TURP - emergency surgery

  1. 0
    I was in the OR on a clinical. One of the surgeries I saw was done on a pt who had a TURP in the morning. He had to have emergency surgery later that afternoon due to extensive bleeding. What would that surgery be called?


    *Note: I'm new to allnurses.com. I'm sorry if this is in the wrong place.
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  4. 0
    Post op hemorrhage
  5. 0
    Quote from curlilockz
    I was in the OR on a clinical. One of the surgeries I saw was done on a pt who had a TURP in the morning. He had to have emergency surgery later that afternoon due to extensive bleeding. What would that surgery be called?


    *Note: I'm new to allnurses.com. I'm sorry if this is in the wrong place.

    The surgery would be to cauterize any bleeder (probably arterial), and clean out any clots. Post op hemorrhage is a common risk factor in TURP cases, and unfortunately this can make things worse.

    So what did you see while in that OR??
  6. 1
    Cystoscopy, clot evacuation, and cauterization

    It is not uncommon to have post-op bleedinig after a TUR-P or TUR-BT either.

    A cystoscope is introduced to the bladder, any clots are evacuated, the prostatic urethra is identified, and any bleeders are cauterized. A 3-way irrigating foley catheter is inserted, and hooked up to CBI (continuous bladder irrigation) to keep blood from clotting in the bladder. This normally works pretty well, unless there is a large amount of bleeding post-op.

    The TUR-P is the gold standard, against all other ways of "shrinking" the prostate is compared. There are drugs, and other surgical treatments available other than a traditional TUR-P. A couple of examples: PVP (photo-selective vaporization of the prostate). A/K/A GreenLight laser. Also, HoLAP (Holmium laser ablation of the prostate). TUNA (transurethral needle ablation of prostate) uses radio waves to ablate the prostate. Of course, there are more, but I can;t remember them all. even if I could, It would take up lots of space!
    Dolce likes this.
  7. 0
    Quote from CIRQL8
    Cystoscopy, clot evacuation, and cauterization

    It is not uncommon to have post-op bleedinig after a TUR-P or TUR-BT either.

    A cystoscope is introduced to the bladder, any clots are evacuated, the prostatic urethra is identified, and any bleeders are cauterized. A 3-way irrigating foley catheter is inserted, and hooked up to CBI (continuous bladder irrigation) to keep blood from clotting in the bladder. This normally works pretty well, unless there is a large amount of bleeding post-op.

    The TUR-P is the gold standard, against all other ways of "shrinking" the prostate is compared. There are drugs, and other surgical treatments available other than a traditional TUR-P. A couple of examples: PVP (photo-selective vaporization of the prostate). A/K/A GreenLight laser. Also, HoLAP (Holmium laser ablation of the prostate). TUNA (transurethral needle ablation of prostate) uses radio waves to ablate the prostate. Of course, there are more, but I can;t remember them all. even if I could, It would take up lots of space!
    Great post! I love getting the inside scoop from the OR nurses!


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