TRUP

As now i'm working in male surgical ward, a lot of new disease and treatment i learn..as i'm searching for knowledge regarding TRUP, i would like to share it to everyone..

TRUP is a acronym for Transurethral Resection of Prostate..this is a operation for male who has problem on his prostate...(if you don't want problem on prostate, avoid urinate in standing position..because male who always urinate in standing position is high risk to get a problem on their prostate one day...don't believe?...up to you..)

Transurethral resection of the prostate (TURP) is surgery to remove all or part of the prostate gland, to treat an enlarged prostate

The surgeon will insert a tube-like tool called a cystoscope (or endoscope) through your urethra (the tube that carries urine from your bladder out of the penis). The surgeon then inserts a special cutting tool through the cystoscope. This tool will remove part of your prostate gland piece by piece with an electric current.

Why the Procedure is Performed

The prostate gland often grows larger as men get older. This is called benign prostatic hyperplasia (BPH). The larger prostate play causes problems with urinating. Removing part of the prostate gland can often make these symptoms better.

Before you have surgery, your doctor will suggest you make changes in how you eat or drink. You may also be asked to try taking medicine. Your prostate may also need to be removed if taking medicine and changing your diet do not help your symptoms.

TURP is one of the most common procedures for this problem. But other less invasive procedures are also available. Your doctor will consider the size of your prostate gland, your health, and what type of surgery you may want.

Prostate removal may be recommended if you have:

• Difficulty emptying your bladder (urinary retention)
• Frequent urinary tract infections
• Bleeding from the prostate
• Bladder stones with prostate enlargement
• Extremely slow urination
• Damage to the kidneys

After the Procedure

You will stay in the hospital for 1 to 3 days.

After surgery, you will have a Foley catheter in your bladder to remove urine. The urine will look bloody at first. It will clear with time. A bladder irrigation solution may be attached to the catheter to continuously flush the catheter. This helps keep it from getting clogged with blood. The bleeding will gradually decrease, and the catheter will be removed within 1 to 3 days.

You will be able to resume a normal diet right away.

You will need to stay in bed until the next morning. Afterwards, you will be asked to move around as much as possible.

• Your nurse will help you change positions in bed, show you exercises to keep blood flowing, and recommend coughing/deep breathing techniques. You should do these every 3 to 4 hours.
• You may need to wear special compression stockings and use a breathing device to keep your lungs clear.

You may be given medication to relieve bladder spasms.

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