Transurethral resection of the prostate (TURP) is a surgical procedure to treat moderate to severe symptoms of benign prostatic hyperplasia (BPH). BPH is also known as the enlargement of the prostate.
How it works
During TURP, the surgeon inserts a resectoscope (a visual and surgical instrument) into the urethra. The resectoscope allows your surgeon to see and scrape away excess prostate tissue that is blocking urine flow. After the procedure, your urine flow from the bladder will return to normal.
Bipolar TURP vs laser prostatectomy
TURP and laser prostatectomy are similar procedures for treating BPH. The two differ in that laser prostatectomy:
Does not yield any tissue samples for further examination
Does not require the stoppage of blood thinners.
Why do you need a TURP?
TURP is an effective surgical procedure that reduces urinary symptoms associated with an enlarged prostate, such as:
Frequent urge to urinate
Feeling of incomplete urination
Slow or long duration of urination
Difficulty when trying to start urination
Disrupted flow while urinating
Increased urination at night
Your doctor may recommend TURP if your urinary symptoms are moderate to severe and medications fail to ease your symptoms.
TURP can also treat complications due to an inability to completely empty your bladder, such as:
TURP is a minimally invasive procedure, which does not require any incisions on the outside of your body.
The TURP surgery takes about 60 – 90 minutes.
Before the procedure
You will be given general anaesthesia or spinal anaesthesia. If you are given spinal anaesthesia, you will remain conscious during the procedure but will not feel any pain.
During the procedure
Your surgeon will insert a resectoscope into the tip of your penis, through the urethra and into the prostate area.
Your surgeon will use the resectoscope to cut tissue from the inside of your prostate gland, one small piece at a time. Irrigating fluid will carry these cut pieces into your bladder, where they will be removed at the end of the surgery.
After the procedure
After the procedure, your surgeon will remove the resectoscope and cut tissue, and insert a urinary catheter into your penis. The catheter will allow your urine to drain out, as swelling from the surgery is likely to block urine flow temporarily.
You may need to use the catheter for up to 48 hours until the swelling has decreased and you are able to urinate on your own. During this time, you will stay in the hospital to recuperate. You may also experience:
Blood in your urine. This is normal, unless bleeding worsens, thickens or blocks urine flow.
Painful or frequent urination, or an increased sense of urgency to urinate.
Care and recovery after a TURP
You may take 6 – 8 weeks to recover after a TURP procedure. To help you recover faster, your doctor may recommend:
Drinking more water to flush out the bladder.
Eating high-fibre foods to avoid constipation and straining during bowel movements.
Not taking blood-thinning medications until your doctor advises otherwise.
Avoiding strenuous activities, such as heavy lifting.
Avoiding driving until you stop taking prescription pain medications.
Contact your doctor if you notice any of these symptoms:
At Parkway East Hospital, our urology doctors are trained to treat a variety of urological conditions such as an enlarged prostate, erectile dysfunction, kidney and prostate problems as well as urinary and bladder dysfunction.
You can expect professional support from diagnosis to recovery with a treatment plan tailored to your lifestyle and condition.