Post Date April, 15 2023
Transurethral resection of the prostate for the treatment of benign prostatic hyperplasia requires only the insertion of a cystoscopic resectoscope from the urethra, which is similar in appearance to cystoscope, to directly reach the prostate site for cutting. This surgical method is a new surgical treatment for benign prostatic hyperplasia that has emerged in the past 20 years. Due to its advantages of small surgical trauma, short operation time, and rapid patient recovery, it is widely welcomed by patients with benign prostatic hyperplasia.
Therefore, not only some patients who originally needed open surgery can change to transurethral resection, but also many patients who are old, have cardiovascular or diabetes complications and cannot perform open surgery have a simpler and safer method of surgery. Transurethral resection of the prostate is suitable for bladder neck obstruction caused by various reasons, including patients whose symptoms cannot be alleviated due to residual tissue after open surgery. However, this surgery is not suitable for the following categories of patients:
(1) The prostate should not exceed 30 grams and the surgical procedure should be completed within one hour. Transurethral resection of an oversized prostate is not safe. It not only causes excessive bleeding, but also causes the gland to have a relatively thin capsule, which is at risk of perforation; Moreover, if the operation time is too long, there may be risks such as "water poisoning" due to excessive absorption of flushing fluid into the blood.
(2) For patients with benign prostatic hyperplasia and bladder stones, open surgery should be considered for simultaneous removal of stones and resection of the prostate.
(3) For patients with prostatitis and severe urethritis, open surgery should be considered to prevent injury due to unclear anatomical boundaries or sepsis caused by transurethral surgery.
In addition, the urethral diameter is too small and it is difficult to insert instruments; Patients with external sphincter dysfunction; "Prostate patients who have lesions in their tendons and joints and cannot undergo surgery at the lithotomy position are also not suitable for transurethral resection of the prostate.".
