Transurethral resection of the prostate (TURP): Obstructive prostatic tissue of the medial lobe surrounding the urethra is removed by means of a cystoscope/resectoscope introduced through the urethra.
Suprapubic/open prostatectomy: Indicated for masses exceeding 60 g (2 oz). Obstructing prostatic tissue is removed through a low midline incision made through the bladder. This approach is preferred if bladder stones are present.
Retropubic prostatectomy: Hypertrophied prostatic tissue mass (located high in the pelvic region) is removed through a low abdominal incision without opening the bladder. This approach may be used if the tumor is limited.
Perineal prostatectomy: Large prostatic masses low in the pelvic area are removed through an incision between the scrotum and the rectum. This more radical procedure is done for larger tumors/presence of nerve invasion and may result in impotence.
Inpatient acute surgical unit.
Psychosocial aspects of care
Patient Assessment Datebase
Refer to CP: Benign Prostatic Hyperplasia (BPH), p. 000, for assessment information.
DRG projected mean length of inpatient stay: 3.3–7.1 days
Refer to section at end of plan for postdischarge considerations.
1. Maintain homeostasis/hemodynamic stability.
2. Promote comfort.
3. Prevent complications.
4. Provide information about surgical procedure/prognosis, treatment, and rehabilitation needs.
1. Urinary flow restored/enhanced.
2. Pain relieved/controlled.
3. Complications prevented/minimized.
4. Procedure/prognosis, therapeutic regimen, and rehabilitation needs understood.
5. Plan in place to meet needs after discharge.