What is TURP?
Transurethral Resection of the Prostate (TURP) is a surgical procedure used to treat Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate. BPH is a non-cancerous enlargement of the prostate gland, which can cause urinary problems by obstructing the flow of urine. TURP is considered the gold standard for managing moderate to severe BPH symptoms and offers lasting relief by removing part of the enlarged prostate tissue.
Who Needs TURP?
TURP is typically recommended for men who experience:
- Difficulty starting urination or a weak urine stream.
- Frequent or urgent need to urinate, especially at night (nocturia).
- Incomplete bladder emptying, leading to frequent trips to the bathroom.
- Bladder stones or recurrent urinary tract infections due to BPH.
- Acute urinary retention (inability to urinate) requiring a catheter.
- Failure to respond to medications for BPH or those who prefer a more permanent solution.
How is TURP Performed?
1. Preparation:
The patient is placed under general or spinal anesthesia to ensure comfort.
2. Procedure:
A resectoscope, a thin tube with a camera and a cutting tool, is inserted into the urethra. The urologist uses this instrument to trim away the overgrown prostate tissue, clearing the obstruction.
3. Completion:
The removed tissue is flushed out, and a catheter is placed in the bladder to help drain urine while the area heals.
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How Long Does TURP Take?
The procedure generally lasts about 60 to 90 minutes, depending on the extent of the prostate enlargement. Patients typically stay in the hospital for one to two days after the surgery.
Benefits of TURP
Significant Symptom Relief:
Most patients experience immediate improvement in urinary flow and overall bladder function.
Minimal Scarring:
Since there are no external incisions, there is little to no visible scarring.
Permanent Solution:
Unlike medications, TURP provides a long-lasting solution to BPH symptoms.
Quick Recovery:
Though patients may experience some initial discomfort, the recovery time is generally short.
What to Expect from Your Urologist
Before the procedure, your urologist will assess your condition using tests like a digital rectal exam, Uroflowmetry, ultrasound, or cystoscopy. After the procedure, expect a few days of mild discomfort and possible blood in the urine. Most patients can resume normal activities within two weeks, though strenuous activities should be avoided for a few weeks longer.
TURP is an effective treatment option for men suffering from BPH, offering significant symptom relief and improving quality of life. Consult your urologist to see if TURP is right for you.
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