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how is the turp procedure for the prostate TURP surgery?
by
peterjiang parker
Transurethral resection of the majority of contraindication is relative, patient’s condition is improved after treatment, in closely monitored conditions that can be done transurethral resection of the prostate laser TURP surgery.
Below is the turp procedure (1) Anesthesia: Generally, with the ability to administer anesthesia spinal anesthesia, the special circumstances of choice shoule be according to the patients with epidural or general anesthesia. (2) resectoscope: insert along the urethral resectoscope or under direct vision leaders. (3) Check the bladder and posterior urethra: we have to pay more attention to the tumors and bladder stones, observe both sides of the triangle area and the ureteral orifice position and the relationship between the gland hyperplasia, prostate and external sphincter with the precise location of E-world relationship. (4) resection of prostate glands, J sequence: Gejia surgical methods is vary, generally removed in three parts, the first removal of bladder neck, resection of the prostate and then the middle of the final removal of the prostate apex. From benign prostatic hyperplasia is at the beginning of the thinnest removed, so that to find the prostate surgery capsule as soon as possible, and then along the prostate capsule to surgical resection, so that no damage outside the prostate caused by water intoxication venous plexus, bleeding and other complications . (5), transurethral resection of the prostate transurethral surgery prostate gland is cut into pieces, and then rinse out. it is different from open surgery, open surgery gland hyperplasia malpractices completely removed. (6) surgery is complete, place the three cavity domestic bladder cystic bladder catheter hemostasis and closed continuous irrigation. which issues should be paid attention to for the laser turp procedure? (1)transurethral resection of prostate surgery is completed, the patient was sent back to the wards. in need of a continuous closed bladder irrigation, at the beginning may be redness of the skin deep, but the acount of urine cited will be gradually turned clear, generally in 24-72 hours which can be extraction catheter. (2) surgery patients is returned to the wards,which should be given to transfusion, in the surgery day ,do not have means,the next day surgery patients can have liquid diet ,with easily digestible,furit etc (3) pay attention to maintaining smooth stool to prevent constipation.if occurs which will be forced Bae prostate bleeding. (4) If the surgery is successful, the patient can be discharged after 4-5 days. Within one month after surgery can not drink; can not be with sex life, not hot hip bath. Within 3 months after the High Island to ride a bike, in order to avoid continued bleeding after surgery of prostate. after transurethral resection ,wiith a possible extension of bleeding and infection of the the prostate , patients should always pay attention to discover whether there is the unusual circumstances such as hematuria, urgency, dysuria, urine and whether the floc, etc. If this happens, then should return to the hospital immediately.
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how is the turp procedure for the prostate TURP surgery?