{"id":12062,"date":"2025-06-11T07:28:23","date_gmt":"2025-06-11T11:28:23","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/transurethral-resection-of-the-prostate-turp\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"reseccion-transuretral-de-prostata-rtu","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/reseccion-transuretral-de-prostata-rtu\/","title":{"rendered":"Resecci\u00f3n Transuretral de Pr\u00f3stata (RTU)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[104,105],"class_list":["post-12062","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"La resecci\u00f3n transuretral de la pr\u00f3stata (RTU) es un procedimiento quir\u00fargico m\u00ednimamente invasivo en el que se extirpa una parte de la gl\u00e1ndula prost\u00e1tica para aliviar los s\u00edntomas urinarios causados por la hiperplasia prost\u00e1tica benigna (HPB), tambi\u00e9n conocida como agrandamiento de la pr\u00f3stata.\u00b9 Se realiza introduciendo a trav\u00e9s de la uretra un instrumento especializado llamado resectoscopio, lo que evita la necesidad de incisiones externas. El resectoscopio est\u00e1 equipado con un asa de alambre activada el\u00e9ctricamente que corta el tejido prost\u00e1tico obstructivo y sella los vasos sangu\u00edneos para reducir al m\u00ednimo el sangrado.\u00b9 El objetivo principal de la RTU es mejorar el flujo de orina, reducir los s\u00edntomas del tracto urinario inferior (STUI), como la micci\u00f3n frecuente, la urgencia y el chorro d\u00e9bil, y mejorar la calidad de vida del paciente cuando los tratamientos m\u00e9dicos han fracasado o no son adecuados.\u00b9 Durante mucho tiempo se ha considerado el tratamiento de referencia de la obstrucci\u00f3n del tracto de salida vesical debida a la HPB, aunque tambi\u00e9n existen t\u00e9cnicas m\u00e1s recientes.\u00b9","gt-synonyms":"Resecci\u00f3n de pr\u00f3stata, resecci\u00f3n prost\u00e1tica transuretral, procedimiento RTUP, prostatectom\u00eda endosc\u00f3pica","gt-citation":"[1] Leslie SW, Chargui S, Stormont G. Transurethral Resection of the Prostate. [Updated 2023 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK560884\/ ","gt-clinical-context":"La RTU est\u00e1 cl\u00ednicamente indicada en pacientes con s\u00edntomas del tracto urinario inferior (STUI) moderados a graves secundarios a la hiperplasia prost\u00e1tica benigna (HPB) que no han respondido adecuadamente al tratamiento m\u00e9dico o que prefieren la intervenci\u00f3n quir\u00fargica.\u00b9 Tambi\u00e9n se utiliza en casos de complicaciones derivadas de la HPB, como la retenci\u00f3n urinaria recurrente, las infecciones recurrentes del tracto urinario, la hematuria macrosc\u00f3pica recurrente, los c\u00e1lculos vesicales o la insuficiencia renal debida a la obstrucci\u00f3n del tracto de salida vesical.\u00b9 Los criterios de selecci\u00f3n de pacientes suelen incluir una evaluaci\u00f3n completa con una historia cl\u00ednica detallada, exploraci\u00f3n f\u00edsica (incluido el tacto rectal), an\u00e1lisis de orina y, a menudo, flujometr\u00eda y medici\u00f3n del volumen residual posmiccional para evaluar la gravedad de la obstrucci\u00f3n y la funci\u00f3n vesical.\u00b9 Las gu\u00edas de la American Urological Association (AUA) recomiendan evaluar el tama\u00f1o y la forma de la pr\u00f3stata antes de la cirug\u00eda, lo que puede hacerse mediante cistoscopia, ecograf\u00eda transrectal, TC o RM.\u00b9\r\n\r\nEl procedimiento quir\u00fargico suele realizarse con anestesia general o raqu\u00eddea. El cirujano introduce un resectoscopio a trav\u00e9s de la uretra hasta la pr\u00f3stata. Con el asa de alambre, se extirpa el tejido prost\u00e1tico fragmento a fragmento, lo que crea un canal m\u00e1s amplio para el paso de la orina. Durante todo el procedimiento se utiliza l\u00edquido de irrigaci\u00f3n para mantener una visi\u00f3n clara y eliminar el tejido resecado y los co\u00e1gulos de sangre.\u00b9 Existen t\u00e9cnicas de RTU monopolar y bipolar; la RTU bipolar permite utilizar suero salino como l\u00edquido de irrigaci\u00f3n, lo que reduce el riesgo de s\u00edndrome post-RTU (hiponatremia dilucional).\u00b9\r\n\r\nLos resultados esperados suelen ser favorables, y la mayor\u00eda de los pacientes refieren una mejor\u00eda importante de los s\u00edntomas urinarios y del flujo urinario. Aproximadamente el 90% de los pacientes indican la resoluci\u00f3n o una mejor\u00eda importante de sus s\u00edntomas urinarios tras la RTU, con un grado medio de mejor\u00eda referido del 85%.\u00b9 El flujo urinario suele aumentar de forma considerable y la inestabilidad vesical a menudo disminuye. La recuperaci\u00f3n implica una estancia hospitalaria breve, normalmente con una sonda urinaria colocada durante uno o dos d\u00edas. La recuperaci\u00f3n completa y la vuelta a las actividades normales pueden tardar varias semanas. Entre las posibles complicaciones se encuentran el sangrado, la infecci\u00f3n, la eyaculaci\u00f3n retr\u00f3grada (frecuente), la disfunci\u00f3n er\u00e9ctil (poco frecuente), la incontinencia urinaria (poco frecuente y a menudo temporal), las estenosis uretrales y el s\u00edndrome post-RTU (poco frecuente con las t\u00e9cnicas modernas, sobre todo con la RTU bipolar).\u00b9","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":94},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>TURP: Transurethral Resection of the Prostate Explained...<\/title>\n<meta name=\"description\" content=\"La resecci\u00f3n transuretral de pr\u00f3stata (RTU) es una cirug\u00eda urol\u00f3gica para tratar la hiperplasia benigna y aliviar los s\u00edntomas de obstrucci\u00f3n urinaria.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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