Doctor insights on:
Transurethral Resection Prostate
Please explain if it is safe to do turp (transurethral resection prostate) operation the second time?
OK: No two turps are alike and no two urologists would perform TURP in the same way, largely depending upon surgeon's professional judgment, ethics, and skills so resulting in different outcomes. As a result, some are complication-prone with higher risk and redo rates, and others, less with a wide range in between. Largely, it's safe to redo turp. If in doubt, ask doc timely. ...Read more
Transurethral resection is the surgical/urologic method to remove tissue from the lower urinary tract (usually prostate or bladder) using specialized telescopic instruments. These instruments are placed through the urethra to reach the desired tissue. Electrical energy is passed through wire "loops" that shave the tissue into small pieces that can be removed ...Read more
Enlarged prostate: It is surgical resection for benign prostate hyperplasia (enlargement). ...Read more
For obstruction: Turp is done by urologists when medical treatment fails, to relive the obstruction at the level of prostate usually caused by enlarged benign prostate gland. ...Read more
TURP: There is not space here to explain the procedure but there are videos on youtube that show the procedure and also you can google it. Is an operation for men that have urinary obstruction.. ...Read more
Here are some. ..: TURP had been as the gold standard for instant surgical tissue removal with electric cutting loop to surgically relieving prostate blockage as the last resort of care after failing to medical Rx. But nothing is free; so is TURP with expected risks such as bleeding, retrograde ejaculation, possible stress urinary incontinence, UTI, water over-absorption, etc.. .. But now, its use is being replaced. ...Read more
Can you tell me in a transurethral resection of the prostate (turp) the vaa deferens are cut and tied?
Usually, better...: You would expect to urinate with a better flow than before if you're able to void some with slow urine flow. This is the most common scenario after TURP. But, if residual urine is high, say, 450 cc or having urinary retention up to 1000-2500 cc, such men wouldn't void well, and even still never yet. So, it is said: Intervene at a reasonable time in a reasonable way to a reasonable person. ...Read more
Through urethra: When a TURP (transurethral resection prostate) is performed, what is being done is 'coring out' the inside of the prostate tissue. The urethra in the prostate is not really a tube inside a tube. The inside of the prostate is hollow and the urethra inside the prostate is made of prostatic tissue-this is what is being removed in a TURP;it heals back over and you still urinate through the prostate ...Read more
My father-in-law had undergone transurethral resection of the prostate (turp). What do we need to do for him at home?
Very little: Very little has to be done, if he goes home with a catheter, you have to empty the bag when it is filled, slight bloody urine normal if bleeds call his surgeon. If come home with out catheter watch for urinary retention, slight burning is normal make sure drinks plenty of fluids. And take him to follow up visit. ...Read more
Almost never: Used to be common for some urologists to tie of the vasa deferentia (plural) after open prostate surgery, which was associated with about 2% incidence of epididymitis & when fewer different antibiotics were in existence. Turp is associated with lower incidence of postoperative infection & catheters remain inplace for shorter time compared to open surgery. Thus no need for vasectomy with turp. ...Read more
Prostate: This isbtoo surgical removal through a resectoscope to remove the enlarged tissue of the prostate. ...Read more
TUR: Transurethral resection is the surgical/urologic method to remove tissue from the lower urinary tract (usually prostate or bladder) using specialized telescopic instruments. These instruments are placed through the urethra to reach the desired tissue. Electrical energy is passed through wire "loops" that shave the tissue into small pieces that can be removed through the telescopic channel. ...Read more
Bladder neck incisio: Transurethral resection of the bladder neck (TURBN) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more
What is an estimated range for the cost of a transurethral resection for bladder cancer paid out of pocket?
Depends: The answer depends on where you live and what the particulars are about your case. Generally you will need to pay for the facility where your procedure is done, the surgeon, and the anesthesiologist. I recommend you call all of the people involved to ask them what they anticipate the charges to be. Often you can get a discount by paying cash. ...Read more
Possible, needs f/u: Transurethral resection of bladder tumor, especially if it is in the very early stages, superficial, is a good treatment approach. Frequent followups and scope of the bladder to insure no residual disease is seen, or treatments with agents injected into the bladder is necessary. Much deeper tumors, called muscle invasive, will require much more aggressive surgical and nonsurgical treatments. ...Read more
All depends: Upon your geographic location, urologist you consult ; if dr will make you a deal in absence of medical insurance. Then there are costs of anesthesia, operating room, pacu (recovery room) ; hospitalization. Hope this isn't for you at age 33, most patients requiring TURP are covered by medicare. Would suggest 2nd opinion if you are the patient. ...Read more
Probably not need...: Removing blocking part of prostate by either TURP (resection) or PVP (laser) would very rarely cause urine leakage requiring the use of pull-ups. Of course, the likelihood to have urine leakage after these procedures is largely related with surgeon's skill. But, it does occur, most of cases will improve and resolve over time. For detail, ask your urologist. ...Read more
Dilation procedure.: You are probably going to need a dilation procedure. A tube inserted into the urethra of a larger caliber then the stricture which will dilate the area of he stricture. You can get numbing medicine so it's not as bad as it sounds. The real challenge is that you will need to have this procedure again and again as the area of the stricture "heals itself" and forms another stricture, ...Read more
Moving assistance.: The first few days following a transurethral resection of bladder tumor will be characterized by passage of blood in the urine, urinary frequency, urgency, and possible incontinence. An elderly patient will require help with transfers and traveling to the toilet. For those too frail to make the trip, a bedside commode or a hand-held urinal will be helpful. ...Read more
Following resection of the prostate surgery, is it normal to have temporary incontinence, what to do?
Should be very temp.: Continence should return soon. Suggest you see another urologist if incontinence continues. 44-years-of-age is very young to need a resection of prostate if you are the patient. Persistent incontinence could signify damage to your urethral sphincter. There are medical therapies which might help also surgical procedures including artificial urinary sphincter implantation if incontinence permanent. ...Read more
Do you mean TURP?: If by partial prostate resection you are referring to turp, no pull-ups should be needed at all. Some individuals might have transient urge urinary incontinence which typically resolves with the use of an antimuscarinic medication. Rarely, inadvertent injury to the external urinary sphincter occurs which can result in permanent urinary incontinence, correctable by additional surgery. ...Read more
Since having prostate brachytherapy I now have E D is Viagra (sildenafil) beneficial and is it covered by PBS?
Every insurance program has multiple program/plans, each with its own formulary
("allowabe" medication panel). ED is a recognized risk/side-effect associated with any treatment for documented prostate cancer. Unfortunately, pRacticing MDs do not control/manage your insurance: it is up to the discretion of your insurer as to the degree of "coverage" re: your post-op situation. ...Read more
Here are some. ..: The fundamental cause is irritation to the nerve endings near, on, or inside the prostate by inflammation - infection, or by referring pain from the disorders of regional muscles, joints, and nerves so leading to the puzzles and debates on CP / CPPS as acronyms of chronic prostatitis / chronic pelvic pain syndrome. More? Ask treating urologist timely. ...Read more
Vigorous massage is: Prostate massage is used in clinical practice rarely to diagnose chronic bacterial prostatitis. If used to achieve an intense orgasm, it should be done carefully, as vigorous massage may result in damage to the nearby thin rectal lining, stricture of the membranous urethra, or possibly epididymitis. If a patient has acute bacterial prostatitis, vigorous massage may seed the blood with bacteria. ...Read more
Looking for evidence: Looking for evidence that chocolate is bad for the prostate, but only came across online sites saying that in younger men, drinking alcohol or consuming too much caffeine (especially coffee) can irritate the prostate and cause frequent urination (so, eliminating them from the diet may decrease prostatitis symptoms). Chocolate has caffeine. Other reported irritants include tobacco and spicy foods. ...Read more
See your physician.: Prostate problems can range from infection & inflammation, to enlargement & cancer. In younger men, infections & inflammation are the biggest concerns. Symptoms are mostly with urination, include burning & pain, voiding difficultly, and urethral discharge. If you are having any of these symptoms or are concerned, see your primary doctor who will refer you to a urologist if there is a problem. ...Read more
Here are some. ..: Its "normal" size of adult men of 20-35 is around 20-30 cc. As men age, its size may increase with widely variable pace and degree. And its enlarged size is not always linearly related with heir degree in slowing urine flow. Not infrequently, some men still voids well with good urine flow and emptying bladder even though their prostate has grown to 35-150 cc or bigger. In my view, that size coould ...Read more
Prostatitis: Prostatitis is a condition that involves inflammation of the prostate and sometimes the area around it. This will require antibiotics for a longer period, usually 4-12 weeks. About 75% of all cases of chronic bacterial prostatitis clear up with this treatment. Sometimes the symptoms come back recur and antibiotic therapy is needed again. Hope this helped :]. ...Read more
Needle Ablation: Trans Urethral Needle Ablation is a procedure done cystoscopically through the penis in which the special device impales two needles into the prostate tissue through which radio frequency is delivered to destroy and remove some of the obstructing prostate tissue. It is an alternative to TURP. ...Read more
The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more