TURP (Transurethral Resection of the Prostate)

TURP, or Transurethral Resection of the Prostate, is a surgical procedure used to treat urinary problems caused by an enlarged prostate. The prostate gland is a small, walnut-sized gland in men that surrounds the urethra, which carries urine from the bladder out of the body.

Why is TURP Performed?

TURP is performed to relieve symptoms of benign prostatic hyperplasia (BPH), also known as an enlarged prostate. These symptoms may include:

• Frequent or painful urination
• Difficulty starting or stopping the flow of urine
• Weakened urine flow
• Increased risk of urinary tract infections (UTIs)
• Bladder stones
• Blood in the urine

How is TURP Performed?

TURP is typically performed under general anesthesia or spinal anesthesia. The procedure involves:

1. A cystoscope, a thin tube with a camera and light on the end, is inserted through the urethra into the bladder.
2. The surgeon uses the cystoscope to visualize the prostate gland and identify the areas that need to be removed.
3. A special instrument called a resectoscope is used to cut away the excess prostate tissue.
4. The removed tissue is then flushed out of the bladder with a saline solution.

Risks and Complications of TURP

As with any surgical procedure, there are risks and complications associated with TURP. These may include:

• Bleeding or hemorrhage
• Infection
• Urinary incontinence
• Erectile dysfunction
• Retrograde ejaculation (dry orgasm)
• TURP syndrome, a rare but potentially life-threatening condition caused by absorption of the saline solution used during the procedure.

Recovery After TURP

After TURP, patients typically spend one to two days in the hospital. The recovery process may involve:

• A urinary catheter to drain urine from the bladder for several days after surgery.
• Pain medication to manage discomfort or pain.
• Antibiotics to prevent infection.
• Avoiding heavy lifting, bending, or strenuous activities for several weeks.

Long-term Results of TURP

TURP is generally an effective procedure for relieving symptoms of BPH. Most men experience significant improvement in their urinary symptoms after surgery. However, it's essential to note that:

• TURP may not completely eliminate all symptoms.
• Some men may experience a recurrence of symptoms over time.
• Additional treatments or procedures may be necessary to manage ongoing symptoms.

Alternatives to TURP

There are several alternative treatments and procedures available for managing BPH symptoms, including:

• Medications, such as alpha-blockers and 5-alpha-reductase inhibitors.
• Minimally invasive procedures, such as laser therapy or microwave therapy.
• Open prostatectomy, a more extensive surgical procedure.

Conclusion

TURP is a common and effective surgical procedure for treating urinary problems caused by an enlarged prostate. While it's generally safe and well-tolerated, it's essential to discuss the potential risks and benefits with a healthcare provider to determine if TURP is the best treatment option for individual needs.