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Transuretheral Resection of the Prostate (TURP) Green Light Laser Photovaporization (PVP)Transuretheral Resection of the Prostate (TURP) and Green Light Laser Photovaporization of the Prostate (PVP) are surgical procedures used to remove part of an enlarged prostate; this enlargement is commonly referred to as a benign prostatic hyperplasia (BPH). When a prostate becomes enlarged it narrows the tube that carries urine from the bladder out through the penis (urethra) causing a restricted stream, retention of urine, predisposition to infection and other bladder symptoms. TURP • During the procedure the surgeon will insert an instrument into your urethra through to the prostate. The tube has a lighted camera and a tiny looped wire on the end. The looped wire is heated with an electrical current and is used to cut away the part of the prostate that is enlarged. The pieces of the prostate are flushed out with water. The surgeon then places a catheter into the urethra to assist in draining urine and any remaining pieces of the prostate that were removed. The bladder is then continuously irrigated overnight. • The procedure is inpatient and is performed under general anesthesia or a spinal anesthetic with sedation, the procedure usually lasts between 60 and 90 minutes. • You can expect to be in the hospital for 1 day. The catheter is usually removed the day after surgery but a small percentage of patients need a catheter for longer. Green Light Laser PVP • During the procedure the surgeon uses a tube with a camera on it to insert a specially designed fiber optic device. The fiber optic device delivers laser light pulses (green light laser) towards the enlarged prostate. The Green Light Laser vaporizes and removes the enlarged portion of the prostate. • The procedure is usually outpatient performed under general anesthesia or spinal anesthetic with sedation and lasts 60 minutes or less. • You will be given a dose of steroids before the procedure and medications afterwards to decrease urinary irritation. Possible complications may include: • Severe bleeding during or after surgery requiring a transfusion. • Blood clots in the legs (deep vein thrombosis). • Urinary Infection. • Bladder spasm or urgency. • Irritation of urinary tract. • TURP Syndrome (unsteadiness, confusion, vomiting, problems with vision, elevated blood pressure). • Dry or reduced ejaculation. • Incontinence or difficulty urinating. • Need for additional treatment. Please observe the following Pre-Operative Guidelines: • The following medications should be Avoided One Week Prior to the Date of Surgery: All aspirin (ASA) or NSAID’s (Motrin, Advil), Coumadin, Lovenox, Celebrex, Plavix (Please contact us if you are unsure about which medications to stop, Do not stop any medication without contacting your prescribing doctor). • The Day Before Your Surgery start the pre-operative Bowel Prep (cleansing procedure): 2 bottles of Magnesium Citrate (AM, PM), 2 fleet enemas (AM, PM). Both available at the pharmacy. • Have nothing by mouth after midnight the night prior to your procedure unless otherwise instructed by the anesthesiologist. After the Procedure: • Expect blood in your urine for 2 to 6 weeks. • Expect some frequency/burning during urination for 2 to 8 weeks. • Expect to see prostate debris in your urine initially after surgery and occasionally for 2 weeks after surgery. • Avoid heavy lifting and constipation for up to 2 weeks. • In most cases you may resume sexual activity after 2 weeks. • Please contact us immediately if your pain and burning continue to increase, experience heavy bleeding, can’t urinate or have a fever above 101 degrees. • It is also necessary to schedule follow-up visits with us to assess your progress between one and two weeks after the procedure. |
