By Kevin R. Loughlin
By way of offering either the doctor's and patient's view, this publication supplies authoritative, functional solutions on your questions on treatments.
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More . . qxd 7/25/06 2:17 PM Page 26 100 QUESTIONS & ANSWERS ABOUT PROSTATE DISEASE 27. When does BPH need to be treated? Hydronephrosis dilation of the kidneys, usually due to obstruction. The need to initiate treatment for BPH is divided into absolute and relative indications. Absolute indications refer to objective medical reasons to intervene. These include impaired renal function because of prostatic obstruction, hydronephrosis or dilation of the ureters and kidneys, recurrent urinary tract infections, and bladder stones.
46. What are the side effects of surgical treatment of BPH? The side effects associated with TURP can be divided into intraoperative and postoperative complications. A TURP is performed under either spinal or general anesthesia, and the usual complications that are associated with these forms of anesthesia can occur during a TURP. The introduction of either spinal or general anesthesia can result in hypotension or a drop in blood pressure. qxd 7/25/06 2:01 PM Page 48 100 QUESTIONS & ANSWERS ABOUT PROSTATE DISEASE operation; however, it should be emphasized that significant bleeding is uncommon when an experienced urologist performs the TURP.
This solution is somewhat more dilute than blood, and if the resection lasts a prolonged period of time, more than one hour, the patient can absorb too much fluid through the resected prostatic tissue bed and become hyponatremic (a low serum sodium). In severe cases, hyponatremia can cause neurologic symptoms, including seizures. Fortunately, these complications occur vary rarely. TURPs are usually limited to prostate glands of 100 grams or less. After the TURP has been completed, a urethral catheter is left to enable irrigation of the bladder with fluid, typically for 1 to 2 days.