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Hi I am a surgical nurse and would like to know if it is correct that post TURP if a patient has heavy clotting and is blocking that this could encourage more clotting if we do not manage to irrigate all of the clots away. I have been told this is because when a clot is breaking down within the bladder that it releases clotting factor and so more clotting can occur. I can find any thing on this. Many thanks Chrissie
Hello Chrissie and welcome to HCM. As an Urologist, let me assure you, that clots after a TURP need evacuation. For an effective evacuation of all clots,you must use a TOOMEY'S syringe. Then irrigate again with dilute betadine-saline,and return will be clear. The patient must be on an antibiotic, and remove catheter only after clear urine drains for 24-48 hours. He could take ethamsylate tablet twice daily. Advise him to drink about 12 glasses fluids daily.He should take a laxative. If you want my expert opinion,you may send it to me as a direct question. Dr.Matthew J. Mangat.
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Does Clotting Post TURP Cause More Clotting?
Hello Chrissie and welcome to HCM. As an Urologist, let me assure you, that clots after a TURP need evacuation. For an effective evacuation of all clots,you must use a TOOMEY S syringe. Then irrigate again with dilute betadine-saline,and return will be clear. The patient must be on an antibiotic, and remove catheter only after clear urine drains for 24-48 hours. He could take ethamsylate tablet twice daily. Advise him to drink about 12 glasses fluids daily.He should take a laxative. If you want my expert opinion,you may send it to me as a direct question. Dr.Matthew J. Mangat.