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Transurethral Resection of the Prostate (TURP) is a surgical procedure used to treat enlarged prostate.

During the procedure, a resectoscope is inserted into the tube carrying urine from the bladder (urethra). Through this the doctor can see and remove extra prostate tissue obstructing urine flow with the aid of a resectoscope.

The ideal candidate for TURP procedure are men with moderate to severe obstructive urinary symptoms who have not found Improvement on medical therapy.

The Goal of Transurethral Resection of the Prostate

To improve  the following benign prostatic hyperplasia (BPH) urine symptoms:

  • Frequent and pressing urge to urinate
  • Difficulty beginning to urinate
  • Taking a lengthy time to urinate
  • Increased frequency of urinating during nighttime
  • Decrease the frequency of Infections of the urinary tract

Preparation for TURP Procedure

A few days prior to the surgery, the doctor may recommend that the patient stops taking medications that increase the risk of bleeding (blood thinner medication).

The TURP Procedure

The Transurethral Resection of the Prostate procedure is performed under general anesthesia or spinal anesthesia and takes about 60 to 90 minutes.

The doctor inserts the resectoscope into the tip of the patient’s penis and extends it through the urethra and to the prostate area, which means there will be no incisions made on the outside of the patient’s body.

One tiny piece of tissue at a time will be removed from the inside of the prostate gland using the resectoscope. Irrigating fluid transports the small tissues that have been removed from the prostate into the bladder.

What to Expect After TURP Procedure

After the Transurethral Resection of the Prostate, the patient is likely to stay in the hospital for one to two days.

A urinary catheter will be placed because of swelling that might block urine flow, which is left in place for at least 24 to 48 hours. When swelling minimizes and the patient can urinate on his own, the catheter is removed.

After the procedure the following might be recommend:

  • Drinking plenty of water to flush out the bladder
  • The patient is to eat high-fiber foods. This will help avoid constipation and straining during a bowel movement.
  • The patient should avoid strenuous activities such as heavy lifting for about 6 weeks.
  • The patient should not drive until the catheter is removed

Risks of Transurethral Resection of the Prostate

Some of the possible risks that may occur as a result of Transurethral Resection of the Prostate include:

  • Temporary difficulty in urinating
  • Urinary tract infection
  • Transient Erectile dysfunction
  • Heavy bleeding
  • Difficulty holding urine
  • Low sodium in the blood
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