An update on transurethral surgery for benign prostatic obstruction

Abstract

Clinical benign prostatic hyperplasia (BPH) is one of the most common cause of lower urinary tract symptoms and transurethral resection of prostate (TURP) has been the gold standard technique for surgical treatment of benign prostate obstruction (BPO) over the last 2 decades. Although monopolar TURP is considered a safe and effective option for surgical management of BPO, there are some disadvantages, namely bleeding, transurethral resection syndrome, incompleteness of treatment. This review aims to highlight these problems, and describe the advances in technology and techniques that have evolved to minimise such complications. With the advent of lasers and bipolar technology, as well as enucleative techniques to remove the prostatic adenoma/adenomata, the problems of bleeding, transurethral resection syndrome and incomplete treatment are significantly minimised. Monopolar TURP will likely be replaced by such technology and techniques in the near future such that transurethral surgery of the prostate remain a safe and effective option in alleviating the harmful effects of BPO.

Health‐related quality of life in patients undergoing TURP: Translating evidence into urological nursing practice

“…68 Unfortunately, studies describing the impact of TURP on social function is insufficient. 13 "Role functioning" was described as a core construct of HRQoL encompassing aspects of occupational and social roles that important for patients in all given treatment phases and for those as survivors from a particular disease.…”

“…73 To be exact, developing more effective nursing interventions focusing on functional status are possible to prevent TURP syndrome and deterioration of HRQoL. 13…”

“…11 A study from Japan reported that 23.5% of elderly patients experienced TURP syndrome. 13 Over an enduring time-frame, this syndrome potentially leads to a devastating impact-particularly on patient's health-related quality of life (HRQoL). 13 Over an enduring time-frame, this syndrome potentially leads to a devastating impact-particularly on patient's health-related quality of life (HRQoL).…”

“…12 Another study documented the cases of TURP syndrome were 11.1% in a clinical setting. 13 Over an enduring time-frame, this syndrome potentially leads to a devastating impact-particularly on patient's health-related quality of life (HRQoL). 14 In order to prevent the deterioration of HRQoL, several clinical studies have been well performed.…”

Is Routine Measurement of Post-operative Hemoglobin and Electrolytes Necessary in Every Patient After Transurethral Resection of the Prostate?

“…Previously, post-procedure complications occurred quite frequently, with early complications of bleeding, sepsis, electrolytes imbalance, TUR syndrome, incontinence, and urinary retention (3). In the past few decades, there has been considerable decrement in the incidence of these early complications mainly due to standardization of the procedure, and improvement in equipment, perioperative management, and anesthetic techniques (4). Although bleeding is the most important complication of TURP (5), a combined data from 10654 procedures reported that only 2.9% cases required transfusion due to bleeding (6).…”