Experience of transurethral resection of the prostate: A qualitative study

Abstract and Figures

There is no doubt that experiencing each disease, particularly their therapeutic methods, affects different
aspects of a person's life. Little information is available about experiencing this disease and transurethral
resection of the prostate (TURP) despite the high level of prevalence of benign prostate hyperplasia (BPH).
The aim of this study was to explore the experience of TURP. This research was a qualitative, content
analysis study. The data was gathered by conducting in‐depth interviews using the interview manual. After
interviewing, 15 patients who had undergone TURP were selected through purposive sampling.
Accordingly, once reaching data saturation, the data was analysed through the conventional content
analysis. Four themes emerged after analysing the data. The findings indicated that the TURP surgery for
these patients was equal to surrendering to the disease, having no other options but undergoing surgery,
sense of release and relief, and concern over future. The findings of this study led to an increase in the
body of knowledge currently existing in providing nursing for patients who had undergone TURP. Nurses at
urology wards ought to attend to these points and at the same time respond to patients' demands besides
offering a full‐fledged post‐surgery nursing care by executing training of post‐surgery, self‐care measures.
Moreover, they should offer patient‐centered care and training so that there would be the possibility for
them to keep in touch with all of the patients who have undergone surgery. In addition, it would facilitate the
expression of patients' feelings about their concerns after the surgery and their access to nursing care after
being discharged.

Insights:
Patients’ experience with TURP as a process included
‘giving up to the disease, being compelled to undergo
surgery and finally having sense of relief and release
accompanied by concern over future’. Hence, nurses
need to attend to these dimensions and at the same
time pay more attention to increasing male awareness
of the prostate disease to pursue therapy more
rapidly and clarify the effect of disease symptoms and
therapy on different dimensions of private and religious
life, especially among religious groups including the
Muslims. Besides, they need to pay more attention to
training and familiarizing patients with surgical methods
and their follow-up care.
In the study, the gathered themes on patients' experiences with TURP procedure included giving up on the
sickness, being pressured to go through surgery, and eventually feeling relieved but concerned about the
future. As a result, nurses need to attend to those concerns while also focusing on raising male awareness
of prostate disease as a way to expedite treatment and clarify the effect of disease symptoms and therapy
on diverse factors of personal and spiritual life, especially amongst religious groups including Muslims.
Furthermore, they should dedicate extra time to patient education and familiarization with surgical
procedures and follow-up care.
The nurses at urology wards must respond to patients’
needs and also offer comprehensive nursing care by
performing self-care training strategies after surgery
and offering patient-centred care alongside training
and the possibility for making contact with all patients
who have already undergone surgery. Besides, they
must provide patients with the opportunity to express
their concern after surgery and to access post-release
nursing services. Spiritual support both before and
after surgery is quite mandatory and training families is
also helpful. Last but not least, getting help from a reli-
gious guide for answering religious questions seems
crucial.
Nurses on urology wards have to respond to patients' needs while also providing complete nursing care
through imposing self-care training methodologies after surgical procedure and providing patient-targeted
care in addition to training and the capacity to contact all patients who've had surgical procedure.
Furthermore, they have to permit patients to express their concerns after the surgical procedure and to
achieve post-operative nursing care upon discharge. Spiritual support is crucial both before and after
surgical procedure, and own circle of relatives training is likewise beneficial. Finally, having resource from a
spiritual guide to answer spiritual questions appears to be crucial.

Link: https://onlinelibrary.wiley.com/doi/10.1111/j.1749-771X.2012.01165.x

Approaching the optimal transurethral resection of a bladder tumor

Abstract
A complete transurethral resection of a bladder tumor (TURBT) is essential for adequately diagnosing,
staging, and treating bladder cancer. A TURBT is deceptively difficult and is a highly underappreciated
procedure. An incomplete resection is the major reason for the high incidence of recurrence following initial
transurethral resection and thus to the suboptimal care of our patients. Our objective was to review the
preoperative, intraoperative, and postoperative considerations for performing an optimal TURBT. The
European Association of Urology, Society of International Urology, and The American Urological
Association guidelines emphasize a complete resection of all visible tumor during a TURBT. This review
will emphasize the various techniques and treatments, including photodynamic cystoscopy, intravesical
chemotherapy, and a perioperative checklist, that can be used to help to enable a complete resection and
reduce the recurrence rate. A Medline/PubMed search was completed for original and review articles
related to transurethral resection and the treatment of non-muscle-invasive bladder cancer. The major
findings were analyzed and are presented from large prospective, retrospective, and review studies

Insights:

The TURBT procedure continues to be the well-known for evaluating and treating bladder cancer. Patient results are
immediately influenced by the quality of the resection. Traditional TURBT has a number of drawbacks. Suboptimal
pathology assessment, perioperative morbidities, such as ONR and bladder perforation, and excessive recurrence and
development quotes are some of those issues. This method is more secure and extra effective than conventional TURBT,
with the brought advantage of having higher-quality tumor specimens, which can also additionally allow for more accurate
histopathological diagnosis and staging.

Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548374/