medical tourism, adenomyosis,Interventional Radiology India,Interventional Radiology Delhi,Fibroid embolization India,Fibroid embolization Delhi
 
Dr. Pradeep Muley M.D.
email:fibroid@indianinterventionalradiology.in
muleypradeep@hotmail.com
Mobile:+91-9810492778

Transurethral resection of the prostate (TURP) is a surgical procedure by which portions of the prostate gland are removed through the urethra
 
 
How is the procedure performed?

The surgery is performed in the hospital. A urologist performs the operation. The man first goes to the surgery preparation area. There, an IV, or thin tube, is placed into an arm vein. This allows fluids and drugs to be given during the procedure. The anesthesiologist, or pain specialist, and the surgeon usually see the person just before surgery. The person is then taken to the operating or procedure room. Pain medicine is given to prevent pain. The man may be awake or completely asleep during the procedure. This depends on the type of pain control, or anesthesia, used.

Next, the doctor inspects the urethra and bladder with an endoscope. An endoscope is a special tube with a camera on the end of it. This scope allows the surgeon to see the inside of the body. The scope is passed through the tip of the penis, then into the urethra and bladder. This is to double check that the planned operation is correct. It is also to look for any unplanned problems such as bladder tumors or stones in the bladder.

Next, an electrical loop is passed into the urethra. The loop is placed near the part of the urethra that is surrounded by the prostate. The loop is used to cut out pieces of tissue from the prostate that bulge into or block the urethra. This process is similar to coring an apple. Electricity is applied through the same loop to stop bleeding.

After the procedure is over, the pieces of the prostate that were trimmed away are removed. The tissue is sent to the lab to make sure that an unsuspected cancer is not present. A urine catheter, or hollow tube to drain urine from the bladder, is then inserted through the penis and into the bladder.

 
 Complication of surgery

1. Retrograde ejaculation (dry orgasm): Around 75% of men find that little or no semen is ejaculated during orgasm after TURP. This happens because the surgery makes it possible for semen to travel up into the bladder rather than out through the penis. This is a long -term side effect. This shouldn’t interfere with sex and orgasm and most men return to the same level of sexual activity as before the treatment. However, retrograde ejaculation may affect your fertility. Research has shown that TURP does not increase risk of impotence or erectile dysfunction.

2. Prostate gland re-enlargement: The prostate gland may continue to enlarge after surgery, and in the future, a repeat procedure may be required when symptoms return. This happens to around 10% of patients within 10 years of their TURP.

3. Urinary infection: This affects around 3% of patients and can cause symptoms such as pain or burning when passing urine. Urine infections can be treated with antibiotics.

4. Excessive bleeding: This happens to around 3% of patients, and you may need a blood transfusion or a second operation to stop the bleeding.

5. Injury to the Urethra: This affects around 2% of patients and the resultant scar tissue can lead to ‘urethral stricture’ formation, where a section of the urethra narrows, reducing the flow of urine.

6. TURP Syndrome: This is when too much of the fluids used to flush your bladder are absorbed into your blood stream, leading to a salt imbalance in your blood. This can make you confused, nauseous or unsteady on your feet and may be particularly dangerous in those with existing heart or kidney problems. This is a very rare complication of TURP which usually develops early, whilst still in the operating theatre or the recovery room. It is very important to inform a member of staff if you experience any of the above symptoms after your operation.

7. Deep Vein Thrombosis (DVT): This is when a blood clot develops in the veins of the leg, which can break off and travel to the lungs to cause a blockage. DVT is rare potential risk of any operation, and people having surgery are routinely given medicines or compression stockings to wear during the operation to help prevent it.


For more in-depth information contact :


Dr. Pradeep Muley M.D.
Head & Senior Consultant Interventional Radiologist
Fellow, Neurointerventional Radiology, John’s Hopkins Medical Institutions, USA
Visiting Associate, Neurointerventional Radiology, Iowa University, USA
Fellow Interventional Radiology, Singapore General Hospital, Singapore
Lecturer Vascular & Interventional Radiology, KEM Hospital, Mumbai.
Neuroradiology, AIIMS, New Delhi.


Mobile: 098104 92778 or E-mail at muleypradeep@hotmail.com
Website http://www.indianinterventionalradiology.in