transurethral resection of the prostate

　

WordNet

1. removal of significant amounts of prostate tissue (as in cases of benign prostatic hyperplasia) (同)TURP
2. a special situation; "this thing has got to end"; "it is a remarkable thing"
3. a separate and self-contained entity
4. an action; "how could you do such a thing?"
5. an artifact; "how does this thing work?"
6. an entity that is not named specifically; "I couldnt tell what the thing was"
7. any attribute or quality considered as having its own existence; "the thing I like about her is ..."
8. a persistent illogical feeling of desire or aversion; "he has a thing about seafood"; "she has a thing about him"
9. a special abstraction; "a thing of the spirit"; "things of the heart"
10. a special objective; "the thing is to stay in bounds"
11. a statement regarded as an object; "to say the same thing in other terms"; "how can you say such a thing?"
12. an event; "a funny thing happened on the way to the..."
13. surgical removal of part of a structure or organ
14. relating to the prostate gland (同)prostatic

PrepTutorEJDIC

1. 〈C〉(形のある)『物』,物体;(生物に対しての)『無生物』 / 〈C〉(形のない)『もの』,事,事柄,でき事 / 《複数形で》事情,事態,状勢,状況 / 《複数形で》(すべての)事物,事柄 / 《通例 the~》(努力・活動などの)目的,目標 / 〈C〉衣服,衣類・《one's things》持ち物,所持品,身の回り品 / 《複数形で》道具,用具・〈C〉《親愛・哀れみ・軽べつなどの感情をこめて》人,者,やつ / 《the~》《話》(…の)流行《+in+名》
2. 《所有・所属》…『の』,…のものである,…に属する・《材料・要素》…『でできた』,から成る・《部分》…『の』[『中の』] ・《数量・単位・種類を表す名詞に付いて》…の・《原因・動機》…『で』,のために(because of) ・《主格関係》…『の』,による,によって・《目的格関係》…『を』,の・《同格関係》…『という』・《関係・関連》…『についての』[『の』],の点で・《抽象名詞などと共に》…の[性質をもつ] ・《『It is』+『形』+『of』+『名』+『to』 doの形で,ofの後の名詞を意味上の主語として》・《分離》…『から』・《起原・出所》…『から』[『の』](out of) ・《『名』+『of』+『a』(『an』)+『名』の形で》…のような・《『名』+『of』+『mine』(『yours, his』など独立所有格)の形で》…の…・《時》(1)《副詞句を作って》…に《形容詞句を作って》…の・《時刻》《米》…前(to,《米》before)
3. 《前述の名詞または文脈でそれと分かる名詞に付けて》『その』,あの,名の / 《唯一の事物に付けて》 / 《方角・自然現象に付けて》 / 《用具・楽器・特定の病気などに付けて》 / 《修飾吾[句]を伴う名詞に付けて》 / 《単数普通名詞に付けて》(1)《種族全体》…『というもの』 / 《複数名詞または集合名詞に付けて》 / 《単位》『…につき;…単位[で]』 / 《身体の一部に付けて,所有格に代わる》 / 《形容詞に付けて》 / 《固有名詞に付けて》 / 《強意用法に》『随一の』,典型的な / 《「the+比較級,the+比較級」の形で》『…すればするほどそれだけ』 / 《比較級の前に》(…につれて,のために)『それだけ』,ますます
4. (手術による器官や組織,特に骨の)切徐
5. 前立腺(せん)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/12/06 14:05:48」(JST)

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"Turp" redirects here. For the village in Iran, see Turp, Iran.

Transurethral resection of the prostate
Intervention
Micrograph of a transurethral resection of the prostate (TURP) specimen, showing BPH (nodular hyperplasia of the prostate) - left-of-center in image. H&E stain.
ICD-9-CM	60.29
MeSH	D020728
MedlinePlus	002996

Transurethral resection of the prostate (commonly known as a TURP, plural TURPs, and rarely as a transurethral prostatic resection, TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. This is considered the most effective treatment for BPH. This procedure is done with spinal or general anaesthetic. A triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. Outcome is considered excellent for 80-90% of BPH patients.

Indications

BPH is normally initially treated medically. This is done through alpha antagonists such as Flomax or 5-alpha-reductase inhibitors such as Proscar and Avodart. If medical treatment does not reduce a patient's urinary symptoms, a TURP may be considered following a careful examination of the prostate/bladder through a cystoscope. If TURP is contraindicated a Urologist may consider: a simple prostatectomy, in and out catheters, or a supra-pubic catheter to help a patient void urine effectively. As medical management of BPH improves, the numbers of TURPs have been decreasing.

Types of TURP

See also: Prostatectomy#Transurethral_resection_of_the_prostate_(TURP)

Risks

Because of bleeding risks associated with the surgery, TURP is not considered safe for many patients with cardiac problems.

Postoperative complications include

• Bleeding (most common). Bleeding may be reduced by pre-treatment with an anti-androgen such as finasteride or flutamide.^{[citation needed]}
• Clot retention and clot colic
• Bladder wall injury such as perforation (rare)
• TURP Syndrome: Hyponatremia and water intoxication (symptoms resembling brain stroke in an elderly presenting patient) caused by an overload of fluid absorption (e.g. 3 to 4 Litres) from the open prostatic sinusiods during the procedure. This complication can lead to confusion, changes in mental status, vomiting, nausea, and even coma. To prevent TURP syndrome the 1) length of the procedure is limited to less than one hour in many centers, and 2) the height of the container of irrigating solution above the surgical table determining the hydrostatic pressure driving fluid into the prostatic veins and sinuses is kept to a minimum.
• Bladder neck stenosis
• Urinary incontinence due to injury of external sphincter system which may be prevented by taking the Verumontanum of the prostate as a distal limiting boundary during TURP
• Retrograde ejaculation due to injury of preprostatic (internal) sphincter system

Additionally, transurethral resection of the prostate is associated with a low risk of mortality.

See also

• Transurethral needle ablation of the prostate
• Transurethral incision of the prostate
• Prostatectomy, describes monopolar and bipolar [electrocautery] TURP
• Prostatic stent

References

External links

• Medscape: Transurethral Resection of the Prostate

UpToDate Contents

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• 1. 良性前立腺肥大症の経尿道的手技による治療 transurethral procedures for treating benign prostatic hyperplasia
• 2. 経尿道的切除術またはヒステロスコピー後の低ナトリウム血症 hyponatremia following transurethral resection or hysteroscopy
• 3. 急性尿閉 acute urinary retention
• 4. 前立腺生検 prostate biopsy
• 5. 前立腺生検の解釈 interpretation of prostate biopsy

English Journal

• Prostate Artery Embolization as a New Treatment for Benign Prostate Hyperplasia: Contemporary Status in 2016.

• Noor A1, Fischman AM2.
• Current urology reports.Curr Urol Rep.2016 Jul;17(7):51. doi: 10.1007/s11934-016-0608-0.
• The gold standard treatment for benign prostate hyperplasia (BPH) is transurethral resection of the prostate (TURP) or open prostatectomy (OP). Recently, there has been increased interest and research in less invasive alternative treatments with less morbidity including prostate artery embolization
• PMID 27146488

• Retrospective Analysis of Atypical Glands Suspicious for Carcinoma in Transurethral Resection of Prostate.

• Chen S1, Patil PA, Lepe M, Lombardo KA, Amin A, Matoso A.
• Applied immunohistochemistry & molecular morphology : AIMM / official publication of the Society for Applied Immunohistochemistry.Appl Immunohistochem Mol Morphol.2016 Jun 13. [Epub ahead of print]
• Prostate biopsies with foci of atypical glands suspicious, but not diagnostic of carcinoma (ATYP) are associated with an increased risk of cancer diagnosis in subsequent biopsies. The significance of similar findings in transurethral resections of the prostate (TURP) is unknown. A total of 1338 spec
• PMID 27299192

• Prospective assessment of perioperative course in 2648 patients after surgical treatment of benign prostatic obstruction.

• Bach T1, Wölbling F2, Gross AJ3, Netsch C3, Tauber S4, Pottek T5, Wülfing C6, Brunken C4.
• World journal of urology.World J Urol.2016 Jun 4. [Epub ahead of print]
• PURPOSE: TUR-prostate (TUR-P) is considered the reference method for surgical treatment of benign prostatic obstruction (BPO); Greenlight laser photoselective vaporization (PVP) and thulium laser vapoenucleation (ThuVEP) have also been established as treatments of BPO. Objective of this prospective
• PMID 27263019

Japanese Journal

• Transurethral Resection is an Efficacious Surgical Option for Patients with Prostatic Abscesses that Fail Transrectal Ultrasound-guided Drainage : A Case Report

• Oshinomi Kazuhiko,Ogawa Yu,Nakasato Takehiko,Morita Jun,Igarashi Atsushi,Aso Takayuki,Morita Masashi,Naoe Michio,Fuji Kohzo,Fukagai Takashi,Ogawa Yoshio,Oshinomi Kazuhiko,Ogawa Yu,Nakasato Takehiko,Morita Jun,Igarashi Atsushi,Aso Takayuki,Morita Masashi,Naoe Michio,Fuji Kohzo,Fukagai Takashi,Ogawa Yoshio
• The
• … A 60-year-old man with diabetes mellitus (DM) had a continuous fever and complained of pollakisuria and general fatigue during his hospitalization to establish glycemic control. … Transrectal, ultrasoundguided, needle aspiration of the prostatic abscess was performed as the initial surgical treatment, but the fluid could not be completely evacuated due to its high viscosity. …
• NAID 120005536512

• カルボプラチン,イリノテカンにて部分奏効(PR)を得た前立腺小細胞癌の1例

• 木村 博子,植垣 正幸,青山 輝義 [他],河合 潤,濱野 利明,橋村 孝幸
• 泌尿器科紀要 = Acta urologica Japonica 60(1), 39-43, 2014-01
• … An 80-year-old man with prostate cancer receiving hormone therapy presented with urinary retention. … The computed tomographic scan showed metastases to the lung, liver, and lymph nodes, as well as increased prostate volume. …
• NAID 120005385872

• Transurethral Resection is an Efficacious Surgical Option for Patients with Prostatic Abscesses that Fail Transrectal Ultrasound-guided Drainage: A Case Report

• , , , , , , , , , ,
• The
• … A 60-year-old man with diabetes mellitus (DM) had a continuous fever and complained of pollakisuria and general fatigue during his hospitalization to establish glycemic control. … Transrectal, ultrasound-guided, needle aspiration of the prostatic abscess was performed as the initial surgical treatment, but the fluid could not be completely evacuated due to its high viscosity. …
• NAID 130004707779

Related Links

• Transurethral resection of the prostate: MedlinePlus Medical ...

Description The surgery takes about 1 hour. You will be given medicine before surgery so you don't feel pain. You may get one of the following: General anesthesia: You are asleep and pain-free Spinal anesthesia: You are awake, but ...

• Transurethral Resection of the Prostate

Transurethral Resection of the Prostate. For most of the 20th century, from 1909 until the late 1990s, the premier treatment for symptomatic benign prostatic hypertrophy (BPH) was transurethral resection of the prostate ...

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★リンクテーブル★

関連記事	「resection」「thing」「transurethral」

「resection」

　　[★]

• n.

• (外科)(特に骨)切除、切除術

• ex

• 内視鏡的粘膜切除術 endoscopic mucosal resection

関

ablate、ablation、ablative、ablative surgery、ectomy、excise、excision、excisional、extirpate、extirpation、resect、resective、transect、transection

　 　

「thing」

　　[★] 　 　 　 　 　 　 　 　 　 　 　 　

「transurethral」

　　[★]

• adj.

• 経尿道の

関

per urethra