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TURP- Trans Urethral Prostatectomy

Introduction:

Transurethral resection of the prostate (TURP) is a surgical procedure carried out to eliminate the enlarged area of the prostate gland, which is hindering the urine flow through urethra. This type of distended prostate is commonly noted for causing trouble in aged men and is known as Benign Prostatic Hyperplasia (BPH). Men over the age of 40 are more susceptible to prostate disease. BPH gradually starts worrying 80% of men in their old age. By way of survey, TURP is considered as the ‘Gold Standard’ among the list of treatments accessible for BPH. Fabian was probably the first person to be instrumental in describing the use of intraprostatic stents for the treatment of outlet obstruction, the next best to BPH in 1980.

Necessity of TURP:

There are some unique features relating to enlarged prostate (BPH). TURP is therefore advised to patients who have the following problems:

  • Prostate bleeding
  • Repeated urinary tract infection
  • Kidney damage
  • Acute urinary retention
  • The urge to urinate is often felt, mainly during night time
  • Passage of urine is very slow and interrupted, with leaking symptoms after urination
  • There is a extended wait to be done in order to feel the sensation of urinating, or there is a sudden, uncontrollable urge to pass it at once

Benefits of TURP:

  • The overall success rate of the surgery brings down the symptoms in 88% of BPH patients
  • There is a remarkable betterment in urine flow, as and when the catheter is removed
  • Almost all the patients find peace with the result of the surgery because  pain normally vanishes after the surgery, bladder spasms no more occur and they are liable to have a continuous sleep at night

Risk and complications associated with TURP includes:

  • Anesthesia or negative medication reaction
  • Blood clotting can happen
  • Breathing problems make begin
  • Post surgery urinary tract infection is possible
  • Bleeding may occur
  • Scarring of tissue is possible
  • Adjoining organs and tissue damage can be risked
  • 15-20% patients who undergo this surgery are having a probability of another surgery within the coming 10 years
  • There are some evidences of patients reporting brief urinary incontinence and impotency after the TURP surgery
  • There are chances when the semen seep into the bladder rather than  passing out through urethra
  • Transurethral resection syndrome or urethral stricture is possible

Preparation of TURP surgery:

  • The total body is subjected to physical examination
  • Blood and urinalysis may be tested in lab
  • Digital rectal examination (DRE) may be advised
  • Prostate-specific antigen (PSA) test may be conducted
  • Make a visit to the surgeon, consult and note down the list of the medicines which are to be continued or  stopped before surgery
  • Admit if you have the bad habits of smoking or alcohol consumption to the surgeon
  • Pre-arrange for leave from work, take assistance at home, appoint a driver for post operative rehabilitation
  • Strictly see that you do not consume food or drink late night before the day of surgery

Tip for medical tourist:

  • Medical tourist is advised to select accommodation that has handicapped accessible room at the proximity of the hospital for post surgery recovery

TURP surgery after care:

  • Generally, after the surgery, patients are required to stay in the hospital for 1- 3 days. A patient will bear an attached catheter, so that he can pass urine for first 1-3 days, after which it will be removed after confirming that the urine is not mixed with blood.
  •  Pain and incontinence of passing urine may hang-on for a period of about 6 weeks after the surgical procedure

Special precautions to be taken after the TURP surgery:

  • Laborious activities can be evaded for about 6 weeks
  • Laxative may be prescribed to avoid constipation
  • It is necessary that the patient takes in a lot of fluids and positively eat highly fibrous food
  • Sexual activity can be resumed after 6 weeks of the surgery
  • Please quit alcohol drink
  • Driving can be continued after 1-2 weeks of the surgery
  • Try to maintain hygiene by washing hands and penis regularly
  • Take ample rest after the surgery
 

Health Tips

Massage hair with warm coconut oil an hour before washing. Take some petals of hibiscus and grind it in the mixer. Apply this paste to your hair and then rinse it. For better result you can boil a few hibiscus flowers in coconut oil. Filter this oil and use it to control hair loss and thinning, you can also use Jaborandi oil which is again an extract of hibiscus flower.

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