{"id":12533,"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":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"resseccao-transuretral-da-prostata-rtu","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/resseccao-transuretral-da-prostata-rtu\/","title":{"rendered":"Ressec\u00e7\u00e3o Transuretral da 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-12533","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":"A ressec\u00e7\u00e3o transuretral da pr\u00f3stata (RTUP) \u00e9 um procedimento cir\u00fargico minimamente invasivo no qual uma parte da pr\u00f3stata \u00e9 removida para aliviar os sintomas urin\u00e1rios causados pela hiperplasia prost\u00e1tica benigna (HPB), tamb\u00e9m conhecida como aumento da pr\u00f3stata.\u00b9 Ela \u00e9 realizada pela introdu\u00e7\u00e3o de um instrumento especializado chamado ressectosc\u00f3pio atrav\u00e9s da uretra, o que elimina a necessidade de incis\u00f5es externas. O ressectosc\u00f3pio \u00e9 equipado com uma al\u00e7a de fio ativada eletricamente que corta o tecido prost\u00e1tico obstrutivo e sela os vasos sangu\u00edneos para minimizar o sangramento.\u00b9 O principal objetivo da RTUP \u00e9 melhorar o fluxo urin\u00e1rio, reduzir os sintomas do trato urin\u00e1rio inferior (STUI), como mic\u00e7\u00e3o frequente, urg\u00eancia e jato fraco, e melhorar a qualidade de vida do paciente quando as terapias medicamentosas falharam ou n\u00e3o s\u00e3o adequadas.\u00b9 H\u00e1 muito tempo ela \u00e9 considerada o padr\u00e3o-ouro para o tratamento da obstru\u00e7\u00e3o da sa\u00edda vesical devida \u00e0 HPB, embora t\u00e9cnicas mais recentes tamb\u00e9m estejam dispon\u00edveis.\u00b9","gt-synonyms":"Ressec\u00e7\u00e3o de pr\u00f3stata, ressec\u00e7\u00e3o prost\u00e1tica transuretral, procedimento RTU, prostatectomia 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":"A RTUP \u00e9 clinicamente indicada para pacientes com sintomas do trato urin\u00e1rio inferior (STUI) moderados a graves secund\u00e1rios \u00e0 hiperplasia prost\u00e1tica benigna (HPB) que n\u00e3o responderam adequadamente ao tratamento cl\u00ednico ou que preferem a interven\u00e7\u00e3o cir\u00fargica.\u00b9 Tamb\u00e9m \u00e9 utilizada em casos de complica\u00e7\u00f5es decorrentes da HPB, como reten\u00e7\u00e3o urin\u00e1ria recorrente, infec\u00e7\u00f5es do trato urin\u00e1rio recorrentes, hemat\u00faria macrosc\u00f3pica recorrente, c\u00e1lculos vesicais ou insufici\u00eancia renal devida \u00e0 obstru\u00e7\u00e3o da sa\u00edda vesical.\u00b9 Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes normalmente envolvem uma avalia\u00e7\u00e3o completa, incluindo hist\u00f3ria cl\u00ednica detalhada, exame f\u00edsico (incluindo toque retal), exame de urina e, frequentemente, urofluxometria e medi\u00e7\u00e3o do volume residual p\u00f3s-miccional para avaliar a gravidade da obstru\u00e7\u00e3o e a fun\u00e7\u00e3o vesical.\u00b9 As diretrizes da Associa\u00e7\u00e3o Americana de Urologia (AUA) recomendam a avalia\u00e7\u00e3o do tamanho e da forma da pr\u00f3stata antes da cirurgia, o que pode ser feito por cistoscopia, ultrassom transretal, TC ou RM.\u00b9\n\nO procedimento cir\u00fargico geralmente \u00e9 realizado sob anestesia geral ou raquidiana. O cirurgi\u00e3o introduz um ressectosc\u00f3pio pela uretra at\u00e9 a pr\u00f3stata. Com a al\u00e7a de fio, o tecido prost\u00e1tico \u00e9 removido fragmento por fragmento, criando um canal mais amplo para o fluxo de urina. Utiliza-se l\u00edquido de irriga\u00e7\u00e3o durante todo o procedimento para manter uma visualiza\u00e7\u00e3o clara e eliminar o tecido ressecado e os co\u00e1gulos sangu\u00edneos.\u00b9 Existem as t\u00e9cnicas de RTUP monopolar e bipolar, sendo que a RTUP bipolar permite o uso de irriga\u00e7\u00e3o com soro fisiol\u00f3gico, o que reduz o risco de s\u00edndrome p\u00f3s-RTU (hiponatremia dilucional).\u00b9\n\nOs resultados esperados s\u00e3o geralmente favor\u00e1veis, com melhora significativa dos sintomas urin\u00e1rios e das taxas de fluxo relatada pela maioria dos pacientes. Aproximadamente 90% dos pacientes relatam resolu\u00e7\u00e3o ou melhora significativa de seus sintomas urin\u00e1rios ap\u00f3s a RTUP, com um grau m\u00e9dio de melhora relatado de 85%.\u00b9 As taxas de fluxo urin\u00e1rio normalmente aumentam de forma substancial, e a instabilidade vesical frequentemente diminui. A recupera\u00e7\u00e3o envolve uma curta interna\u00e7\u00e3o hospitalar, normalmente com uma sonda vesical mantida por um ou dois dias. A recupera\u00e7\u00e3o completa e o retorno \u00e0s atividades normais podem levar v\u00e1rias semanas. As poss\u00edveis complica\u00e7\u00f5es incluem sangramento, infec\u00e7\u00e3o, ejacula\u00e7\u00e3o retr\u00f3grada (comum), disfun\u00e7\u00e3o er\u00e9til (rara), incontin\u00eancia urin\u00e1ria (rara e geralmente tempor\u00e1ria), estenoses uretrais e s\u00edndrome p\u00f3s-RTU (rara com as t\u00e9cnicas modernas, especialmente a RTUP bipolar).\u00b9","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":146},"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>Ressec\u00e7\u00e3o Transuretral da Pr\u00f3stata (RTU-P) | Rigicon<\/title>\n<meta name=\"description\" content=\"Guia sobre RTU-P, cirurgia endosc\u00f3pica para HPB. T\u00e9cnica monopolar e bipolar, indica\u00e7\u00f5es, resultados e alternativas modernas. 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