Transurethral resection of the prostate, or TURP for short, is one of the most effective and currently one of the most popular methods created to cure the prostate. It is used in cases where the disease does not require large-scale surgical intervention. It can also be used when a person has any contraindications to surgery.
It is in such situations that the procedure to remove growths of the gland can be the best option for timely effective treatment. It should be noted that TURP is accompanied by the elimination of unnecessary tissues, but the procedure is performed only as part of therapy.
The essence of resection of prostate adenoma
Transurethral resection of the prostate by its nature of exposure refers to the types of minimally invasive endoscopic procedures. The idea and meaning of such a procedure is to completely remove a benignhyperplasia of the gland without making any external cuts.
It is possible to carry out such a procedure due to the fact that a special device called a resectoscope has been created. It is injected into a man's urethra. With the help of this drug, the surgeon, controlling all procedures visually and operating with specialized loops, cuts out in layers the neoplasms that have appeared in the parenchyma.
Important point: transurethral resection of the prostate is one of the most precious and delicate surgical interventions of all procedures existing in this area. For this reason, the success of this intervention will depend mainly on the experience and qualifications of the he althcare professional.
Features of the technique
Today, there are several important points on which the success of treatment and its duration may depend.
How is transurethral resection of prostate adenoma performed? The consequences depend entirely on the following factors:
- Accuracy of actions and speed of the surgeon. During the procedure, the patient lies only on his back, and his legs are raised up. A device small in diameter (7.6 mm) is inserted into the urethra (channel for urine output). When working, it creates some vibration. The doctor needs to make the duration of the process as short as possible. Most often, one such session takes no more than one hour.
- Visibility. It's about how good visibility is in the urethra. In order to clarify its level, a device is slowly introduced into the urethraresectoscope. At the end there is a source of strong light, as well as a small hose. With the help of it, the continuous supply and suction of excess water is carried out. Due to its design, the resectoscope makes the place for the operation clean, so the picture is most often of high quality. Using it, the attending physician will be able to monitor their actions and control the process.
The procedure for removing the resulting tissues can be easily explained by the operation of an ordinary construction excavator.
With the help of a special loop, the medical worker gradually, layer by layer, begins to cut off everything unnecessary until the moment when visual contact with the natural, normal prostate parenchyma appears. So, gradually removing pathological tissues, the doctor restores the necessary space for the urine outflow. Also, this procedure, carried out by a qualified specialist, will allow you to maintain a normal, natural level of potency.
Varieties of the TURP procedure
Transurethral resection of the prostate has several varieties:
- Pseudo-TURP. This procedure is characterized by partial elimination. With pseudo-TURP, only 15-20% of all altered and infected structures are removed. This type of treatment is symptomatic. In other words, this procedure can alleviate only some of the most common symptoms. These include problems with urination.
- Partial TURP. This varietythe procedure involves a greater removal. Up to 80 percent of the substrate is carved here.
- Complete transurethral resection of prostate adenoma. Here, all 100% of the affected gland is removed. This method is a complete operation.
Advantages of the method
Here are the main features:
- absence of any visually noticeable skin incisions;
- short operation time;
- high patient tolerance;
- complete absence or minimum number of adverse reactions and effects;
- short rehabilitation period.
Indications
TUR (transurethral resection of the prostate) is performed with the following indications:
- Relatively young age of the patient. We are talking about the age at which it is necessary not only to carry out the procedure, but also to maintain natural potency and attraction.
- Having any previous prostate surgery.
- Increased in the volume of iron (up to 80 centimeters cubic). If the size of the gland is at least slightly larger than this mark, then the necessary therapeutic effects from the process may not be achieved.
- Any comorbidities, especially if they are severe. These include kidney, heart, and liver disease or infectious processes in the body.
- Combination of prostatitis and adenoma.
An important point: the procedure for removing prostate cancer is carried out in the same way. The only difference is that a malignant tumor is removed here.
Contraindications
Transurethral bipolar resection of the prostate has the following contraindications:
- acute pathologies;
- any bleeding disorder;
- critical condition at the time of the procedure.
A person before and after the operation is prohibited from taking those products that contain caffeine.
An important point: due to the fact that during the operation there is no tissue damage, she has minimal complications. Therefore, the postoperative period is also short. Literally the next day, the patient can get up and move independently.
Complications after transurethral resection of prostate adenoma
After the procedure, the following complications may be noticed:
- Intoxication of the whole body with water. This complication appears if there is a large amount of irrigation fluid that is used for irrigation. Usually in this case, general weakness can occur. In some cases, a person's body temperature slightly, but noticeably decreases. The patient will want to sleep.
- Slight bleeding. It can occur after the operation is completed, and only in cases where the procedure has been violated in some way. This complication is eliminated through cupping. This is done by using various approved means to stop the blood. Procedures can also be appliedendoscopic diathermocoagulation.
Complications are rare, mostly they depend only on the level of professionalism of the surgeon.
Reviews
Transurethral resection of the prostate reviews are mostly positive. This is due to the fact that with such an operation there are practically no complications, it is well tolerated. Takes a little time, almost painless.
Rehabilitation period
After the operation, the patient can already drink, but not in very large volumes. By the evening of the next day after the procedure, he can get up and walk on his own. At the same time, he will no longer feel severe pain or discomfort. However, if they are still there, you can take painkillers belonging to the group of non-narcotic or narcotic analgesics.
The urethral catheter won't be removed for a few more days. This is necessary so that damaged he althy tissues can recover and heal. It is also necessary in order to prevent stagnation of urine. Do not be afraid that at first, urine mixed with blood will leave the catheter. At first, this is the norm. The catheter can be removed three to four days after the procedure.
Recovery and rehabilitation at home
As for recovery after the procedure at home, here you need to remember some important points. It will helpnot only avoid possible complications, but also significantly speed up the recovery process.
You need to drink as much as possible. This is necessary in order to flush the urethra as soon as possible. It will also help improve the natural process of urination. Drinking is best in the afternoon or in the morning, it is important to avoid heavy drinking at night.
It is also necessary to completely exclude alcohol and coffee in any of its manifestations. The fact is that such and similar liquids dilate blood vessels, thereby provoking bleeding in a person.
You should also avoid possible bowel problems. In other words, if a person is constipated, it is mandatory to take laxatives.
What needs to be done for treatment at home?
It is important to exclude loads until full recovery. It is best to do Kegel exercises, but only if the doctor allows it. These exercises are necessary in order to strengthen the muscles that are responsible for the process of urination.
Even if there are no infectious complications, it is still necessary to follow the rules and recommendations for antibiotic therapy.
An important point: in order for the process of restoring the intestinal flora to go faster, it is necessary to take additional drugs that contain beneficial bacteria.
Consequences of transurethral resection of the prostate
TURP procedure is not dangerous in its action and is necessary for mennot only to improve your he alth when you get sick, but to minimize the risk with natural potency and sex drive.
If you follow all the recommendations of the attending physician and the surgeon who performed this procedure, the operation and rehabilitation period will pass without any problems and complications. After that, the person will be able to return to their daily activities and normal life. Moreover, the operation itself is not an operation in the standard sense of the word. Here is such a wonderful procedure - transurethral resection of prostate adenoma. Reviews fully confirm this.
