Which statement accurately describes the purpose of continuous bladder irrigation after TURP?

Which statement accurately describes the purpose of continuous bladder irrigation after TURP?

• A. Bladder irrigation decreases the risk of postoperative bleeding.
• B. Hydration and urine output are maintained by bladder irrigation.
• C. Antibiotics are infused continuously through the bladder irrigation.
• D. Bladder irrigation prevents obstruction of the catheter after surgery.

Answer: (D)

After TURP, the bladder can ooze blood and shed tissue fragments, which may clump together and clog the catheter. Continuous bladder irrigation is used to flush the bladder with saline so these clots and debris are continually cleared, keeping the catheter patent and urine flowing. This helps prevent obstruction of the catheter, which would stop drainage and could lead to bladder distention or retention and mask ongoing bleeding. While irrigation can aid in monitoring bleeding (by observing the drainage color), its primary purpose is to prevent catheter blockage. It is not intended to deliver antibiotics or directly manage hydration; those needs come from separate IV fluids or medications.

After TURP, the bladder can ooze blood and shed tissue fragments, which may clump together and clog the catheter. Continuous bladder irrigation is used to flush the bladder with saline so these clots and debris are continually cleared, keeping the catheter patent and urine flowing. This helps prevent obstruction of the catheter, which would stop drainage and could lead to bladder distention or retention and mask ongoing bleeding. While irrigation can aid in monitoring bleeding (by observing the drainage color), its primary purpose is to prevent catheter blockage. It is not intended to deliver antibiotics or directly manage hydration; those needs come from separate IV fluids or medications.