TURP · Decision · D34

Sixty minutes and a falling sodium

Allow about two minutes for two rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.

TURPDecision · Advanced

The scenario

  • Monopolar TURP of a very large gland.
  • Sixty minutes of resection time.
  • A good deal of adenoma remains.
What you see
  • The fossa is open, several sinuses have been compressed, the view is acceptable.
Resectoscope view: an open prostatic fossa late in a long resection
Resectoscope view: an open prostatic fossa late in a long resection
Open the animation

Teaching only · not for diagnosis or treatment decisions