Question

when you see dark red bleeding and few clots in the catheter after TURP. what should the nurse do first

Answer 1

Postoperative bleeding commonly stops inside 3 weeks of TURP. This period, which is about half the time hitherto assumed, is immediately associated to the size of the gland resected and the duration of the procedure. However, the occurrence of clot retention is now not appreciably associated with the duration of haematuria or any of the different clinical elements evaluated. Thus, a excessive fluid consumption is obligatory for 3 weeks after TURP, however patient who proceed to bleed have to be cautioned to proceed with a high‐fluid regimen till their urine is clear.

The estimation of the length of the prolonged ‘primary haemorrhage’ after TURP is important, as patients who have gone through these strategies are at risk of readmission caused by way of clot retention. The risk of this complication is separate from that of ‘secondary haemorrhage’ (which consequences either from infection or from separation of sloughed tissue from the operative mattress ) and in an attempt to minimize this morbidity, the patients are advised to increase their fluid consumption for a few weeks after these procedures. Such recommendation is of necessity empirical and, as we have in the past reported, may additionally be misunderstood with extreme consequences .