TURP Renal focused review
Description of Procedure
The most common surgical procedure for BPH. TURP is performed using a resectoscope that is inserted through
the urethra and trims away excess prostatic tissue.
CONSIDERATIONS
Indications
BPH
Nursing Interventions (pre, intra, post)
Pre: Carefully assess cardiovascular, respiratory
, and renal systems. Ensure that the client fully
understands the procedure.
Post: Placement of an indwelling three-way
urinary catheter. This allows for continuous
bladder irrigation.
Outcomes/Evaluation
Client Education
The catheter has a large balloon (30-45 mL).
The catheter is taped tightly to the leg, creating
traction so that the balloon will apply firm pressure
to the prostatic fossa to prevent bleeding.
-Avoid heavy lifting , straining, sexual intercourse
-Drink 12 or more 8oz glasses of water each day.
Potential Complications Nursing Interventions
-Monitor vital signs and urinary output.
-Regrowth of prostate tissue and -Admin/provided increased fluids
recurrence of bladder -Monitor for bleeding
neck obstruction. -Assist client to ambulate as soon as possible.
-Urethral trauma -Admin medications
-Urinary retention -When cath is removed monitor urinary output.
-Bleeding Client expected output is 150-200 mL every 3-4
hours
-Infection
ACTIVE LEARNING TEMPLAT
DoEwSn l o a de d by Answerdone () HERAPEUTIC PROCEDURE A13
Description of Procedure
The most common surgical procedure for BPH. TURP is performed using a resectoscope that is inserted through
the urethra and trims away excess prostatic tissue.
CONSIDERATIONS
Indications
BPH
Nursing Interventions (pre, intra, post)
Pre: Carefully assess cardiovascular, respiratory
, and renal systems. Ensure that the client fully
understands the procedure.
Post: Placement of an indwelling three-way
urinary catheter. This allows for continuous
bladder irrigation.
Outcomes/Evaluation
Client Education
The catheter has a large balloon (30-45 mL).
The catheter is taped tightly to the leg, creating
traction so that the balloon will apply firm pressure
to the prostatic fossa to prevent bleeding.
-Avoid heavy lifting , straining, sexual intercourse
-Drink 12 or more 8oz glasses of water each day.
Potential Complications Nursing Interventions
-Monitor vital signs and urinary output.
-Regrowth of prostate tissue and -Admin/provided increased fluids
recurrence of bladder -Monitor for bleeding
neck obstruction. -Assist client to ambulate as soon as possible.
-Urethral trauma -Admin medications
-Urinary retention -When cath is removed monitor urinary output.
-Bleeding Client expected output is 150-200 mL every 3-4
hours
-Infection
ACTIVE LEARNING TEMPLAT
DoEwSn l o a de d by Answerdone () HERAPEUTIC PROCEDURE A13
