TURP: Understanding Transurethral Resection of the Prostate

 TURP: Understanding Transurethral Resection of the Prostate 

Introduction 

TURP, or Transurethral Resection of the Prostate, is a surgical procedure commonly used to treat urinary symptoms caused by an enlarged prostate gland, a condition known as benign prostatic hyperplasia (BPH). This procedure involves the removal of excess prostate tissue that is obstructing the urethra and causing urinary difficulties. In this article, we will delve into the details of TURP, including its indications, the procedure itself, the recovery process, and the positive impact it can have on relieving urinary symptoms. 

Understanding TURP 

Transurethral Resection of the Prostate (TURP) is a surgical procedure performed to alleviate urinary symptoms caused by an enlarged prostate. The prostate gland, located below the bladder, surrounds the urethra, the tube that carries urine from the bladder out of the body. As the prostate gland enlarges, it can constrict the urethra, leading to urinary difficulties such as frequent urination, weak urine flow, and incomplete bladder emptying. TURP aims to remove the excess prostate tissue, relieving the obstruction and improving urinary function. 

Indications for TURP 

Moderate to Severe Urinary Symptoms: If an individual experiences bothersome urinary symptoms due to an enlarged prostate gland that significantly impact their quality of life, TURP may be considered as a treatment option. 

Urinary Retention: When the enlarged prostate gland obstructs the urethra to the extent that it causes urinary retention (inability to empty the bladder completely), TURP can be performed to relieve the obstruction and restore normal urine flow. 

Recurrent Urinary Tract Infections: In some cases, an enlarged prostate can lead to recurrent urinary tract infections. If conservative measures fail to prevent these infections, TURP may be recommended to alleviate the obstruction and reduce the risk of infections. 

The TURP Procedure 

Anesthesia: TURP is typically performed under general anesthesia, ensuring that the patient remains comfortable and pain-free throughout the procedure. 

Insertion of Resectoscope: A resectoscope, a thin tube with a light source and surgical instruments, is inserted through the urethra and into the prostate gland. The resectoscope allows the surgeon to visualize the prostate gland and perform the resection. 

Removal of Prostate Tissue: Using the resectoscope, the surgeon carefully removes the excess prostate tissue that is causing the obstruction. The tissue is then flushed out or collected for further examination. 

Hemostasis: After removing the excess tissue, the surgeon ensures proper hemostasis (control of bleeding) by cauterizing any bleeding blood vessels. 

Catheter Placement: A urinary catheter is inserted into the bladder to facilitate urine drainage during the initial healing phase. 

Recovery Process after TURP 

Hospital Stay: The length of the hospital stay can vary depending on individual factors and the surgeon's recommendation. Typically, it ranges from one to three days. 

Catheterization: The urinary catheter may remain in place for a few days to allow the urethra and bladder to heal. The healthcare team will provide instructions on catheter care and removal. 

Recovery at Home: Once discharged, the patient will continue to recover at home. It is important to follow the surgeon's instructions regarding rest, physical activity, medication, and self-care. 

Conclusion 

TURP is an effective surgical procedure that offers relief from urinary symptoms caused by an enlarged prostate gland. By removing the excess prostate tissue, TURP can significantly improve urinary function and enhance the quality of life for individuals affected by BPH. If you are experiencing bothersome urinary symptoms, consult with a qualified urologist who can assess your condition and discuss the best treatment options for you. 

What is TURP? 

TURP stands for Transurethral Resection of the Prostate, a surgical procedure for treating BPH. 

Who is a candidate for TURP surgery?  

Individuals with BPH who experience bothersome urinary symptoms may be candidates for TURP surgery. 

What are the benefits of TURP?  

TURP surgery can alleviate urinary symptoms, improve urine flow, and enhance quality of life for individuals with BPH. 

Is TURP a major surgery? 

 TURP is considered a minimally invasive surgery performed through the urethra, requiring no external incisions.