Reproductive System Disorders Q 40

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A 55-year old client with benign prostatic hyperplasia doesn’t respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, Nurse Gerry asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal?

  

    A. Transurethral resection of the prostate (TURP)

    B. Suprapubic prostatectomy

    C. Retropubic prostatectomy

    D. Transurethral laser incision of the prostate

    

    

Correct Answer: A. Transurethral resection of the prostate (TURP)

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TURP is the most widely used procedure for prostate gland removal. Because it requires no incision, TURP is especially suitable for men with relatively minor prostatic enlargements and for those who are poor surgical risks. Transurethral resection of the prostate is a procedure used in the management of bladder outlet obstruction caused by prostatic hypertrophy and prostatic abscess management. This procedure should be performed if the patient desires to be of medical management for bladder outlet obstruction or who fails medical management.

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Option B: Suprapubic means that the surgery is done through an incision in the lower abdomen, above the pubic bone. An incision is made in the bladder, and the center of the prostate gland is removed. This part of the prostate gland is known as the transition zone. Suprapubic prostatectomy is an inpatient procedure.

Option C: Surgery to remove the entire prostate and some of the tissue around it, including the seminal vesicles (a gland that helps make semen). Nearby lymph nodes may also be removed. During a radical retropubic prostatectomy, an incision (cut) is made in the wall of the lower abdomen, behind the pubic bone. An attempt is made to protect the nerves that control penile erection and the bladder from damage.

Option D: Transurethral incision of the prostate (TUIP) may be done to treat benign prostatic hyperplasia (BPH). The surgeon uses an instrument inserted into the urethra that generates an electric current or laser beam to make incisions in the prostate where the prostate meets the bladder.

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