Browser

Transurethral
Resection of the
Prostate (TURP)
Presentation By
Marefil Jane Pasaquian
Princess Brigitte Pateña
BSN-4F

Page 01 9:30 AM
 WHAT IS TURP?

Pre-operative Care of the

patient

Table of Contents Position of the patient

Skin Preparation and Proper

draping of the patient

Special instruments,
supplies, and equipment

Type of Anesthesia used

Post-operative Care of
the patient

Page 02 9:30 AM
A TURP is an operation to treat
urinary blockage caused by What is TURP?
enlargement of the prostate. The
procedure removes the part of
the prostate gland that
surrounds the urethra and causes
obstruction to the urethra as a
result of Benign Prostatic
Hyperplasia (BHP).

Page 03 9:30 AM
No incisions are needed. The surgeon reaches

What is
the prostate by putting an instrument into the
end of the penis and through the urethra. This
instrument, called a resectoscope, is about 12
inches long and .5 inch in diameter. It TURP?
contains a lighted camera and valves that
control irrigating fluid. It also contains an
electrical wire loop that cuts tissue and
seals blood vessels. The wire loop is guided
by the surgeon to remove the tissue blocking
the urethra one piece at a time. The pieces of
tissue are carried by the irrigating fluid
into the bladder and then flushed out at the
end of the procedure.

Page 04 9:30 AM
Page 05
 Obtain full medical and Pre-operative Care
family history of the
patient.

Educate the patient what is

expected post-surgery.

Assess his presenting

symptoms.

Page 06 9:30 AM
 Assess whether the client has
taken any blood thinners recently
such as warfarin, Secure informed consent.
Ensure that the client has
stopped his intake of blood
thinners 5 days prior to surgery.

Nonprescription pain relievers such

as aspirin, Ibuprofen or Naproxen Ensure that the patient has
sodium completed all his laboratory tests
should also be discontinued.
ess his presenting symptoms.

Page 07 9:30 AM
 Ensure that the patient has
completed all diagnostic tests
ordered by the physician (Chest
radiograph, Electrocardiography,
and Uroflowmetry).

Microlax enema should be given

if the patient is constipated

Patient should be in NPO 8 hours

prior to surgery

Page 08 9:30 AM
Position of the Patient

Lithotomy Position

Page 09 9:30 AM
Skin Carefully wash and clean the skin around
the incision site.
Preparation The operative area will be cleaned with
an iodine preparation (Betadine) to
reduce the risk of skin infection.
Apply the solution using sterile gauze
with movements from clean to dirty areas
maintaining an aseptic technique.
Allow to dry.
Ensure that the drapes are not soaked
with the alcohol-based Betadine solution
before starting the operation.

TURP

Page 10 9:30 AM
Page 11
Proper draping of the patient 9:30 AM
 Special instruments,
supplies, and equipment

Coaxial
Irrigating continuous flow Bipolar
Solution resectoscope Resectoscope

Page 12 9:30 AM
 Special instruments,
supplies, and equipment

Coagulating
Suprapubic
intermittent
Trocars
cutting device

Page 13 9:30 AM
Spinal Anesthesia 1
Patient will be awake
during the procedure but
won't be able to feel
anything below his waist. Type of
General Anesthesia 2
Anesthesia
used
Patient is unconscious
throughout the
procedure.

Page 14 9:30 AM
Post-operative Care of
the patient
After the surgery, patient
Encourage patient to eat high- Inform the patient to wait
will be transferred from
fiber foods to avoid until the doctor allows him to
recovery room to the ward with
constipation and straining take any blood thinning
IV Drip on the arm for fluid
during a bowel movement. medications.
supplementation.
Write Unknown Words
You will most likely
Patient will be on catheter remember thepatient
words you
because of the urine that blocks Advise to report
write on paper.
Immediately if he is unable to
the urine flow, so measure his Let the patient drink plenty
output regularly and observe urinate, notices a bright red
of water to flush out the blood or an increase in clots
aseptic technique when handling bladder.
to prevent infection and make in the urine and if he
sure there is no obstructions. develops a fever.

Advise patient to stay off

Inform patient that it is Inform patient of his post-
work and avoid lifting heavy
normal to have difficulties surgical consultation after
objects, doing strenuous
peeing and presence of some 6-8 weeks as scheduled by the
exercise, driving and having
blood on the urine for a few physician.
sex for atleast a few weeks.
weeks.

Page 15 9:30 AM
 REFERENCES
https://www.ncbi.nlm.nih.gov/books/NBK560884/
https://www.hopkinsmedicine.org/health/treatment-tests-and-
therapies/transurethral-resection-of-the-prostate-turp
https://qprostate.com.au/benign-prostate-hyperplasia/surgical-
management/transurethral-resection-prostate-turp/what-is-a-turp/
https://qprostate.com.au/benign-prostate-hyperplasia/surgical-
management/transurethral-resection-prostate-turp/post-operative-care/
https://www.nhs.uk/conditions/transurethral-resection-of-the-
prostate-turp/
https://www.mayoclinic.org/tests-procedures/turp/about/pac-20384880.
https://emedicine.medscape.com/article/449781-overview#a2
https://www.thenursingjournal.com/turp-nursing-care-pre-post-op/

Thank You
Page 16 9:30 AM