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is the most common procedure used to treat
BPH. It can be carried out through endoscopy. The surgical and optical instrument is introduced
TURP rarely causes erectile dysfunction, but may trigger retrograde ejaculation because removal
of the prostatic tissue at the bladder neck can cause seminal fluid to flow backward into the
bladder rather forward through the urethra during ejaculation.
1. Inform the patient about the procedure and the expected postoperative care, including
catheter drainage, irrigation and monitoring of hematuria.
2. Discuss the complications of surgery which include:
3. Incontinence or dribbling of urine up to 1 year after surgery and that Kegel¶s exercise
will help alleviate this problem
4. Retrograde ejaculation
5. Bowel preparation is given.
6. Optimal cardiac, respiratory and circulatory status should be achieved to decrease risk of
complications.
7. Prophylactic antibiotics are ordered.