Transurethral resection of the prostate, or TURP for short, is one of the most effective and today one of the most popular methods designed to cure the prostate. It is used in cases where the disease does not need surgical intervention on a large scale. It can also be applied when a person has any contraindications to surgical intervention.
It is in such situations that the procedure to remove the 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 carried out only as part of therapy.
The essence of prostate adenoma resection
Transurethral resection of the prostate by its nature of the effect refers to the types of minimally invasive endoscopic procedures. The idea and meaning of such a procedure is to completely remove benign glandular hyperplasia without making any external cuts.
Such a procedure can be carried out due to the fact that a special device called a resectoscope was created. It is introduced to the man directly into the urethra. With the help of this drug, the surgeon, controlling all the procedures visually and operating with specialized loops, cuts out layers of neoplasms that appear in the parenchyma.
An important point: transurethral resection of the prostate is one of the most jewelry and subtle surgical procedures of all the procedures existing in this field. For this reason, the success of this intervention will depend mainly on the experience and qualifications of the medical specialist.
Features of the technique
Today, there are several important points on which the success of treatment and its duration can be dependent.
How is transurethral resection of prostate adenoma performed? The consequences entirely depend on the following factors:
- The accuracy of the action and the speed of the surgeon. During the procedure, the patient lies only on his back, and his legs are raised up. A small diameter (7.6 mm) device is inserted into the urethra (channel for urine output). When working, it creates some vibration. The doctor needs to make the process as short as possible. Most often, one such session takes no more than one hour.
- Visibility. It is about how good the visibility in the urethra is. In order to clarify its level, a resectoscope is slowly inserted into the urethra. At the end there is a strong light source, as well as a small hose. With the help of it is the continuous supply and suction of excess water. Because of its design, the resectoscope makes the place for the operation clean, therefore the picture most often turns out to be of high quality. According to it, the attending physician will be able to monitor his actions and monitor the process.
The procedure for removing the formed tissue is easily explained by the work of an ordinary construction excavator.
With the help of a special loop, the medical worker gradually, layer by layer, begins to cut off all unnecessary until the moment when there is visual contact with the natural, normal parenchyma of the prostate. So, by gradually removing pathological tissues, the doctor restores the necessary space for urine flow. Also, this procedure, carried out by a qualified specialist, will help maintain a normal, natural level of potency.
Varieties of 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 changed and infected structures are removed. This kind of treatment is symptomatic. In other words, carrying out this procedure can only alleviate some of the most common symptoms. These include problems with the emission of urine.
- Partial TURP. This type of procedure involves greater removal. Here, up to 80 percent of the substrate is carved.
- Complete transurethral resection of prostate adenoma. Here, all 100% of the affected gland is removed. This method is a complete operation.
The advantages of the method
Here are the main advantages:
- the absence of any visually noticeable incisions of the skin;
- short duration of the operation;
- high level of tolerance on the part of the patient;
- complete absence or minimal amount of adverse reactions and effects;
- short rehabilitation period.
Indications
TUR (transurethral resection of the prostate) is performed with the following indications:
- The 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 preserve the natural potency and attraction.
- The presence of any already performed operations on the prostate.
- Increased in the volume of iron (up to 80 centimeters cubic). If the size of the gland is even slightly larger than this mark, then the necessary therapeutic effects from the process may not be achieved.
- Any concomitant diseases, especially if they are severe. These include renal, cardiac, as well as liver diseases or infectious processes in the body.
- A combination of prostatitis and adenoma.
An important point: the procedure for the removal of prostate cancer is similarly carried out. 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 disorders;
- critical condition at the time of the procedure.
Before and after surgery, a person is forbidden to take those products that contain caffeine.
An important point: due to the fact that during the operation there is no tissue damage, it has minimal complications. Therefore, the postoperative period is also short. The very next day, the patient can get up and move around independently.
Complications after transurethral resection of prostate adenoma
After the procedure, such complications can be noticed:
- Intoxication of the whole body with water. This complication manifests itself if there is a large amount of irrigation fluid that is used for irrigation. Usually, in this case, general weakness may occur. In some cases, a person has a slightly, but significantly reduced body temperature. The patient will want to sleep.
- Light bleeding. It can occur after the operation is completed, and only in those cases when the procedure was violated by something. This complication is eliminated through relief. This is done through the use of various permitted means for stopping blood. Endoscopic diathermocoagulation procedures may also be used.
Complications are rare, mostly they depend only on the level of professionalism of the surgeon.
Reviews
Transurethral resection of the prostate reviews is 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 independently get up and walk. At the same time, he will no longer feel severe pain or discomfort. However, if they do exist, painkillers belonging to the group of non-narcotic or narcotic analgesics can be taken.
The urethral catheter will not be removed for several more days. This is necessary so that damaged healthy tissues can recover and heal. It is also necessary in order to prevent stagnation of urine. Do not be afraid that at first urine with an admixture of blood will flow through the catheter. At first, this is the norm. Three to four days after the procedure, the catheter can be removed.
Home rehabilitation and rehabilitation
As for recovery after the procedure at home, here it is necessary to remember some important points. This will help not only to avoid possible complications, but also significantly accelerate the recovery process.
Drink as much as possible. This is necessary in order to rinse the urethra as soon as possible. It will also help to improve the natural urination process. It is best to drink during the day or in the morning, it is important to avoid heavy drinking at night.
It is also necessary to completely eliminate alcohol and coffee in all its manifestations. The fact is that such and similar fluids dilate blood vessels, thereby causing a person to bleed.
It is also necessary to avoid possible problems associated with bowel movements. In other words, if a person has constipation, it is necessary to take laxatives without fail.
What needs to be done to treat at home?
It is important to eliminate the load until the full recovery. It is best to do Kegel exercises, but only if the doctor permits 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, you still need to follow the rules and recommendations for antibiotic therapy.
An important point: in order for the process of restoration of the intestinal flora to go faster, it is necessary to take additional drugs, which contain beneficial bacteria.
The consequences of transurethral resection of the prostate
The TURP procedure is not dangerous in its effect and is necessary for men not only to improve their health status in case of illness, but in order to minimize the risk with natural potency and level of sexual desire.
If you follow all the recommendations of the attending physician and surgeon who performed this procedure, the operation and rehabilitation period will pass without any problems and complications. After that, a person will be able to return to his daily affairs and normal activities. 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.