A.Describestructures andfunction of themale reproductivesystem.
Identify theindications andcontraindicationsof TURP.
II. TURP (Transurethral Resection of Prostate)A.Anatomic and Physiologic Overview
In the male, several organs serve as parts of both the urinary tract and thereproductive system. Disorders in the male reproductive organs may interfere withthe functions of one or both of these systems. As a result, diseases of the malereproductive system are usually treated by a urologist. The structures in the malereproductive system include the testes, the vas deferens (ductus deferens) andseminal vesicles, the penis, and certain accessory glands, such as the prostateglands and Cowper’s gland (bulbourethral gland).
TURP is a surgical procedure involving the removal of prostate tissue using aresectoscope inserted through the urethra.
C.Purpose/Indication of TURP
TURP has been long considered the “gold standard” surgical treatment for obstructing BPH specifically when the major glandular enlargement exists in themedial lobe that directly surrounds the urethra. A relatively small amount of tissuemust require resection so that excess bleeding will not occur and the time required tocomplete the surgery will not be prolonged. TURP may be performed with the patientunder general or spinal anesthesia.A resectoscope is passed through the urethra. Tiny pieces of tissue are cutaway, and the bleeding points are sealed by cauterization. The bladder and urethraare continuously irrigated during the procedure, allowing visualization of theresection. Repeated irrigation and drainage of these fluids ensure that resectedtissue and debris are removed from the bladder. Sterile, isotonic solution is selectedhowever, normal saline is avoided because of its suboptimal conductivity properties.Also, hypotonic solution such as water must never be used.
Some relative contraindications include unstable cardiopulmonary status and5 min5 min10 min-Visual Aide-PowerpointPresentation-PowerpointPresentation-Video-LectureDiscussion“Q-A” activity
In thisactivity, thereporters shall askthe studentlearners randomlywith questionsrelevant to their discussed topics.