経尿道的前立腺切除術
WordNet
- surgical removal of part of a structure or organ
- relating to the prostate gland (同)prostatic
PrepTutorEJDIC
- 《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)
- (手術による器官や組織,特に骨の)切徐
- 前立腺(せん)
- OLD French古[代]フランス語
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/02/19 20:11:09」(JST)
[Wiki en表示]
"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.
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| 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.
Contents
- 1 Indications
- 2 Types of TURP
- 3 Risks
- 4 See also
- 5 References
- 6 External links
Indications[edit]
BPH is normally initially treated medically. This is done through alpha antagonists such as tamsulosin or 5-alpha-reductase inhibitors such as finasteride and dutasteride. 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.[1] As medical management of BPH improves, the numbers of TURPs have been decreasing.
Types of TURP[edit]
See also: Prostatectomy#Transurethral_resection_of_the_prostate_(TURP)
Risks[edit]
Because of bleeding risks associated with the surgery, TURP is not considered safe for many patients with cardiac problems.
Postoperative complications include [2]
- Bleeding (most common). Bleeding may be reduced by pre-treatment with an anti-androgen such as finasteride[3][4][5] 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.[6]
- 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[edit]
- Transurethral needle ablation of the prostate
- Transurethral incision of the prostate
- Prostatectomy, describes monopolar and bipolar [electrocautery] TURP
- Prostatic stent
References[edit]
- ^ Collins, MD; Chief Editor: Edward David Kim, MD Transurethral Resection of the Prostate Medscape:
- ^ Rassweiler J, Teber D, Kuntz R, Hofmann R (November 2006). "Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention". Eur. Urol. 50 (5): 969–79; discussion 980. doi:10.1016/j.eururo.2005.12.042 . PMID 16469429.
- ^ Ö L Özdal, C Özden, K Benli, S Gökkaya, S Bulut and A Memis cedil Effect of short-term finasteride therapy on peroperative bleeding in patients who were candidates for transurethral resection of the prostate (TUR-P): a randomized controlled study Prostate Cancer and Prostatic Diseases (2005) 8, 215–218. doi:10.1038/sj.pcan.4500818; published online 5 July 2005 pubmed 15999118 http://www.nature.com/pcan/journal/v8/n3/full/4500818a.html
- ^ LI Ming-xiong,TANG Zheng-yan,SU Jian,et al. Effect of Finasteride on Perioperative and Postoperative Bleeding Following Transurethral Resection of Prostate http://en.cnki.com.cn/Article_en/CJFDTOTAL-SYYY200903092.htm DOI CNKI:SUN:SYYY.0.2009-03-092
- ^ Complications of Transurethral Resection of the Prostate (TURP)—Incidence, Management, and Prevention
- ^ Imiak et al. (1 Jan 1999). "TURP Syndrome".
External links[edit]
- Medscape: Transurethral Resection of the Prostate
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Male genital surgical and other procedures: reproductive system (ICD-9-CM V3 60–64, ICD-10-PCS 0V)
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| Internal |
| Prostate |
- Transurethral incision of the prostate
- Prostate biopsy
- Transrectal biopsy
- Transurethral biopsy
- Prostatectomy
- Transurethral resection of the prostate
- Radical retropubic prostatectomy
- Transurethral microwave thermotherapy
- Transurethral needle ablation of the prostate
- Brachytherapy
- Prostate massage
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- Vasectomy
- Vasectomy reversal
- Vasovasostomy
- Vasoepididymostomy
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| External |
| Penis |
- Circumcision
- Penectomy
- Penile prosthesis
- Preputioplasty
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- Penile plethysmograph
- Postage stamp test
- Frenuloplasty of prepuce of penis
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noco/cong/tumr, sysi/epon
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UpToDate Contents
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English Journal
- Needle biopsy findings in prostatic adenocarcinoma: experience at a tertiary care center in a developing country.
- Ahmad Z, Arshad H.SourceSection of Histopathology, Department of Pathology and Microbiology, Aga Khan University Hospital, P. O. Box 3500 Karachi, Pakistan. Electronic address: zubair.ahmad@aku.edu.
- Annals of diagnostic pathology.Ann Diagn Pathol.2013 Jun;17(3):235-8. doi: 10.1016/j.anndiagpath.2012.10.007. Epub 2012 Nov 28.
- The objectives of this study are to report the findings in prostatic needle biopsies positive for cancer seen in our practice with regard to the frequency of cancer detected at various sites, the cancer volume, Gleason grade, presence of perineural invasion, and others; to correlate cancer volume wi
- PMID 23199761
- Successful treatment of incidental prostate cancer by radical transurethral resection of prostate cancer.
- Morita M, Matsuura T.SourceKounaizaka Clinic, Kochi, Japan. Electronic address: qq6e49qg9@chime.ocn.ne.jp.
- Clinical genitourinary cancer.Clin Genitourin Cancer.2013 Jun;11(2):94-9. doi: 10.1016/j.clgc.2012.09.012. Epub 2012 Nov 6.
- BACKGROUND: To evaluate the rationale for RTUR-PCa against pT1a/b cancer, we analyzed oncological and functional outcomes.PATIENTS AND METHODS: Fifty-six patients with incidental prostate cancer were included and the age ranged from 66 to 91 years (mean, 76.6; median, 75.0). Preoperative prostate sp
- PMID 23137625
- Emergency management of acute urinary retention: results from an all-Ireland urologist practice survey.
- Cullen IM, Dowling CM, Thornhill JA, Grainger R.SourceDepartment of Urology, AMNCH, Tallaght, Dublin 24, Ireland. imcullen@gmail.com
- Irish journal of medical science.Ir J Med Sci.2013 Jun;182(2):207-11. doi: 10.1007/s11845-012-0859-9. Epub 2012 Oct 25.
- INTRODUCTION: Anecdotal evidence suggests that current service restrictions and operative cancellations are resulting in increased numbers of catheterized men in the community awaiting definitive management of their bladder outlet obstruction. We wished to analyse current admission policies and mana
- PMID 23096424
Japanese Journal
- Docetaxel 療法の効果を認めた原発性前立腺扁平上皮癌の1例
- 膀胱原発カルチノイドの1例 : 本邦症例のアンケート調査を加えて
- BCG膀胱内注入療法後,結核性前立腺膿瘍を来たした1例
Related Links
- resection /re·sec·tion/ (-sek´shun) excision. root resection apicoectomy. transurethral resection of the prostate (TURP), transurethral prostatic resection resection of the prostate by means of an instrument passed through the urethra. ...
- 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 ...
★リンクテーブル★
[★]
- 英
- transurethral prostatectomy (一体どういう使い分け？)
- 同
- (国試)経尿道的前立腺切除術(国試的にはこちらの用語), transurethral resection of prostate, TURP
- 関
- 前立腺、前立腺肥大症。経尿道的前立腺摘除
[show details]
[★]
- 関
- ablate、ablation、ablative、ablative surgery、ectomy、excise、excision、excisional、extirpate、extirpation、resect、resective、transect、transection
[★]
- 関
- per urethra