সংজ্ঞা
Transurethral resection of the prostate (TURP) is a surgery to remove part of the prostate gland.
The prostate gland is part of the male reproductive system. It makes and stores a milky fluid that forms part of semen. The prostate is below the bladder and in front of the rectum. It also wraps around a tube called the urethra. The urethra allows urine to flow out of the body.
পদ্ধতির কারণ
A TURP is done when a man has an enlarged, noncancerous prostate. This is calledbenign prostatic hyperplasia (BPH). In BPH, the prostate grows and presses against the urethra and bladder. The pressure can cause problems with the normal flow of urine. A TURP is done to improve the flow of urine.
A TURP may also be done when a man has মূত্রথলির ক্যান্সার. It may be done if the doctor thinks that a complete prostate removal surgery is too risky. In this case, TURP is also done to relieve urine blockage and lessen symptoms. It is not done to treat the cancer itself.
সম্ভাব্য জটিলতা
TURP syndrome, also known as TUR syndrome, occurs in about 2% of patients. It will usually occur within the first 24 hours after the procedure. Symptoms may include:
- Increase or decrease in blood pressure
- অস্বাভাবিক হার্টের ছন্দ
- Increased breathing rate
- বমি বমি ভাব বা বমি হওয়া
- ঝাপসা দৃষ্টি
- বিভ্রান্তি
- আন্দোলন
Other complications may include:
- Urinary tract infection—most common complication
- Bleeding, which may require blood transfusion
- Incontinence—inability to control urine
- Retrograde ejaculation
- Sperm goes into the bladder rather than out the end of the penis
- If you plan on having children in the future, talk to your doctor about this surgical side effect before surgery.
- এনেস্থেশিয়ার প্রতিক্রিয়া
জটিলতার ঝুঁকি বাড়াতে পারে এমন কিছু কারণের মধ্যে রয়েছে:
- স্থূলতা
- Smoking or alcohol abuse
- Use of some prescription and nonprescription drugs
- অপুষ্টি
- সাম্প্রতিক বা দীর্ঘস্থায়ী অসুস্থতা
- ডায়াবেটিস
কি আশা করা যায়
পদ্ধতির আগে
আপনার ডাক্তার নিম্নলিখিত করতে পারেন:
- শারীরিক পরীক্ষা
- Review of medicines and supplements
- Blood tests, urine tests, and a urine culture
- Ultrasound—a test that uses sound waves to visualize the kidney, bladder, and/or prostate
- Urine flow studies
- এক্স-রে
আপনার পদ্ধতি পর্যন্ত নেতৃত্ব:
- Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure like:
- অ্যাসপিরিন বা অন্যান্য প্রদাহ বিরোধী ওষুধ
- রক্ত পাতলাকারী, যেমন ক্লোপিডোগ্রেল (প্লাভিক্স) বা ওয়ারফারিন (কুমাদিন)
- The night before, eat a light dinner. Do not eat or drink anything after midnight.
এনেস্থেশিয়া
TURP surgery requires general or spinal anesthesia. You will sleep through the surgery with general anesthesia. Spinal anesthesia will make your lower body numb but you may be awake.
পদ্ধতির বর্ণনা
A special scope that looks like a thin tube with a light on the end will be used. The scope will be passed through the hole at the tip of the penis where urine comes out and sent to the bladder. The bladder will then be filled with a solution. The solution will let the doctor see the inside of your body better.
The prostate gland is examined through the scope. A small surgical tool will be inserted through the scope. This tool will be used to remove a part of the enlarged prostate.
A catheter will be placed in the bladder. Urine will flow out the catheter to give the area time to heal. Your catheter may also be used to flush the bladder and to remove blood clots.
অবিলম্বে প্রক্রিয়া পরে
Removed tissue will be sent to a lab for testing.
কতক্ষণ এটা লাগবে?
About 60-90 minutes
এটা আঘাত করবে?
For several days after the surgery, you may feel some pain. The catheter may also cause some discomfort. Talk to your doctor about medicine to help you manage pain.
গড় হাসপাতালে থাকার
An overnight stay is typically planned for a TURP. In some cases, the stay can be up to 2 days.
পোস্ট-প্রক্রিয়া যত্ন
হাসপাতালে
- There will be a catheter in your bladder to drain urine. The catheter is left in place overnight. The urine may be bloody, but do not be alarmed. This is normal. Water may be flushed through the catheter into your bladder to wash out blood and clots.
- Always keep the catheter drainage bag below the level of your bladder.
- You will be shown some breathing and coughing exercises after surgery. Do these regularly as you recover.
- Rest in bed until the next morning. The nurse can help you the first time you get out of bed.
ঘরে
যখন আপনি বাড়িতে ফিরে, একটি মসৃণ পুনরুদ্ধার নিশ্চিত করতে সাহায্য করার জন্য নিম্নলিখিতগুলি করুন:
- You may be sent home with a catheter still in place. Clean the area where the catheter enters the urethra several times a day. Use soap, water, and a washcloth. The catheter will be removed once you heal.
- Drink lots of fluids, especially during the day. This will help to flush your bladder.
- Avoid heavy lifting or exertion for 3-4 weeks.
- এড়িয়ে চলুন যৌন কার্যকলাপ for 4-6 weeks after surgery.
- Avoid alcohol, caffeine, and spicy foods.
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
Recovery from surgery should take about three weeks. Symptoms such as frequent or painful urination may continue for a while. They should lessen in the first six weeks. If there is blood in your urine, lie down, and drink a glass or two of fluid. The next time you urinate the bleeding should stop. If it does not, call your doctor.
The surgery should not affect your যৌনতা drive or ability to have sex. Retrograde ejaculation is likely to occur. This should not be relied on as birth control.
আপনার ডাক্তারকে কল করুন
After you leave the hospital, call your doctor if any of the following occur:
- Difficulty or inability to urinate
- Pain, burning, urgency or frequency of urination, or persistent blood in the urine—This may be normal during the first few days. If the symptoms persist or are getting worse, contact your doctor.
- জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
- বমি বমি ভাব এবং/অথবা বমি যা আপনি অস্ত্রোপচারের পরে দেওয়া ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না, বা যা হাসপাতাল থেকে ছাড়ার পরে দুই দিনের বেশি সময় ধরে থাকে
- Impotence for longer than three months after surgery
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।