Delayed obstruction of urinary tract after TURP – Surgery MCQ

Delayed obstruction of urinary tract after TURP is most commonly caused by?
A. Bladder neck stenosis
B. Penoscrotal stricture
C. Bulbar stricture
D. Membranous urethral stricture

Correct answer : A. Bladder neck stenosis

nodular hyperplasia prostateTURP resection specimen showing nodular hyperplasia

Most common cause of delayed obstruction of urinary tract after Transurethral Resection of Prostate (TURP) is bladder neck stenosis.

Late complications of TURP include:

  • Urethral stricture (3.8%)
  • Bladder neck stenosis (4%)
  • Stress incontinence (2.2%)
  • Sexual dysfunction: retrograde ejaculation (65-70%) and erectile dysfunction (6%).
  • Penoscrotal stricture, Bulbar stricture, Membranous urethral stricture and Submeatal strictures are subtypes of urethral strictures.
  • Urethral stricture can be treated by end to end urethroplasty.
  • Bladder neck stenosis can be corrected by endoscopic incision.

References: 

  • Manual Endourology: Training for Residents By Rudolf Hohenfellner, Jens-Uwe Stolzenburg
  • Post-TURP obliterative urethral stricture: Unusual treatment and favourable result. African Journal of Urology; A. Bhageria, , B. Nayak, P.K. Rai, P.N. Dogra

Image credits: Wikipedia

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