Turp syndrome, or tur syndrome, is an uncommon but serious complication of a specific type of prostate surgery. The term turp stands for transurethral resection of the prostate, an operation that is mainly performed to treat men with an enlarged prostate, a condition called. In this work, we describe a case of intravesical explosion during turp, followed by fatal transurethral resection syndrome, in a patient with bph. This study aimed to investigate the relationship between preoperative estimated prostate weight on ultrasonography and clinical manifestations of transurethral resection tur syndrome. Electrosurgical transurethral resection of the prostate. In select patients, officebased fulguration of small tumors allows control of lowrisk lesions without incurring the. Transurethral resection syndrome tur syndrome in contemporary series, the risk of tur syndrome after turp has decreased to instructions. The behavioral objectives and examination for this program were prepared by rebecca holm, rn, msn, cnor, clinical editor, with consultation from susan bakewell, rn, ms, education program professional, center for perioperative education. Transurethral bladder tumor resection can cause seeding of. It is used to treat benign prostatic hyperplasia bph. Post turbt transurethral resection of bladder tumor diet. After transurethral resection, a very small percentage of patients can develop transurethral resection syndrome turp syndrome. Mild to moderately severe tur syndrome occurs in between 1 and 8% of.
Transurethral resection of the prostate turp is a surgery to remove the inside part of the prostate gland. Transurethral resection syndrome is a dilutional hyponatremia. If your prostate becomes too large, your doctor may recommend a surgical procedure known as transurethral resection of the prostate turp. The records of patients who underwent tur of the prostate under regional.
Treatment should be based on administration of hypertonic saline rather. Transurethral resection of the prostate turp syndrome is associated with. We report a case of transurethral resection of prostate turp syndrome. Transurethral resection syndromeit does not have to be a. As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. No transurethral resection syndrome and incontinence occurred in either group. During trans urethral resection of the prostate surgery turp, a sterile irrigation. Retrospective comparison of the modified and traditional holmium. The article transurethral resection syndromeit does not have to be a mystery is the basis for this aorn journal independent study. Transurethral resection syndrome in elderly patients. There are multiple types of prostate surgeries, but the turp is one of the most common, and the one most closely associated with tur syndrome. Before transurethral bladder tumor resection a vascular surgeon placed a venous catheter in the inferior vena cava via the femoral vein.
A 80yearold man with grade iii prostatomegaly was scheduled for transurethral resection of the prostate under spinal. Write down the correct date, time, and location of your surgery. It is done in order to treat symptoms of an enlarged prostate. The visual loss associated with pres may be difficult to distinguish from similar findings in transurethral resection tur syndrome, resulting in diagnostic delay. Transurethral resection of the prostate turp is the surgical removal of part of the prostate gland. Transurethral resection of the prostate syndrome ether.
Transurethral bladder resection is a surgical procedure used to view the inside of the bladder, remove tissue samples, andor remove tumors. Is classical transurethral resection of the prostate, the gold. Transurethral resection of bladder tumors precare what. Transurethral resection of the prostate turp syndrome is a rare but potentially fatal syndrome with multifactorial pathophysiology that is now better understood. The treatment of turp syndrome is largely supportive, with early recognition of the. Transurethral resection of the prostate turp involves the risk of transurethral resection tur syndrome owing to hyponatremia. Posterior reversible encephalopathy syndrome pres is a rare neurological disorder, the diagnosis of which is based on clinical and abnormal neuroimaging findings. The surgeon will insert an instrument up the penis through the urethra and cut away the prostate tissue until the passage is well open. It is one option available to relieve the symptoms of an enlarged prostate or other benign noncancerous prostate disease. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. Specialist urses 0800 074 8383 2 it is the most common type of surgery for treating an enlarged prostate. Transurethral resection of the prostate turp syndrome.
Irrigation fluid type, duration of operation, and weight of resected mass have been evaluated as risk factors for tur syndrome. Transurethral resection syndrome symptoms are cerebral edema and increased intracranial pressure, increased blood pressure, bradycardia, confusion, disorientation, muscle. It is okay to climb stairs when discharged from the hospital. When a tumor is found in the bladder via cystoscopy, it will be typically removed or at least biopsied via a transurethral resection of bladder tumor turbt. Glycine and transurethral resection wiley online library.
Medical treatment consisted of hypertonic saline solution 3% and. Pdf transurethral resection of the prostate syndrome. Transurethral en bloc versus standard resection of bladder tumour the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Patients newly diagnosed with suspected invasive bladder cancer and planned for transurethral resection of bladder tumor in 2012 to 20 were enrolled in the study. Comparison 2 microwave thermotherapy versus sham treatment, outcome 1 international prostate symptom. This effect makes it inappropriate to combine irrigation with mannitol 5%. Blood transfusions were given to 20% of the patients. Listing a study does not mean it has been evaluated by the u. Transurethral resection of bladder tumors turbt is surgery to remove one or more tumors from your bladder. Transurethral resection definition of transurethral. In the mtuerp group, we proposed combining the 12mm trocar. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk. Transurethral resection of the prostate turp syndrome is a rare but potentially lifethreatening complication of a transurethral resection of the prostate procedure. Ask a family member or friend to drive you home after your surgery or procedure.
Transurethral resection of prostate turp syndrome is a systemic. Instruments are passed through a cystoscope a slender tube with a lens and a light. Anesth, frca,2 andrew sinclair, frcs urol,1 and ian pearce, frcs urol1 abstract transurethral resection of the prostate turp syndrome is a rare but potentially fatal syndrome with multi. You may get general anesthesia in which you are asleep and painfree. Transurethral en bloc versus standard resection of bladder. Transurethral resection of the prostate turp syndrome is a rare but potentially fatal syndrome.
Transurethral resection of the prostate commonly known as a turp, plural turps, and rarely as a transurethral prostatic resection, tupr is a urological operation. Transurethral resection of the prostate syndrome wikipedia. Pdf a novel modification of transurethral enucleation and. A transurethral resection of prostate turp is done by removing the inner portion of the prostate that is pressing on the urethra. Bph treatment, holep has been increasingly performed. Transurethral resection of bladder tumor turbt in washington, dc. Its a type of surgery used to take samples of tissue from. If you have a bladder tumor, your doctor may recommend a transurethral resection tur. Transurethral resection syndrome of the prostate turp syndrome occurred in two patients. You will be given medicine before surgery so you dont feel pain. Standard endoscopic treatment for benign prostate hyperplasia, in real danger of. Complications associated with intraoperative use of irrigation fluid. Endoscopic treatment with transurethral resection of bladder tumor turbt is the firstline treatment to diagnose, stage, and treat visible tumors.