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Complications of TURP

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Immediate - within 48 hours:

  • primary haemorrhage
  • septicaemia
  • cardiovascular disturbance due to blood loss, transfusion
  • electrolyte imbalance, particularly hyponatraemia, from excessive absorption of irrigant - "TUR" syndrome

Intermediate - within 14 days:

  • secondary haemorrhage
  • urinary tract infection
  • chest infection
  • deep vein thrombosis and pulmonary embolism

Late:

  • urinary incontinence - from permanent damage to bladder sphincter
  • retrograde ejaculation - from disruption of the mechanism at the bladder neck that normally prevents entrance of semen into bladder during ejaculation; erection and orgasm are unaffected
  • bladder neck contracture
  • urethral stricture
  • erectile dysfunction

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