Prostate Surgical Procedures

Prostate surgery is usually performed for either benign prostatic hyperplasia (BPH) or prostate cancer. Common surgical techniques employed include transurethral resection of prostate (IURP), transurethral incision of prostate (IUIP), transurethral laser/vaporization, and transurethral microwave thermotherapy.

Surgical procedures of the prostate typically involve direct manipulation of the urinary outflow tract. Iherefore, common complications include hematuria, clots with subsequent urinary retention, urethral strictures, and urinary tract infections. Some patients experience obstructive or irritative voiding symptoms that may include incontinence, hesitancy, dribbling, urgency, and frequency. I2.,3and 4

Ihe overall rate of serious complications is low. ^i3 and 4 If bleeding is significant, however, patients should be evaluated for hemodynamic stability, intravenous fluids administered, and appropriate laboratory studies ordered [complete blood cell count (CBC), renal function (BUN/creatinine), and urinalysis (U/A)]. Outflow obstruction should be relieved by placing a triple-lumen urethral catheter and irrigating with saline to remove clots. If infection is present, antibiotics should be administered. An urologist should be consulted.

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