Transurethral resection
Transurethral resection of the prostate (often abbreviated as TURP) is a surgical procedure that involves the removal of a portion of the prostate gland using an instrument inserted through the urethra. The procedure is commonly used to treat benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate that can lead to urinary symptoms.
Overview[edit | edit source]
The prostate gland surrounds the urethra, the tube through which urine exits the body. When the prostate becomes enlarged, it can constrict the urethra, leading to a variety of urinary symptoms. TURP aims to relieve these symptoms by removing the obstructing tissue.
Procedure[edit | edit source]
The procedure typically involves:
- Administration of anesthesia to the patient.
- Insertion of a specialized instrument called a resectoscope through the tip of the penis into the urethra.
- Using the resectoscope, the surgeon trims away excess prostate tissue that is obstructing urine flow.
- Removal of the excised tissue fragments from the bladder.
- Placement of a catheter to allow urine to drain and to help in the healing process.
Indications[edit | edit source]
TURP is indicated for men with moderate to severe urinary symptoms attributed to BPH that have not responded to medication. Symptoms may include:
- Frequent urination, especially at night.
- Difficulty starting urination.
- Weak urine stream or dribbling.
- Sensation of incomplete bladder emptying.
- Recurrent urinary tract infections.
Risks and Complications[edit | edit source]
As with any surgical procedure, TURP has potential risks, including:
- Bleeding during or after the procedure.
- Infection of the urinary tract or surgical site.
- Retrograde ejaculation (semen flows backward into the bladder during ejaculation).
- Urethral stricture or narrowing.
- TUR syndrome (absorption of too much fluid during the procedure).
- Need for repeat surgery.
Post-operative Care[edit | edit source]
After the procedure:
- Patients are usually hospitalized for a short period for monitoring.
- A catheter remains in place to help the bladder drain until swelling reduces.
- Patients are advised to drink plenty of fluids to flush out blood and clots from the bladder.
- Regular follow-up is essential to monitor for complications and to assess symptom improvement.
Alternatives[edit | edit source]
There are several alternatives to TURP, including:
- Medications to shrink or relax the prostate.
- Laser surgery to vaporize prostate tissue.
- Prostate artery embolization.
- UroLift, a procedure to pull the prostate tissue away from the urethra.
See Also[edit | edit source]
References[edit | edit source]
- McVary, K.T., et al. "Transurethral Resection of the Prostate (TURP) for Benign Prostatic Hyperplasia". Urologic Clinics of North America, 2020, 47(3), 311-322.
- Tan, W.S., & Chapple, C.R. "Surgical Techniques: Transurethral Resection of the Prostate (TURP)". BJU International, 2019, 124(4), 582-585.
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