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Transurethral resection of the prostate (TURP) syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. [ 1 ]
If medical treatment does not reduce a patient's urinary symptoms, a TURP may be considered following a careful examination of the prostate or bladder through a cystoscope. If TURP is contraindicated, a urologist may consider a simple prostatectomy, in and out catheters, or a supra-pubic catheter to help a patient void urine effectively. [3]
However, after this endoscopic surgery the ejaculations are dry in about 65% of patients, unless a novel, ejaculation preserving, altered technique of TURP is applied. [ 1 ] [ 2 ] Simple prostatectomy can also be offered to men who have large prostates (>50 grams).
If a person undergoes TURP as an outpatient procedure, which is most common, it will fall under Medicare Part B coverage. In 2025 , Part B has a monthly premium of $185 and an annual deductible of ...
According to Medicare, the average cost to people who have TURP surgery at a hospital department is $1,065, and the average cost to people who have TURP surgery at an ambulatory surgical center is ...
TURP is thought to be the most effective approach for improving urinary symptoms and urinary flow, however, this surgical procedure may be associated with complications in up to 20% of men. [100] Surgery carries some risk of complications, such as retrograde ejaculation (most commonly), erectile dysfunction, urinary incontinence, urethral ...
Preservation of normal ejaculation is possible after transurethral resection of the prostate (TURP), open or laser enucleation of adenoma and laser vaporisation of prostate. However, retrograde ejaculation is a common problem. Preservation of ejaculation is the aim of some new techniques. [18]
Surgery on the bladder neck accounted for about ten percent of the cases of retrograde ejaculation or anejaculation reported in a literature review. [5] Retrograde ejaculation is a common side effect of medications, such as tamsulosin, [6] that are used to relax the muscles of the urinary tract, treating conditions such as benign prostatic ...
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