Transurethral Resection of the Prostate

Stephen W. Leslie, Soumaya Chargui, Gavin Stormont, Stephen W. Leslie, Soumaya Chargui, Gavin Stormont

Excerpt

Transurethral resection of the prostate or TURP is a procedure where the prostate is resected from an endoscopic approach. It was the first major, minimally invasive surgery of the modern era. This procedure has been in use for many years and is still considered the surgical gold standard for bladder outlet obstruction (BOO), with only some minor changes since its modern introduction in 1943. A TURP can also be used to unroof prostatic abscesses, as well as open the ejaculatory ducts in some cases of obstructive azoospermia.

Conflict of interest statement

Disclosure: Stephen Leslie declares no relevant financial relationships with ineligible companies.

Disclosure: Soumaya Chargui declares no relevant financial relationships with ineligible companies.

Disclosure: Gavin Stormont declares no relevant financial relationships with ineligible companies.

Copyright © 2024, StatPearls Publishing LLC.

References

    1. Aaron L, Franco OE, Hayward SW. Review of Prostate Anatomy and Embryology and the Etiology of Benign Prostatic Hyperplasia. Urol Clin North Am. 2016 Aug;43(3):279-88.
    1. Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol. 1984 Sep;132(3):474-9.
    1. Greene DR, Egawa S, Hellerstein DK, Scardino PT. Sonographic measurements of transition zone of prostate in men with and without benign prostatic hyperplasia. Urology. 1990 Oct;36(4):293-9.
    1. Jarvis TR, Chughtai B, Kaplan SA. Testosterone and benign prostatic hyperplasia. Asian J Androl. 2015 Mar-Apr;17(2):212-6.
    1. Wei JT, Calhoun E, Jacobsen SJ. Urologic diseases in America project: benign prostatic hyperplasia. J Urol. 2005 Apr;173(4):1256-61.
    1. Welliver C, Feinstein L, Ward JB, Fwu CW, Kirkali Z, Bavendam T, Matlaga BR, McVary KT, Urologic Diseases in America Project Trends in Lower Urinary Tract Symptoms Associated with Benign Prostatic Hyperplasia, 2004 to 2013: the Urologic Diseases in America Project. J Urol. 2020 Jan;203(1):171-178.
    1. Hawtrey CE, Williams RD. Historical evolution of transurethral resection at the University of Iowa: Alcock and Flocks. J Urol. 2008 Jul;180(1):55-61.
    1. Nickel JC, Méndez-Probst CE, Whelan TF, Paterson RF, Razvi H. 2010 Update: Guidelines for the management of benign prostatic hyperplasia. Can Urol Assoc J. 2010 Oct;4(5):310-6.
    1. Abdelmoteleb H, Rashed F, Hawary A. Management of prostate abscess in the absence of guidelines. Int Braz J Urol. 2017 Sep-Oct;43(5):835-840.
    1. Lerner LB, McVary KT, Barry MJ, Bixler BR, Dahm P, Das AK, Gandhi MC, Kaplan SA, Kohler TS, Martin L, Parsons JK, Roehrborn CG, Stoffel JT, Welliver C, Wilt TJ. Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA GUIDELINE PART II-Surgical Evaluation and Treatment. J Urol. 2021 Oct;206(4):818-826.
    1. Keqin Z, Zhishun X, Jing Z, Haixin W, Dongqing Z, Benkang S. Clinical significance of intravesical prostatic protrusion in patients with benign prostatic enlargement. Urology. 2007 Dec;70(6):1096-9.
    1. Sun F, Yao H, Bao X, Wang X, Wang D, Zhang D, Zhou Z, Wu J. The Efficacy and Safety of HoLEP for Benign Prostatic Hyperplasia With Large Volume: A Systematic Review and Meta-Analysis. Am J Mens Health. 2022 Jul-Aug;16(4):15579883221113203.
    1. Bruskewitz RC, Iversen P, Madsen PO. Value of postvoid residual urine determination in evaluation of prostatism. Urology. 1982 Dec;20(6):602-4.
    1. Gnanapragasam VJ, Leonard A. Does a pre-operative urodynamic diagnosis of bladder outflow obstruction improve outcomes from palliative transurethral prostatectomy? Urol Int. 2011;86(1):85-9.
    1. Wang J, Yang B, Zhang W, Sun S, Wang J, Zhang Y. The relationship between bladder storage function and frequent micturition after TURP. World J Urol. 2022 Aug;40(8):2055-2062.
    1. Reynard JM, Yang Q, Donovan JL, Peters TJ, Schafer W, de la Rosette JJ, Dabhoiwala NF, Osawa D, Lim AT, Abrams P. The ICS-'BPH' Study: uroflowmetry, lower urinary tract symptoms and bladder outlet obstruction. Br J Urol. 1998 Nov;82(5):619-23.
    1. Dutt UK, Kumar S, Dorairajan LN, Badhe BA, Manikandan R, Singh S. Effect of preoperative finasteride on perioperative blood loss during transurethral resection of the prostate and on microvessel density in patients with benign prostatic hyperplasia: An open label randomized controlled trial. Urol Ann. 2021 Jul-Sep;13(3):199-204.
    1. Lightner DJ, Wymer K, Sanchez J, Kavoussi L. Best Practice Statement on Urologic Procedures and Antimicrobial Prophylaxis. J Urol. 2020 Feb;203(2):351-356.
    1. Warren JW, Tenney JH, Hoopes JM, Muncie HL, Anthony WC. A prospective microbiologic study of bacteriuria in patients with chronic indwelling urethral catheters. J Infect Dis. 1982 Dec;146(6):719-23.
    1. Bjork DT, Pelletier LL, Tight RR. Urinary tract infections with antibiotic resistant organisms in catheterized nursing home patients. Infect Control. 1984 Apr;5(4):173-6.
    1. Forrest JB, Clemens JQ, Finamore P, Leveillee R, Lippert M, Pisters L, Touijer K, Whitmore K, American Urological Association AUA Best Practice Statement for the prevention of deep vein thrombosis in patients undergoing urologic surgery. J Urol. 2009 Mar;181(3):1170-7.
    1. Michalski W, Poniatowska G, Jonska-Gmyrek J, Kucharz J, Stelmasiak P, Nietupski K, Ossolinska-Skurczynska K, Sobieszczuk M, Demkow T, Wiechno P. Venous thromboprophylaxis in urological cancer surgery. Med Oncol. 2019 Nov 25;37(1):11.
    1. Norlén H. Isotonic solutions of mannitol, sorbitol and glycine and distilled water as irrigating fluids during transurethral resection of the prostate and calculation of irrigating fluid influx. Scand J Urol Nephrol Suppl. 1985;96:1-50, 81p.
    1. Alexander CE, Scullion MM, Omar MI, Yuan Y, Mamoulakis C, N'Dow JM, Chen C, Lam TB. Bipolar versus monopolar transurethral resection of the prostate for lower urinary tract symptoms secondary to benign prostatic obstruction. Cochrane Database Syst Rev. 2019 Dec 03;12(12):CD009629.
    1. Tabuchi M, Morozumi K, Maki Y, Toyoda D, Kotake Y. Hyperchloremic metabolic acidosis due to saline absorption during laser enucleation of the prostate: a case report. JA Clin Rep. 2022 Mar 10;8(1):20.
    1. Mamoulakis C, Skolarikos A, Schulze M, Scoffone CM, Rassweiler JJ, Alivizatos G, Scarpa RM, de la Rosette JJ. Results from an international multicentre double-blind randomized controlled trial on the perioperative efficacy and safety of bipolar vs monopolar transurethral resection of the prostate. BJU Int. 2012 Jan;109(2):240-8.
    1. Ghaffary C, Yohannes A, Villanueva C, Leslie SW. A practical approach to difficult urinary catheterizations. Curr Urol Rep. 2013 Dec;14(6):565-79.
    1. MILNER WA. Transurethral prostatectomy. Urol Cutaneous Rev. 1946 Oct;50(10):622-5.
    1. Kaseer H, Sanghavi DK. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. Aug 17, Aminocaproic Acid.
    1. Chauncey JM, Wieters JS. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. Jul 24, Tranexamic Acid.
    1. Doherty TM, Kelley A. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. Apr 3, Bleeding Disorders.
    1. Schoeb DS, Schlager D, Boeker M, Wetterauer U, Schoenthaler M, Herrmann TRW, Miernik A. Surgical therapy of prostatitis: a systematic review. World J Urol. 2017 Nov;35(11):1659-1668.
    1. Barnes RW, Hadley HL, O'Donoghue EP. Transurethral resection of the prostate for chronic bacterial prostatitis. Prostate. 1982;3(3):215-9.
    1. Decaestecker K, Oosterlinck W. Transurethral resection of the prostate in recurrent acute bacterial prostatitis. Urol Int. 2015;94(4):442-4.
    1. Morita M, Matsuura T. Successful treatment of incidental prostate cancer by radical transurethral resection of prostate cancer. Clin Genitourin Cancer. 2013 Jun;11(2):94-9.
    1. Welliver C, Helo S, McVary KT. Technique considerations and complication management in transurethral resection of the prostate and photoselective vaporization of the prostate. Transl Androl Urol. 2017 Aug;6(4):695-703.
    1. Manfredi C, García-Gómez B, Arcaniolo D, García-Rojo E, Crocerossa F, Autorino R, Gratzke C, De Sio M, Romero-Otero J. Impact of Surgery for Benign Prostatic Hyperplasia on Sexual Function: A Systematic Review and Meta-analysis of Erectile Function and Ejaculatory Function. Eur Urol Focus. 2022 Nov;8(6):1711-1732.
    1. Rassweiler J, Teber D, Kuntz R, Hofmann R. Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention. Eur Urol. 2006 Nov;50(5):969-79; discussion 980.
    1. Chen YH, Li XD, Ke ZB, Chen JY, Lin T, Lin TT, Zhu JM, Zheng QS, Xue XY, Wei Y, Xu N. Risk factors for the postoperative bladder neck contracture in patients with small-volume prostatic hyperplasia. Asian J Surg. 2023 Jan;46(1):373-379.
    1. Comploj E, Pycha A, Trenti E, Palermo S, Bonatti M, Krause P, Folchini DM, Pycha A. Transarterial Embolization in the Management of Intractable Haemorrhage. Urol Int. 2021;105(1-2):95-99.
    1. McGowan-Smyth S, Vasdev N, Gowrie-Mohan S. Spinal Anesthesia Facilitates the Early Recognition of TUR Syndrome. Curr Urol. 2016 May;9(2):57-61.
    1. Sood L, Sterns RH, Hix JK, Silver SM, Chen L. Hypertonic saline and desmopressin: a simple strategy for safe correction of severe hyponatremia. Am J Kidney Dis. 2013 Apr;61(4):571-8.
    1. Sterns RH, Nigwekar SU, Hix JK. The treatment of hyponatremia. Semin Nephrol. 2009 May;29(3):282-99.
    1. Seif NE, Shehab HA, Elbadawy AM. Prophylaxis versus Treatment against Transurethral Resection of Prostate Syndrome: The Role of Hypertonic Saline. Anesth Essays Res. 2020 Jan-Mar;14(1):104-111.
    1. Hahn RG. The transurethral resection syndrome. Acta Anaesthesiol Scand. 1991 Oct;35(7):557-67.
    1. Ortner G, Nagele U, Herrmann TRW, Tokas T. Irrigation fluid absorption during transurethral bipolar and laser prostate surgery: a systematic review. World J Urol. 2022 Mar;40(3):697-708.

Source: PubMed

赞助者和合作者

医疗条件

药物干预

3
订阅