What is the purpose of continuous bladder irrigation after TURP?

• A. To prevent infection
• B. To prevent clots and maintain catheter patency
• C. To deliver antibiotics
• D. To monitor urine output

Answer: (B)

After TURP, the goal of continuous bladder irrigation is to flush the bladder with saline to prevent blood clots from forming and to keep the catheter from becoming blocked. Bleeding inside the bladder after surgery can lead to clots that obstruct the catheter and hinder urine drainage. By continually irrigation, clots and debris are flushed out, maintaining a clear passage for urine and reducing the risk of bladder distension or urinary retention. You can monitor urine color and flow to judge effectiveness, but the main purpose is to prevent obstruction by clots and keep the catheter patent. Delivering antibiotics or preventing infection aren’t achieved by this irrigation, and while monitoring urine output is important, it’s a consequence of maintaining patency rather than the primary objective.