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Underwent TURP. Started Passing Clots And Unable To Urinate. Is This Normal?
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Thanks for the query
Patient who have undergone TURP are persistently irrigated for atleast 48 hours after the surgery. During this period urine initially is bloody (fresh blood)and turns bright red for some period; but after the 12-24 hours the urine would change its color from bright red to orange and then yellow and then normal. This is a sign that the wound has stopped bleeding.
Occasionally the healing of the wound can be delayed and bleeding may continue for a while especially when the patient is not irrigated properly. Now as it was not properly irrigated probably it had resulted in the formation of blood cloths within the bladder. The huge clumps of blood are most probably those blood clots.
In this circumstance, the thing to do next is have continuous irrigation until the urine is clear of blood clots and transparent. It may also be a good idea to administer transamin (Tranexamic acid) through intravenous injections for atleast two days. It would help in stopping the bleeding. Discuss with his treating doctor.
CBC is essential as bleeding of such amount might have lowered his Hb. Please follow it up.
Hope this answers your query. If you still have some queries, feel free to ask.
Regards
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Thanks for the query
The voiding is stopped is most likely due to blockage of the catheter lumen by blood clots. As I told you the irrigation needs to be continuous with any stoppage and fast along with the administration of the transamine.
Be cautious about frequent change of catheters it may cause trauma or may perforate the bladder or urethra. Don't change catheter when voiding stops but try to wash it with 50cc syringe with normal saline. It will clear the clots that have blocked the catheter.
If you still have some queries, feel free to ask.
Thanks
Regards
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