Treatment

Introduction

The prostate is an urologic organ that is situated at the outlet of the bladder. Benign prostate hypertrophy most commonly affects men over age 50. The patient's bladder outlet is narrowed and impeded urinary outflow. The patient will have urinary frequency, feels unable to empty the bladder and difficulty in urination. TURVP is an advance urological operation for this disease.

Preparation

• Cease smoking for at least 2 days
• Bath or shower and shampoo
• Fasting after midnight
• Use fleet enema at 8:00pm one day before operation
• A written consent is required

Procedure

• The operation will be performed under general anaesthesia
• A resectoscope is passed through the urethra to remove the hyperplastic prostate tissue
• After the operation, a foley's catheter is inserted inside the bladder for immediate bladder irrigation

Care & Advice

• After general anaesthesia, you may feel tired, dizzy or weak. You will be observed in our Day Care Centre for a few hours until you are fit to go home
• Stay at home for at least 24 hours. A mature adult should accompany you for first 24 hours. You must avoid:

- Driving, cooking or operating a motorized vehicle or equipment

- Taking alcoholic drinks or sedatives

- Signing any legal document or making important decisions

• You may have sore throat, headache, vomiting or bruises at the puncture site occasionally. They will subside after a few days
• The foley's catheter will be removed afterwards and you will try to pass urine
• You will have bladder irrigation for 2 hours after operation.You can go home when your general condition is fit
• The first 2 days after operation, drink 2 to 3 liters of water per day to help urination
• The first few days after operation, you will feel pain during urination. There will be blood stained urine or blood clots in urine. Avoid drinking coffee, tea, coke and alcholic drinks
• Take painkillers as prescribed

Follow up

• Follow up as scheduled

Complications

You should seek medical advise if you have any of the following sign and symptoms:

• Continue passing blood clots and blood in urine 3 days after operation
• Severe pain despite taking the pain killer
• Difficult to or cannot pass urine
• Fever (body temperature above 38^oC or 100^oF)