TURP (Transurethral Resection of the Prostate)

Overview

TURP (Transurethral Resection of the Prostate) is a common surgical procedure used to treat an enlarged prostate (benign prostatic hyperplasia or BPH). The procedure removes excess prostate tissue that is causing urinary problems, using a resectoscope inserted through the urethra. It is one of the most effective treatments for prostate enlargement, helping to restore normal urination.

Why TURP is Required?

• Enlarged Prostate: When the prostate grows larger, it can block the urethra, making it difficult to urinate.
• Urinary Symptoms: TURP is recommended for men who have severe urinary symptoms due to an enlarged prostate, such as frequent urination, a weak urine stream, or inability to completely empty the bladder.
• Ineffective Non-Surgical Treatments: When other treatments like medications do not relieve symptoms or cause side effects, TURP may be the next option.

Key Advantages of TURP (Transurethral Resection of the Prostate) Treatment

• Improved Urinary Flow: TURP helps improve the flow of urine by removing excess prostate tissue.
• Long-Term Relief: It offers long-lasting relief from symptoms associated with BPH.
• Minimally Invasive: The procedure is performed through the urethra, meaning no external incisions are needed.
• Reduced Need for Medications: After the surgery, many men experience a reduction or complete elimination of the need for medications to control urinary symptoms.

How Should You Prepare Yourself Before Transurethral Resection of the Prostate Treatment

• Pre-Surgery Consultation: Discuss your medical history, symptoms, and any medications you are taking with your doctor.
• Stop Blood Thinners: If you are on blood-thinning medications, your doctor will advise you to stop them before surgery.
• Fast Before Surgery: You may need to fast for several hours before the procedure, typically overnight.
• Arrange for Post-Surgery Care: Plan for someone to accompany you and assist during your recovery.

How TURP Treatment is Performed?

• Anesthesia: The procedure is performed under general or spinal anesthesia to ensure you are comfortable.
• Resectoscope Insertion: The surgeon inserts a resectoscope (a thin tube with a camera and surgical tools) through the urethra to reach the prostate.
• Removal of Prostate Tissue: The surgeon removes excess prostate tissue using the resectoscope, which improves urine flow.
• End of Procedure: The procedure typically lasts about 60-90 minutes. You may have a catheter placed temporarily to help drain urine.

What You Can Expect Before, During and After Procedure?

1. Before the Procedure:

Consultation with your surgeon to discuss the surgery and any last-minute preparations.

Anesthesia: You will be given anesthesia to ensure you are comfortable.

2. During the Procedure:

The surgeon will insert the resectoscope through the urethra.

Resection of Prostate Tissue: Excess prostate tissue is removed, improving the flow of urine.

3. After the Procedure:

Recovery Room: After surgery, you will be monitored in a recovery room as the anesthesia wears off.

Catheter: A catheter may be inserted to help you pass urine while your bladder heals.

Hospital Stay: You may stay in the hospital for one or two days for observation.

Risk and Potential Complications

• Infection: As with any surgery, there is a risk of infection.
• Bleeding: Some bleeding is common, though serious bleeding is rare.
• Urinary Incontinence: A small risk of temporary incontinence may occur.
• Erectile Dysfunction: Although rare, some men may experience sexual dysfunction after the surgery.
• Retrograde Ejaculation: Some men may experience a condition where semen enters the bladder instead of exiting through the urethra.

Results/Outcomes

• Immediate Relief: Most patients experience an improvement in their urinary symptoms shortly after the procedure.
• Long-Term Success: TURP provides long-lasting results, with many men experiencing relief for years.
• Improved Quality of Life: After the surgery, many men report a significant improvement in their quality of life due to better urinary function.