Transurethral Resection of the Prostate
During TURP – transurethral resection of the prostate , an instrument is inserted up the urethra to remove the section of the prostate that is blocking urine flow. It is done using a general or spinal anesthetic. Following surgery, a catheter is used to remove urine and blood or blood clots in the bladder that may result from the procedure. When the urine is free of significant bleeding or blood clots, the catheter can be removed and you can go home.
Operative time & hospitalization:
The hospital stay after TURP is commonly 1 to 2 days.
To whom this procedure is required
Doctor will recommend TURP if symptoms caused by benign prostatic hyperplasia (BPH) have not improved in response to home treatment and medicines.
Complications after TURP:
- Strenuous activity, constipation, and sexual activity should be avoided for about 3 to 5 weeks.
- Symptoms such as frequent urination will continue for a while because of irritation and inflammation caused by the surgery. But they should ease during the first 4-5 weeks.
- The risks of transurethral resection of the prostate (TURP) include problems with sexual performance like Ejaculation into the bladder (retrograde ejaculation) is very common but it will not affect sexual activity.
- Another problem is Loss of ability to control urine flow (incontinence) but thr percentage of this occurrence is very negligible like 1 out of 100, and problems from surgery.
WHY HOLEP IS BETTER THAN TURP:
- About 7-8 out of 100 men have severe bleeding and need a blood transfusion.
- If person is taking anti platelets medicine e.g. Warfarin, Aspirin than for some period of time patient will ask to stop the medication
- Transurethral resection (TUR) syndrome occurs in about 3 out of 100 men who have TURP.This syndrome occurs when the body absorbs too much of the fluid used to wash the area around the prostate while prostate tissue is being removed. The symptoms of TUR syndrome include mental confusion, nausea, vomiting, high blood pressure, decreased heartbeat, and visual disturbances. TUR syndrome is temporary (usually lasting only the first 6 hours after surgery) and is treated with medicine that removes excess water from the body (diuretic).