Transurethral Resection of the Prostate (TURP)

Overview

Prostate enlargement is a medical term that refers to an abnormally enlarged prostate. This is a disorder that largely affects your ability to urinate. The prostate is a tiny gland situated in the pelvis in the centre of the penis and bladder. Once the prostate begins to enlarge, it increases pressure on the bladder and urethra, a long tube through which urine travels.

Why do you perform TURP?

TURP is carried out to alleviate symptoms that arise from benign prostate hyperplasia, such as:

  • Increased urge to urinate
  • Trouble initiating a urinary stream
  • Slow or long urination
  • More frequent visits to the bathroom in the evening
  • Stopping and starting urination
  • The feeling as if you have not emptied the bladder completely
  • Recurrent urinary tract infections (UTIs)

How do you perform TURP?

The resectoscope is gently guided through the penis tip and navigated through the urethra and region of the prostate. In this case, the surgeon doesn’t necessarily need to create any incisions on the exterior of the body. Therefore, tissue may be trimmed from the inside of the prostate gland. This is performed one specific fragment at a time in order to ensure all the tiny pieces of tissue are removed from the inside.

Following the procedure, you may need to stay in the hospital for a day or two. During this time, a urinary catheter is inserted to manage the swelling that may obstruct urine flow. Please be reassured that this is a temporary measure. The catheter will be removed as soon as the swelling subsides, and you can urinate without assistance.

You may experience the following effects directly after the procedure:

  • Spots of blood in the urine: It’s quite common to develop traces of blood in the urine soon after the procedure. Call your doctor immediately if you notice any unusual textures of the blood (thickened blood).
  • Pain while urinating, which may take several weeks to subside.

FAQ

1Are there any risks?

Like with any surgical procedure, possible risks include:

  • Trouble urinating
  • Infection of the urinary tract
  • Erectile dysfunction
2How long is TURP expected to last?
The entire TURP procedure can take anywhere between sixty to ninety minutes. However, this duration may vary depending on the complexity of your case and other factors. Your surgeon will provide you with a more accurate estimate based on your specific situation.

FREQUENTLY ASKED QUESTIONS

What are considered concerning urological symptoms?

  • A weak urinary stream
  • Signs of bladder stones
  • Difficulty urinating
  • Pain