TURP

PROSTATE-TRANSURETHRAL RESECTION

 

This procedure is done mainly for men who have benign prostate hypertrophy.  The enlarged prostate constricts the urethra and can cause complications with urinating and the sensation of not emptying the bladder.  Parts of the prostate are curetted out of the urethra to alleviate symptoms of an enlarged prostate.  The specimen will range from 1 gm. to as much as 100+ gm. 

 

 

Procedure

 

• Give an aggregate weight and measurement of the specimen.

 

• Describe the color of the prostate chips- is there yellow present?

 

• Are there any stones or other material present?

 

• Describe the texture of the specimens.

 

Sections for Histology

• The CAP has recommendations that call for submission of the entire specimen if under 12 grams.

 

• Submit up to 12 grams of tissue. Submit the entire specimen if it is less than 12 g (generally 6-10 blocks).

 

• If tissue is more than 12 grams, submit 12 g of tissue and then one additional block for each additional 5 grams of tissue. This strategy has been shown to identify the majority of TURP specimens involved by some level of prostate carcinoma.

 

 

Sample Dictation

 

"Prostate TURP", received in formalin in a small container is an 22 gm. aggregate of rubbery pink-tan tissue, 10 x 5 x 2 cm.  No yellow discoloration is noted.

Cassettes 1A - 1H prostate tissue ss.

 

 

 

Modified February 2009