Transurethral resection of the prostate

Transurethral
resection of the prostate • TURP defect - Ganzer Fall bei Radiopaedia
Morgan M, TURP defect. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-40682 • CC by-nc-sa 3.0 (modified)
Transurethral
resection of the prostate • TURP defect - Ganzer Fall bei Radiopaedia
Morgan M, TURP defect. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-40682 • CC by-nc-sa 3.0 (modified)
Transurethral
resection of the prostate • TURP defect - Ganzer Fall bei Radiopaedia
Morgan M, TURP defect. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-40682 • CC by-nc-sa 3.0 (modified)
Transurethral
resection of the prostate • Prostate cancer - detected on TURP - Ganzer Fall bei Radiopaedia
Feger J, Prostate cancer - detected on TURP. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-74860 • CC by-nc-sa 3.0 (modified)
Transurethral
resection of the prostate • Prostate cancer - locally progressive (T3b) - Ganzer Fall bei Radiopaedia
Feger J, Prostate cancer - locally progressive (T3b). Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-74007 • CC by-nc-sa 3.0 (modified)
Radiopaedia • CC-by-nc-sa 3.0 • de

Transurethral resection of the prostate (TURP) is a traditional therapy for lower urinary tract symptoms (LUTS) and prostatism from benign prostatic hyperplasia. TURP results in characteristic imaging features.

Indications

  • acute urinary retention
  • recurrent infection
  • recurrent hematuria
  • azotemia
  • symptomatic bladder outlet obstruction

Contraindications

Radiographic features

Ultrasound or MRI
  • irregular midline gap in the prostate at the bladder neck
  • limited utility for evaluation of post TURP anterior urethral strictures
RUG and VCUG
  • VCUG shows cone-like widening of the prostatic urethra
  • RUG/VCUG good for evaluating possible post-TURP stricture

Complications

  • hemorrhage (early)
  • extravasation of irrigating fluid into the periprostatic tissue and the space of Retzius (early)
  • development of a bladder neck contracture
  • prostate regrowth

History and etymology

TURP was developed in the 1920s and has been used continuously since that time. The number of TURP procedures has been decreasing with the advent of other minimally-invasive therapies.

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