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  1. #1
    Join Date
    Sep 2019

    Default Botched Turp the Day After

    Apparently the way I exlained it was not good enough. Sorry ill try again

  2. #2
    Join Date
    Jun 2006

    Default Re: Botched Turp the Day After

    When you took your medical records to a med-mal attorney to be reviewed by an expert, what did that expert say?

    No one here is a doctor who can assess your medical treatment.

  3. #3
    Join Date
    Jan 2006

    Default Re: Botched Turp the Day After

    As a bit of a primer, this is a list of known complications as listed by the mayo clinic

    Risks of TURP can include:

    • Temporary difficulty urinating. You might have trouble urinating for a few days after the procedure. Until you can urinate on your own, you will need to have a tube (catheter) inserted into your penis to carry urine out of your bladder.
    • Urinary tract infection. This type of infection is a possible complication after any prostate procedure. An infection is increasingly likely to occur the longer you have a catheter in place. Some men who have TURP have recurring urinary tract infections.
    • Dry orgasm. A common and long-term effect of any type of prostate surgery is the release of semen during ejaculation into the bladder rather than out of the penis. Also known as retrograde ejaculation, dry orgasm isn't harmful and generally doesn't affect sexual pleasure. But it can interfere with your ability to father a child.
    • Erectile dysfunction. The risk is very small, but erectile dysfunction can occur after prostate treatments.
    • Heavy bleeding. Very rarely, men lose enough blood during TURP to require a blood transfusion. Men with larger prostates appear to be at higher risk of significant blood loss.
    • Difficulty holding urine. Rarely, loss of bladder control (incontinence) is a long-term complication of TURP.
    • Low sodium in the blood. Rarely, the body absorbs too much of the fluid used to wash the surgery area during TURP. This condition — known as TURP syndrome or transurethral resection (TUR) syndrome can be life-threatening if untreated. A technique called bipolar TURP eliminates the risk of TURP syndrome.
    • Need for retreatment. Some men require follow-up treatment after TURP because symptoms return over time or never adequately improve. Sometimes, retreatment is needed because TURP causes narrowing (stricture) of the urethra or the bladder neck.

    And a bit more complete but surely less layman friendly list from the NIH

    Technological improvements such as microprocessor-controlled units, better armamentarium such as video TUR, and training helped to reduce perioperative complications (recent vs. early) such as transfusion rate (0.4% vs. 7.1%), TUR syndrome (0.0% vs. 1.1%), clot retention (2% vs. 5%), and urinary tract infection (1.7% vs. 8.2%). Urinary retention (3% vs. 9%) is generally attributed to primary detrusor failure rather than to incomplete resection. Early urge incontinence occurs in up to 30-40% of patients; however, late iatrogenic stress incontinence is rare (<0.5%). Despite an increasing age (55% of patients are older than 70), the associated morbidity of TURP maintained at a low level (<1%) with a mortality rate of 0-0.25%. The major late complications are urethral strictures (2.2-9.8%) and bladder neck contractures (0.3-9.2%). The retreatment rate range is 3-14.5% after five years.
    to prevail in a med mal suit you will have to show the issue was caused by treatment falling outside the standards of medical care or negligence. Med mal suits are notoriously complex and expensive so unless the attorney you are interviewing sees a good chance of a good payday, they will likely refuse to take on your case. They aren’t likely to risk their time and money to bet on a horse unless they have some pretty good odds of winning.

  4. #4
    Join Date
    Jan 2015

    Default Re: Botched Turp the Day After

    I am totally intrigued by the "day after" part of the statement. The day after TURP surgery you'd still have the catheter in, would barely be conscious from the anesthetic yet. How could you possibly know it was botched?

    In my experience with med mal potential, they definitely don't want to see you in a malpractice lawyer's office until you have some basic idea of what the long term damage may be, what efforts have been made or offered by the treating physician to correct the problem, etc. In some cases, as in "amputated the wrong leg" or something that concrete, it might be very soon after the surgery, but with TURP surgery, where I'm sure they've gone over with you the possible problems patients are apt to experience and possible patterns of recovery, etc. I'd sure be curious as to how you could know it was botched so quickly after the surgery occurred.

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