What is the risk of erectile dysfunction after TURP?
A- 36%
B- 30%
C- 20%
D- 16%
E- 6%***
Answer E:
The national prostatectomy audit quotes a rate of 31% however it appears the risk is much lower. Wasson's TURP vs watchful waiting study found no difference in the rates of ED between the 2 groups and Marberger's BJU 1999 meta-analysis indicated a rate of 6.5%.
Transurethral prostatectomy takes less than 90 minutes.
General or topical anesthesia can be used.
During the operation, the surgeon places a thin tube resembling the telescope (called a cutting lens) in the penis through the urethra until it reaches the prostate gland.
Then an electric loop is used at the end of the endoscope to remove the prostate tissue that blocks the duct and the flesh of the blood vessels.
The area is purified and all tissue removed.
It is usually required to stay in the hospital for three days.
During this period the catheter will remain in place to remove the urine and any remaining traces of surgery.
TURP is recommended for patients with complications from benign prostatic hyperplasia such as inability to urinate, bleeding from the urethra, kidney damage caused by urine retention; recurrent urinary tract infections and bladder stones.
There are many potential risks and complications associated with anesthesia, including respiratory or heart failure. Other complications include:
Bleeding, which requires transfusion
- Infections that require antibiotics, and in some cases stay in hospital.
- Inequality between fluids and salts During and immediately after surgery, light grade will not need to be treated, severe degree can lead to coma.
Problems with urinary flow control (urinary incontinence) and urethral distress.
- Difficulty erecting and maintaining (erectile dysfunction).
Infertility.
- emptying the semen into the bladder instead of coming out of the urethra (tossing back also called "dry ecstasy")
Risks, such as long-term stiffness and narrowing of the bladder neck leading to poor urination, can be reduced by following the surgeon's instructions before and after surgery.
A- 36%
B- 30%
C- 20%
D- 16%
E- 6%***
Answer E:
The national prostatectomy audit quotes a rate of 31% however it appears the risk is much lower. Wasson's TURP vs watchful waiting study found no difference in the rates of ED between the 2 groups and Marberger's BJU 1999 meta-analysis indicated a rate of 6.5%.
Transurethral prostatectomy takes less than 90 minutes.
General or topical anesthesia can be used.
During the operation, the surgeon places a thin tube resembling the telescope (called a cutting lens) in the penis through the urethra until it reaches the prostate gland.
Then an electric loop is used at the end of the endoscope to remove the prostate tissue that blocks the duct and the flesh of the blood vessels.
The area is purified and all tissue removed.
It is usually required to stay in the hospital for three days.
During this period the catheter will remain in place to remove the urine and any remaining traces of surgery.
TURP is recommended for patients with complications from benign prostatic hyperplasia such as inability to urinate, bleeding from the urethra, kidney damage caused by urine retention; recurrent urinary tract infections and bladder stones.
There are many potential risks and complications associated with anesthesia, including respiratory or heart failure. Other complications include:
Bleeding, which requires transfusion
- Infections that require antibiotics, and in some cases stay in hospital.
- Inequality between fluids and salts During and immediately after surgery, light grade will not need to be treated, severe degree can lead to coma.
Problems with urinary flow control (urinary incontinence) and urethral distress.
- Difficulty erecting and maintaining (erectile dysfunction).
Infertility.
- emptying the semen into the bladder instead of coming out of the urethra (tossing back also called "dry ecstasy")
Risks, such as long-term stiffness and narrowing of the bladder neck leading to poor urination, can be reduced by following the surgeon's instructions before and after surgery.
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Urology