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SURGICAL
MANAGEMENT OF
BENIGN PROSTATE
ENLARGEMENT
OBJECTIVES
Indications
Perioperative Considerations
Types of Surgeries
TRIVIA 1
INDICATIONS
1.
Hydroureteronephroses
Absolute
indication with
or sans renal
insufficiency.
Catheterization
role.
Supravesical? Vesical?
2. Recurrent
gross
haematuria
3. Acute
Urinary
Retention
4. Bladder
calculi
5. Bladder diverticula
6. Recurrent
urinary tract
infections
7. Failed Medical Therapy
COMPLIANCE OPTIMUM DURATION
8. Patient request
PERIOPERATIVE
CONDIDERATIONS
Anticoagulation
Antibacterial
Histology
Antibacterial
Prophylaxis
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
Indications
Abdominal
exam
Complications
Haemorrhage
Sepsis
Transurethral Resection (TUR)
Syndrome
Ureteral injury
Perforation
Persistent penile erection
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
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.
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
Equipment
LASER TREATMENTS
NEWER MIST
TRIVIA 2
OPEN PROSTATECTOMY
Retropubic
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
Suprapubic
Steps
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
Complications
Post-operative
SUMMARY
REFERENCES
https://www.wishesmsg.com/exam-wishes-messages-best-of-luck/
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx
SURGICAL MANAGEMENT OF BENIGN PROSTATE ENLARGEMENT.pptx

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