TURP SURGERY AND PACEMAKERS

I have a pacemaker and my urologist has recommended a TURP operation to remove part of the prostate. What are the implications if you have a pacemaker?


3 Comments

Probably none

by crustyg - 2020-10-14 11:55:48

The RF diathermy used for cutting and cautery probably won't have any effect on your PM - the current is so far away from your PM that it really shouldn't be an issue.

They *might* choose to have your PM set to a fixed pacing mode to avoid any over/under-sensing problems.

It's an interesting one: during my Urology job I saw a *lot* of TURPs (very elderly population served by the hospital): had a severe haemophiliac (easy actually except he pulled his post-op catheter out), lots of old guys with poor hearts (always done under spinal) and the Boss and his Anaesthetic expert used controlled hypotension (with nitroprusside!) to speed things along.  Scary stuff but brilliant if you have the experience - 100g prostates removed TU.  But not a single PM patient that I recall.  Not as many PM patients back in the day....

HTH.

Piece of cake

by raynorfolk - 2020-10-14 12:41:33

I had a TURP in 2010 followed six weeks later by Brachytherapy for Prostate cancer. No problems with having a Pacemaker.

The only problem I have encountered - not related to the above - is not being allowed to have an MRI scan.

Best wishes

Ray

 

TURP (transurethral resection of the prostate)

by Gemita - 2020-10-14 12:45:42

Hello TAC,

My husband has had TURP, Laser treatment, Urethral Stricture dilatation and Urethroplasty reconstruction surgery.   The only comment I would like to make is that if you are taking anticoagulation or any other medication that might need to be stopped for a short period, make sure that you speak to your cardiologist/pacemaker team beforehand.  They may have recommendations to follow for your particular heart condition to ensure that you stay safe prior, during and post op.

I wish you a successful procedure and relief from your symptoms very soon.

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In fact after the final "tweaks" of my pacemaker programming at the one year check up it is working so well that I forget I have it.