Dynamic approach to transurethral resection of large prostate adenoma. 1985

M Claman

Since it is not how much tissue is removed but rather how much is left behind that attests to the quality of a TURP, an explanation of four common complications is offered hoping that with this increased understanding the resectionist will be more comfortable with the procedure and undertake careful resection of larger prostate glands. The following guidelines are offered: (1) allow time after the initial resection of easily reached adenoma for the delivery by the contracting capsule of the peripheral adenoma and the apical masses. One can always return to these areas for further rapid resection. (2) Do not resect within 0.5 or 1.0 cm of the bladder neck until the very end of the procedure. This will minimize the undermining of the vesicle neck and the "climbing" of the trigone. It will also allow for the preservation of vesicle mucosa up to or over the bladder neck thus lessening the chance of later contracture at this site. (3) Do not resect the juxta capsular adenoma in the "levator ani area" until near the end of the procedure.

UI MeSH Term Description Entries
D008297 Male Males
D008722 Methods A series of steps taken in order to conduct research. Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D011467 Prostate A gland in males that surrounds the neck of the URINARY BLADDER and the URETHRA. It secretes a substance that liquefies coagulated semen. It is situated in the pelvic cavity behind the lower part of the PUBIC SYMPHYSIS, above the deep layer of the triangular ligament, and rests upon the RECTUM. Prostates
D011470 Prostatic Hyperplasia Increase in constituent cells in the PROSTATE, leading to enlargement of the organ (hypertrophy) and adverse impact on the lower urinary tract function. This can be caused by increased rate of cell proliferation, reduced rate of cell death, or both. Adenoma, Prostatic,Benign Prostatic Hyperplasia,Prostatic Adenoma,Prostatic Hyperplasia, Benign,Prostatic Hypertrophy,Prostatic Hypertrophy, Benign,Adenomas, Prostatic,Benign Prostatic Hyperplasias,Benign Prostatic Hypertrophy,Hyperplasia, Benign Prostatic,Hyperplasia, Prostatic,Hyperplasias, Benign Prostatic,Hypertrophies, Prostatic,Hypertrophy, Benign Prostatic,Hypertrophy, Prostatic,Prostatic Adenomas,Prostatic Hyperplasias, Benign,Prostatic Hypertrophies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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