SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx

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Keagan Kirugo

Presentation made to Urology Residence during Benign Prostate Enlargement series of lectures in July 2023.

Health & Medicine

SURGICAL
MANAGEMENT OF
BENIGN PROSTATE
ENLARGEMENT

OBJECTIVES
Indications
Perioperative Considerations
Types of Surgeries

1.
Hydroureteronephroses
Absolute
indication with
or sans renal
insufficiency.
Catheterization
role.
Supravesical? Vesical?

7. Failed Medical Therapy
COMPLIANCE OPTIMUM DURATION

PERIOPERATIVE
CONDIDERATIONS
Anticoagulation
Antibacterial
Histology

SURGERY
CLASSIFICATION
Endoscopic Non-LASER
Endoscopic LASER
Newer Minimally Invasive Surgical Techniques
(MIST)
Open
Laparoscopic
Robotic-Assisted

ENDOSCOPIC NON-LASER
Monopolar
Transurethral
Resection of the
Prostate (M-TURP)
Bipolar
Transurethral
Resection of the
Prostate (B-TURP)
Transurethral
Incision of the
Prostate (TUIP)
Prostatic Urethral
Lift (PUL)
Convective
Radiofrequency
Water Vapour
Thermal Therapy
(RF)
Transurethral
Vaporization of the
Prostate (TUVP)
Transurethral
Microwave Therapy
(TUMT)
Transurethral
Needle Ablation of
the Prostate (TUNA)

TURP
Indications
Examination
Equipment
Resection
Postoperative Care
Complications

Complications
Haemorrhage
Sepsis
Transurethral Resection (TUR)
Syndrome
Ureteral injury
Perforation
Persistent penile erection

Urine retention
Bladder neck contracture
Urethral stricture
Urinary incontinence
Urinary storage symptoms
Need for retreatment

13) Ejaculatory problems
14) Male Sexual Dysfunction
(MSD)
15) Burns
Riedinger et al. Impact of Duration
on Surgical Complications.

REFERENCES
https://www.wishesmsg.com/exam-wishes-messages-best-of-luck/

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SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx

1. SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT

2. OBJECTIVES Indications Perioperative Considerations Types of Surgeries

3. TRIVIA 1

4. INDICATIONS

5. 1. Hydroureteronephroses Absolute indication with or sans renal insufficiency. Catheterization role. Supravesical? Vesical?

6. 2. Recurrent gross haematuria

7. 3. Acute Urinary Retention

8. 4. Bladder calculi

9. 5. Bladder diverticula

10. 6. Recurrent urinary tract infections

11. 7. Failed Medical Therapy COMPLIANCE OPTIMUM DURATION

12. 8. Patient request

13. PERIOPERATIVE CONDIDERATIONS Anticoagulation Antibacterial Histology

14. Antibacterial Prophylaxis

15. SURGERY CLASSIFICATION Endoscopic Non-LASER Endoscopic LASER Newer Minimally Invasive Surgical Techniques (MIST) Open Laparoscopic Robotic-Assisted

16. ENDOSCOPIC NON-LASER Monopolar Transurethral Resection of the Prostate (M-TURP) Bipolar Transurethral Resection of the Prostate (B-TURP) Transurethral Incision of the Prostate (TUIP) Prostatic Urethral Lift (PUL) Convective Radiofrequency Water Vapour Thermal Therapy (RF) Transurethral Vaporization of the Prostate (TUVP) Transurethral Microwave Therapy (TUMT) Transurethral Needle Ablation of the Prostate (TUNA)

17. TURP Indications Examination Equipment Resection Postoperative Care Complications

18. Indications

19. Abdominal exam

20. Complications Haemorrhage Sepsis Transurethral Resection (TUR) Syndrome Ureteral injury Perforation Persistent penile erection

21.

22.

23. Urine retention Bladder neck contracture Urethral stricture Urinary incontinence Urinary storage symptoms Need for retreatment

24. 13) Ejaculatory problems 14) Male Sexual Dysfunction (MSD) 15) Burns Riedinger et al. Impact of Duration on Surgical Complications.

25.

26. Equipment

27. LASER TREATMENTS

28. NEWER MIST