The Prostate Gland
Click here to see animated anatomy of Prostate
and entire Genito-Urinary System.
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Tests involved with prostate cancer treatment:
Cancer Discussion on:Factors Determining Treatment
Rectal Ultrasound (TRUS) Guided biopsies
Urethral Resection of the Prostate (TURP)
TRANSURETHRAL RESECTION OF
THE PROSTATE (TURP)
Transurethral resection of the prostate gland is carried out primarily
to relieve obstruction.
It is not the type of operation that is usually carried out in the
treatment of prostate cancer.
In a great majority of cases,you will be given a spinal anaesthetic.
This involves the
placement of a needle into your lower back and after the injection
of anaesthetic drugs;
you will be completely numb from the waist down.Your anaesthetist
will discuss this further
The operation is performed by passing a telescopic instrument in through
the eye of the
penis and down the urethra into the area of the prostate. The
internal lining of the bladder
is also routinely inspected. A special electric knife is used
to cut pieces of the prostate out
and these pieces can then be flushed out. At the end of the
procedure, a catheter (a plastic
tube that drains urine from the bladder) is placed and usually kept
in place from anything between one to three days after the surgery.
Whilst the catheter is in place, irrigating fluid can be instilled
at the same time as the urine
drains into a bag. The nurses will change the irrigating fluid
and bag at regular intervals.
The operation takes on average around 45-60 minutes to perform and
the usual length of
stay in hospital is in the vicinity of 2-3 days.
RISKS OF SURGERY
There is a very high success rate associated with TURP, however like
any surgery, there
are still risks that need to be considered. The risks of having
significant bleeding is very
small and it is very uncommon for anybody to require a blood transfusion.There
is a small
risk of developing an infection in the urine, although this risk is
minimised by the routine administration of antibiotics at the time
of surgery. There is a tiny risk of being rendered incontinent,
which means that you would not have any control over your urine at
This is fortunately a rare complication (less than 0.5%) and even
in this unlikely event,
treatment is available. There is an approximately an 8-10% chance
that you will lose your
ability to have a penile erection and again in this event, there are
very effective treatments available.
A relatively common side effect of the surgery is what is known as
– this refers to the absence of any fluid when you have a sexual orgasm.
Following surgery, it is usual to have irritative urinary symptoms.
In particular you can
expect to have frequency of urination, urgency and initially you might
even find it difficult
to reach the toilet in time.
It is not uncommon to see some blood in the urine for up to a couple
of weeks after the
operation and if you do see blood, you should increase your oral fluid
intake to at least
two to three litres of fluid per day (unless you have any medical
reason not to do so) and
you can back off on your fluid intake if your urine is clear.
If you develop excessively bright blood in your urine or experience
an inability to pass
urine, you should contact the doctor who performed your surgery.
RESUMPTION OF NORMAL ACTIVITIES
It is critically important to avoid any activity that involves straining
or exertion for at least
four weeks. Such activities include heavy lifting (for example,
grocery shopping, picking up children etc). During this time
you should not mow the lawn or play any sports that may
involve some exertion such as golf or tennis.
You may resume driving a motor vehicle after two weeks. You
should initially commence
this with small trips and you should avoid any long car trips for
at least four weeks.
You should try to have plenty of fibre in your diet and should you
experience any problems
with constipation, it is critically important that you do not strain
and if you require help, you should see your pharmacist or family
doctor. You should avoid any sexual activity for the
next four weeks.
There is no restriction on walking.