Management of the Failed Transurethral Resection of the Prostate

摘要: Transurethral resection of the prostate (TURP) is gold standard for treatment symptomatic benign prostatic enlargement. Failure TURP and other similar procedures may occur when a patient has poor bladder emptying postoperatively or persistent de novo bothersome postoperative lower urinary tract symptoms. Reasons failure include inadequate resection, clot retention, anesthesia-related side effects, pain, hypo- acontractile bladder, and/or selection. Patients initially can be managed conservatively proactively. When clinically significant storage voiding dysfunction persists, evaluation necessary cystoscopy urodynamics. Depending on diagnosis etiology, patients then with an array therapies, including urethral catheterization, oral medications, intravesical botulinum A toxin, neuromodulation, further surgery as indicated.