Urologic operation 11 transuretral prostatectomy

Transurethral Prostatectomy

Objective

In case of prostatic enlargement. The prostate tissue is removed with the help of a resectoscope.

Position

Lithotomy.

Anesthesia

Epidural or General.

Procedure

1.  Neutral electrode applied to thigh.

2.  Urethra dilated.

3.  Resectoscope introduced.

4.  Prostate removed using diathermy loop.

5.  Bleeding coagulated.

6.  Resectoscope removed.

7.  Self-retaining catheter.

Instruments

•   Bladder sounds or bougies set

•   Supply of sterile water or 1.5 glycine, etc. for irrigation

•   Connecting tubing and nozzles for resectoscope

•   Electro-resectoscope or ‘cold punch’ or laser hot yag instru­ment

•   Fiber light or electric cable and light or low voltage source

•   Electric cable and batteries

•   Diathermy leads, lead anchoring forceps and diathermy apparatus

•   Urethral catheter, 3 way self-retaining (Foley size 18, 20 or 22 Charriere gauge)

•   20 ml syringe and sterile water for inflating cuff of catheter.

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