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Transurethral resection of the prostate, or TURP, is a surgery doctors use when an enlarged prostate makes it hard to urinate. The prostate sits just below the bladder in men, and when it gets bigger, it can really mess with the flow of urine. If medication doesn’t help, TURP is the next step. It’s not just about making things easier in the bathroom — it also helps prevent problems that come from blocked urine flow.
TURP works well for most men dealing with an enlarged prostate, though it’s not the only option out there. There are also less invasive procedures that can fix the issue, and they often mean a faster recovery with fewer problems like bleeding, infection, or slow healing. Still, every surgery carries some risk, and TURP is no different. That’s why doctors use certain medications and techniques to keep complications at bay. The good news? TURP almost always takes care of the urinary symptoms, and most guys don’t need any other treatment after.
What Is Transurethral Resection Of The Prostate (Turp)?
Transurethral resection of the prostate (TURP) is when a doctor removes a part of your prostate gland. Your prostate gland surrounds the tube (urethra) that carries urine out of your body. If the prostate gland becomes large, it can block the urethra and make it more difficult to urinate.
The doctor removes part of the prostate through the urethra by using a thin instrument with either an electric current or a laser attached to it. Since the instrument passes through the urethra, there are no cuts needed on your body.
Why Was It Done?
TURP makes it easier to deal with those frustrating urinary symptoms from benign prostatic hyperplasia (BPH). You know the drill: always feeling like you have to pee, struggling to get started, that slow stream that just drags on, or waking up all night to run to the bathroom. Sometimes you start and stop midstream, or it feels like your bladder never really empties. Even urinary tract infections can pop up.
Doctors also use TURP when blocked urine flow starts causing bigger problems. We're talking about repeated urinary tract infections, damage to your kidneys or bladder, losing control over when you pee, or not being able to go at all. It can also help if you get bladder stones or notice blood in your urine.
Conventional Transurethral Resection of the Prostate (TURP)
Standard TURP is considered a conventional method to perform transurethral resection of the prostate. Electric wire loops are used in this method to eliminate an enlarged prostate. The standard TURP method can effectively treat urinary symptoms, although it is associated with a longer recovery and greater risk for postoperative complications.
Bipolar Transurethral Resection of the Prostate (TURP)
Traditional TURP is another method to perform a transurethral resection of the prostate. Instead of utilising one electric wire loop, bipolar TURP uses two wires with electrical currents to eliminate the enlarged prostate. Advantages to bipolar TURP include fewer complications associated with bleeding and a faster recovery time than standard TURP.
Laser Transurethral Resection of the Prostate (TURP)
Laser TURP utilises lasers to eliminate the enlarged portion of the prostate that is causing a patient's urinary problems. Laser TURP is minimally invasive and allows for a faster recovery period and fewer complications following surgery than either standard or bipolar TURP. There are also specific types of lasers that can be utilised for performing the TURP procedure.
The following steps provide an overview of the TURP procedure:
Anaesthesia: Anaesthesia is administered before to surgery in order to render the patient unconscious and lessen the impact of pain and discomfort during the procedure.
Cystoscope Insertion: A cystoscope is a flexible, thin tube with a camera that is guided into the bladder after being placed into the urethra. The purpose of this procedure is to examine the prostate and bladder.
Tissue Resection: A wire loop or laser fibre is employed in a specialist tool for tissue resection. The enlarged prostate tissue is extracted by passing this wire loop via the cystoscope.
Irrigation: To remove the removed tissue, a fluid is continually pumped into the bladder during the surgery. Giving the surgeon a clear perspective is crucial.
Removal of Resected Tissue: After the procedure is finished, the specialist tool and any bladder tissue that has been removed are removed.
Catheter Placement: To help drain the urine following surgery, a urinary catheter is placed at the conclusion of the procedure. It permits appropriate healing of the resected region.
Recuperation: Each patient's recuperation time is different, and during the treatment, they could want some assistance and care. Certain drugs are used to lower the risk of problems following surgery.
Recovery after TURP Prostate Surgery
The patient will be admitted to the hospital for 2 - 3 days and will have a urinary catheter inserted for approximately 24 - 48 hours or until the inflammation improves. The urinary catheter permits urine drainage when it might not have flowed normally due to inflammation.
A few patients may notice reddish-brown coloured urine, which can be the result of blood in the urine. This is a common occurrence and will only require intervention if the urine appears to resemble thick, dark reddish-brown ketchup.
Some patients may experience discomfort or feel the sudden urge to urinate after surgery, but they can expect their urination experiences to improve within 6 - 8 weeks.
In order to improve the speed of recovery, the medical staff may recommend that you:
In India, the price range for a prostate transurethral resection is between $650 and $1100. Because of the facilities and procedures, several hospitals may have different prices. For people with more complicated illnesses, the price may also vary.
TURP surgery can be used to treat a number of conditions, including the following:
Bleeding
TURP may cause bleeding during and/ or following the procedure. In some instances, blood transfusions may be necessary to help the patient recover.
Infection
After TURP, patients may develop urinary tract infections (UTIs), which may require medication to treat and prevent them from occurring again in the future.
Erectile Dysfunction
Sometimes, after a transurethral resection of the prostate, men develop erectile dysfunction. This doesn’t just affect sex—it can also make it harder to have children.
Retrograde Ejaculation
Another big issue after prostate surgery is retrograde ejaculation. Instead of semen coming out normally, it goes backward into the bladder during orgasm. It feels different, and for some, it’s a real concern.
Urinary Incontinence
A number of patients deal with urinary incontinence after the procedure. It’s frustrating and can seriously impact daily life.
Stricture
Scarring from the surgery can also narrow the urethra, making it harder to urinate. It’s another risk that comes with the territory.
Bladder Neck Contracture
Scar tissue can build up where the bladder meets the urethra. When that happens, it’s just harder to pee—everything slows down.
Fluid Imbalance
After surgery, some people run into trouble with their fluid levels. It’s something doctors watch for.
Residual Tissue
Sometimes, not all the prostate tissue gets removed. When that happens, those old urinary problems come back, and you might need another surgery.
Irritative Symptoms
A lot of men notice they have to pee more often or feel a sudden urge to go, especially right after the procedure.
Transurethral Syndrome
Rarely, the body absorb too much of the fluid used during surgery. This drops sodium levels in the blood, a problem called transurethral syndrome. It doesn’t happen often, but when it does, doctors treat it right away.
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