03 Maret 2010 ASKEP KLIEN DENGAN TURP SYNDROME Hendra Kurnia Rakhma, S.Kep., Ns

Review BPH Apa itu BPH? Cara pengukuran besar BPH? Terapi BPH?

Transurethral resection of the prostate (TURP)

a procedure frequently used to treat moderate to severe BPH (Benign Prostate Hyp erplasia or Obstruction). removal of prostatic tissue by electro-cautery.

Resectoscope Continuous flow irrigation Bipolar Resctoscope loop Light tower Rotatable Sheath Lens (30o)

Indications for TURP Absolute Recurrent Episodes of Urinary Retention Bladder Stones Obstructive Uropathy

Recurrent UTI

Gross Prostatic Haematuria

Relative Moderate to Severe Symptoms (IPSS) Bother / lure of medical therapy / clinical progression

QoL

Increasing PVR

Low Flow rate

Fai

Irrigation Solutions Fungsi penggunaan cairan irigasi: distend the bladder clear the surgical site remove blood and resected tissue

Ideally the irrigation solution should be: Isotonic Electrically inert Non toxic Transparent inexpensive

CAIRAN IRIGAN (yang pernah digunakan): Distilled water (H20 murni) air suling

Keuntungan: Transparent Lapang pandang untuk area operasi >> jelas Electrically inert Kerugian: Extremely Hypotonic (osmolaritas serum