Pdf over the last decade, the development of laser technology has played an. Hallucination and visual disturbances in transurethral prostatic resection. The turp primer is especially geared towards all urologists and their assistants who are interested in learning how to perform turp or who are already performing turp and would like to deepen their understanding of. The symptoms of tur syndrome include mental confusion, nausea, vomiting, high blood pressure, slowed. Transurethral resection of the prostate turp syndrome is a rare but potentially fatal syndrome with multifactorial pathophysiology that is now better understood. As the name indicates, it is performed by visualising the prostate through. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk. It is used to treat benign prostatic hyperplasia bph. View fullsized image download media please credit each image as. Transurethral resection of the prostate turp syndrome is a rare but potentially lifethreatening complication of a transurethral resection of the prostate procedure. Bipolar transurethral resection tur has been introduced in the clinical practice nowadays. The objective of this study was to evaluate the feasibility of bipolar transurethral resection of the prostate turp in patients with very large prostate glands and significant comorbidities.
Bipolar transurethral enucleation and resection of the. Transurethral resection of the prostate turp syndrome. Protocol for the examination of turp and enucleation. Transurethral resection of the prostate turp for benign. Transurethral prostatectomy turp is the ultimate treatment of choice for benign prostatic hyperplasia bph due mainly to the preference of minimally invasive surgery, long term relief of symptoms and. Bipolar resection of the bladder and prostate initial. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. Transurethral resection of the prostate in northern. Gravenstein d transurethral resection of the prostate turp syndrome. Pdf vapoenucleacion prostatica con laser tulio tulep.
Incidence of perioperative myocardial ischemia in turp patients. Turp primer transurethral resection of the prostate. Costs of minimally invasive laser surgery compared with. To assess the efficacy and the safety of a new transurethral endoscopic device using bipolar electrocautery, the gyrus system. Despite the rise of new minimally invasive technologies, transurethral resection of the prostate turp remains the most commonly used procedure at 84 % to treat bph patients in germany. Bipolar resection of the bladder and prostate initial experience with a newly developed regular sized loop resectoscope. The goal of a turp is to make it easier for you to pee urinate.
Application to simulate transurethral resection of the prostate r. Prostate transurethral resection represents in our medium 95%. Bipolar circuitry allows turp to be performed in a normal saline environment, which addresses a fundamental concern of conventional monopolar turp i. Symptoms related to benign prostatic hyperplasia bph are the most common reason why patients consult a urologist. A fatal hemolytic reaction following thransuretral resection of the prostate gland.
Transurethral resection of the prostate syndrome wikipedia. Benefits from bipolar tur are represented by the use of saline irrigation, which avoids hypoosmotic. All operations were performed by a single surgeon c. Electrovaporization of the prostate with the gyrus device. The importance of the pressure in the prostatic fossa and absorption of irrigatin fluid during the transurethral resection of the prostate. The standard treatment for bpo remains transurethral resection of the. Farcopharma turp primer transurethral resection of. Technological advances in transurethral resection of the. Submission of tissue for microscopic evaluation in transurethral resection transurethral resection specimens that weigh 12 grams or less should be submitted in their entirety, usually in 6 to 8 cassettes. The patient files of 201 patients were evaluated retrospectively for operation.
Benign prostatic hyperplasia bph is the commonest disease of the urinary tract afflicting the ageing male and is the commonest neoplastic disease in men aged 50 years and above. This system permits rapid prostate tissue removal by endoscopic vaporization with little bleeding and no pad return using saline irrigation and therefore eliminating turp syndrome. Customer rights accessibility nondiscrimination notice pdf report fraud sitemap. Transurethral resection of benign prostatic hyperplasia. Transurethral resection tur in saline plasma vaporization of the prostate vs. Transurethral resection of the prostate, serum glycine levels, and ocular evoked potentials. Transurethral resection tur syndrome occurs in about 2 out of 100 men who have turp. A transurethral resection of the prostate turp is a type of surgery. One of the most significant recent advancements in transurethral resection of the prostate turp is the incorporation of bipolar technology. It covers around 19, titles by more than 5, international editors, including coverage of about 16, journals.
We retrospectively analyzed 52 patients with symptomatic bph who underwent bipolar transurethral enucleation and resection of the prostate btuerp between march 2015 and september 2015 in our institution. As a result, the risks of dilutional hyponatremia and. Transurethral resection of the prostate commonly known as a turp, plural turps, and rarely as a transurethral prostatic resection, tupr is a urological operation. Transurethral resection of the prostate and vesical neck as an operation, in spite of the antagonism to which it was subjected by many urologists and surgeons in its beginning, has now been definitely incorporated in urologic therapeutics as one of the most efficacious procedures in the. Pdf transurethral resection of the prostate syndrome. Costs of minimally invasive laser surgery compared with transurethral electrocautery resection of the prostate. National institute of diabetes and digestive and kidney diseases, national institutes of health. It is done to treat urinary symptoms caused by an enlarged prostate gland benign prostatic hyperplasia, or bph.
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