Transurethral resection of the prostate or often referred as TURP is the surgical removal of a part of prostate to treat the urinary problems caused by some prostate conditions, especially benign prostatic hyperplasia (BPH). It is considered as the most effective treatment for an enlarged prostate.
What is a prostate?
Prostate is a small gland found only in the male pelvis. It lies between the bladder and the pelvis and surrounds the urethra. In its enlarged state (referred as enlarged prostate), it puts pressure over the urethra as well as bladder to cause symptoms that affect normal urination. Although there are medications to manage the conditions but TURP is indicated if medicines fail to give relief to the patient.
Why is TURP done?
TURP is mainly indicated in males that have moderate to severe urinary problems caused by following conditions:
- Prostatitise. inflammation of prostate
- Prostate cancer
- Benign Prostatic Hyperplasia
These prostate disorders cause urinary problems like:
- Increased urine frequency
- Frequent waking in night for urination (nocturia)
- Difficulty to start urination
- Interrupted flow of urine i.e. starting, stopping and then again starting while urinating
- Slow or prolonged urination
- Weak flow of urine flow
- Straining to pass urine
- Inability to completely vacate the bladder
- Frequent urinary tract infections
- Involuntary loss of urine from the bladder (urinary incontinence)
TURP is also done to treat or prevent complications of blocked urine flow, like:
- Kidney or bladder damage
- Bladder stones
- Recurring urinary tract infections
- Inability to control urination
- Inability to urinate at all
- Blood in urine
TURP procedure is generally performed under general anesthesia. It takes almost 60 to 90 minutes to perform the procedure depending upon the extent of tissue to be removed. The procedure is performed using a special device called a resectoscope, which is a thin tube of metal that contains a camera, light, and loop of wire. This procedure does not require any incision in the body.
The surgeon inserts the resectoscope through penis and extend it into the prostate through the urethra. Now loop of wire is heated with electric current and excessive tissue from the prostate gland is trimmed into small pieces, one at a time using resectoscope and heated wire. These resected pieces are carried by the irrigating fluid into the bladder and some of them are also collected for further laboratory analysis. Irrigation is done using sterilized water to dilute blood in the urine and prevent formation of clots. After all the tissue is trimmed, resectoscope is removed cautiously and a catheter is placed into the urethra of the patient to drain out urine for next 48 hours.
Although hospital stay depends upon patient condition and complication after surgery, but in most of the cases patient is required to stay in the hospital for one to two days.
Risks associated with TURP surgery
TURP is mostly a safe procedure but as there can be some risk with every surgery, there are few risks of TURP too:
- Temporary difficulty in holding or passing urine for first few days after procedure
- Urinary tract infection
- Excessive bleeding
- Erectile dysfunction
- Dry orgasm
- Low blood sodium levels
- Retreatment if symptoms appear again
Benefits of TURP
- TURP is the best option for treatment of BPH that has grown too large
- Completely non-invasive procedure
- It facilitates immediate removal of excess tissue
- Other procedures to remove small stones in the bladder can also be done with procedure
- Overall better safety, efficiency, and success rates
- Patient is kept in the post-operative room for few hours to monitor his vitals or any signs of complications
- Catheter is kept in place for at least 24-48 hours or until the swelling declines and patient can pass urine
- There can be some blood in the urine for first few day that will subside on its own. Clots can take 10- 14 days to clear. If it worsens, patient should contact the doctor immediately
- Some urination symptoms like pain during urination, urgency or frequent need to urinate can take around 6-8 weeks to improve
- Patient should complete the antibiotic course and take other medications as prescribed by the surgeon
- Patient should drink plenty of fluids to flush bladder
- Patient should take high fiber diet to avoid constipation and straining during defecation
- Patient should wait until doctor advices him to take blood thinning medicines
- Although patient can resume daily activities within one week but strenuous activities like heavy lifting should not be done for four to six weeks
- Sexual intercourse should also be avoided for four to six weeks
- Driving is not allowed until catheter is removed and patient stops taking any prescription medication
- Patient should also avoid alcohol, smoking and coffee
Results of TURP
In most of the cases, TURP typically relieves the patient symptoms quickly and patient experiences significantly stronger flow of urine within maximum 12 weeks after the procedure. Sometimes, follow-up medication is also required to ease symptoms. But as the prostate is still there, it is quite possible that the urinary problems reoccur. However, TURP offer relief for between 7 and 15 years to most of the people.
Emergency signs after TURP
Most of the discomfort, pain and urine problems associated with TURP subside soon after the surgery. But in very rare cases, patient may experience following emergency symptoms that require immediate visit to the hospital:
- Fevers over 101.5° F
- Heavy bleeding or clots in the urine
- Absolute inability to urinate
Why MedTours Global?
- We are associated with the best hospitals globally having the emergency infrastructure, fully equipped with the latest technologies and techniques to overcome from every emergency condition.
- Our team of doctors are highly experienced in ‘Emergency Patient Management’ and work together to save the patient.
- Consultation from doctors through e-mail, phone, and video calling.
- Rehabilitation programs are organized to assist complex surgery patients.
- Complete support and assistance being given before and after treatment.
- Cost of treatment is quite less as compared to other service providers.
- We are always ready to offer our helping hand and our services are available Free of Cost 24/7.