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Se puede realizar una RTUP bajo anestesia general o espinal. Una RTUP sin complicaciones generalmente demora aproximadamente una hora en realizarse. The prostate is a gland the size of a nut in men found at the base of the bladder, where it is wrapped around the urethra. RTUP is often performed for a condition called benign prostatic hyperplasia.
In this non-cancerous condition, the prostate gets bigger to the point of causing difficulty urinating. RTUP can also be performed in patients with prostate cancer to relieve bladder obstruction. When he gets to the hospital for surgery, an IV will start. RTUP can be performed under general or spinal anesthesia. If he gets general anesthesia, he will be unconscious, and a breathing tube will be inserted into his throat to help him breathe during surgery.
If you receive spinal anesthesia, you will remain conscious and the bottom half of your body will be numb during surgery. You will be given sedation to help you relax. An uncomplicated RTUP usually takes about an hour to perform. Your surgeon will begin sliding a small enlightened instrument, called a cystoscope, through the opening of his penis. After applying a sterile solution through the cystoscope for better visibility, your surgeon will carefully examine the interior of your urethra, prostate and bladder.
Then he or she will pass a resectoscope, which consists essentially of a small wire handle carrying an electric current, through the cystoscope, and will use it to shave layers of prostate tissue. These pieces will be washed inside the bladder and outside through a special port in the cystoscope. When an optimal amount of prostatic tissue has been removed, the surgeon will extract the cystoscope and place a catheter in the bladder to drain until two days after surgery.
After the procedure, they will take him to the recovery area to control and administer painkillers as needed. You can continue to receive antibiotics through your IV pathway, and a sterile solution can be intermittently sent through the catheter tube to remove blood and accumulated clots.
Most patients leave the hospital within two days of the procedure.
¿Qué es la resección transuretral de la próstata?