Which of the is the most common cause of delayed urinary tract obstructive symptoms after TURP
Correct Answer: Bladder neck stenosis
Description: Complications of TURP Bleeding, urethral stricture or bladder neck contracture, perforation of the prostate capsule with extravasation, and if severe, TUR syndrome Late complications Bladder neck stenosis (4%) > Urethral stricture (3.6%) Bladder neck stenosis is seen more often with small (<30 gm) fibrotic prostate Bladder neck contracture Occasionally, a dense fibrotic stenosis of the bladder neck occurs following overaggressive resection of a small prostate. It may be due to the overuse of coagulating diathermy. Trans- urethral incision of the scar tissue is necessary using laser or diathermy. Ref: Bailey and love 27th edition Pgno :1467
Category:
Surgery
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