10 men. In the United Bad nach TURP, more than 30, men die of prostate cancer each year. TURP is a type of transurethral surgery that does not involve an external incision.
The surgeon reaches the prostate by inserting an instrument through the urethra. The TUIP procedure widens the urethra by making Bad nach TURP cuts in the bladder neck where the urethra and bladder meetand in the prostate gland itself. The actual TURP procedure is simple. It is performed under general or local anesthesia. After an IV is inserted, the surgeon Bad nach TURP examines the patient with a cystoscope, an instrument that allows him or her to see inside the bladder. The surgeon then inserts a device up the urethra via the penis opening, and removes the excess capsule material that has been restricting the flow of urine.
The density of the normal prostate differs from that of the restricting capsule, making it relatively easy for the surgeon to tell exactly how much to remove.
After excising the capsule material, the surgeon inserts a catheter Bad nach TURP the bladder through the urethra for the subsequent withdrawal of urine. In evaluating the prostate gland for BPH, the physician usually performs a complete physical examination as well as the following procedures:.
If the results of the DRE and PSA tests are indicative of a significant prostate disorder, the examining An enlarged prostate can cause urinary problems due to its location around the male urethra A. The Bad nach TURP material that has been Bad nach TURP urine flow is cut off in pieces, which are washed into Bad nach TURP bladder with water from the scope B.
Illustration by GGS Inc. The urologist performs additional tests, including blood and urine studies, to establish a diagnosis. When the patient awakens in the recovery room after the procedure, he already has a catheter in his penis, and is receiving pain medication via the IV line inserted prior to surgery. The initial recovery period lasts approximately one week, and includes some pain and discomfort from the urinary catheter.
Spastic convulsions of the bladder and prostate are expected as they respond to the surgical changes. The following Bad nach TURP are commonly prescribed after TURP:. Serious complications are less common for prostate surgery patients because of advances in Bad nach TURP methods. Nerve-sparing surgical procedures help prevent permanent injury to the nerves that control erection, as well as injury to the opening of the bladder.
However, there are risks associated with prostate surgery. The first is the possible development of incontinence, the inability to control urination, which may result in urine leakage or dribbling, especially just after surgery. Normal control usually returns within several weeks or months after surgery, but some patients have become permanently incontinent. There is also a risk of impotence, the Bad nach TURP to achieve penile erection.
For a month or so after surgery, most men are not able to become erect. They no longer ejaculate semen because removal of the prostate gland prevents Bad nach TURP process. This effect is related to many factors, such as overall health and age. Other risks associated with TURP include:. Symptoms may include temporary blindness due to irrigation fluid entering the bloodstream.
On very rare occasions, this can lead to seizures, coma, and even death. The syndrome may also include toxic shock due to bacteria entering the bloodstream, as well as internal hemorrhage.
TURP patients usually notice urine Bad nach TURP improvement as soon as the catheter is removed. Other improvements depend on the condition of the patient's prostate before TURP, his age, and overall Bad nach TURP status. Patients are told to expect the persistance of some pre-surgery symptoms.
In fact, some new symptoms may appear following TURP, such as occasional blood and tissue in the urine, bladder spasms, pain when urinating, and difficulty judging when to urinate. TURP represents a major adaptation for the body, and healing requires some time. Full recovery may take up to one year. Patients are almost always satisfied with their TURP outcome, and the adaptation to new symptoms is offset by the disappearance of previous problems.
For example, most patients no longer have to take daily prostate medication, and quickly learn to gradually increase the time between urinating while enjoying uninterrupted and more restful sleep at night.
TURP mortality rates are 0. See also Cryotherapy ; Open prostatectomy. Barrett, D. New York: Kensington Pub. Blandy, J. Transurethral Resection. Boston: Butterworth-Heinemann, Childs, S. Cimentepe, E. Unsal, and R. Kaplan, S. Kumar, P. Gomes, B. Davies, and A.
Kursh, E. Concepcion, S. Chan, P. Hudson, M. Ratner, and R. McAllister, W. Karim, R. Plail, D. Samra, M. Steggall, Bad nach TURP. Yang, and C. Merrill, R. Eckhardt, and T. Yung, P. Chui-Kam, P. French, and T. Cancer Information Service. Transurethral resection of the prostate is performed in hospitals by experienced urologic surgeons who are specialized in prostate disorders and in performing the TURP procedure.
Toggle navigation. Definition Transurethral resection of the prostate TURP is a surgical procedure by which portions of the prostate gland are removed through the urethra. Demographics Prostate disease usually occurs in men over Bad nach TURP Description TURP is a type of transurethral surgery that does not involve an external incision. Recommended annually for men over the age of 50, the DRE is an examination performed by a physician who feels the prostate through the wall of the rectum.
Hard or lumpy areas may indicate the presence of cancer. Prostate-specific antigen PSA test. Also recommended annually for men over the age of 50, the PSA test measures the levels of prostate-specific antigen secreted by the prostate. It is normal to observe small quantities of PSA in the blood. PSA levels vary with age, and tend to increase gradually in men over age They also tend to rise as a result of infection prostatitisBad nach TURP, or cancer.
Aftercare When the patient Bad nach TURP in the recovery room after the procedure, he already has a catheter in his penis, and is receiving pain medication via the Bad nach TURP line inserted prior to surgery.