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What is transurethral resection of the prostate (TURP)?

TURP is the most common surgery used to treat urinary problems that are caused by prostate enlargement (BPH). A resectoscope is inserted through the tip of the penis into the urethra (the tube that carries urine from the bladder). A resectoscope helps the doctor to see and remove the portions of the prostate that is affecting the urine flow.

TURP is the most effective treatment for an enlarged prostate, with fewer complications and a quicker recovery period.

How long will the surgery take?

TURP surgeries will take around 1-2 hours and need to be monitored for several hours. a catheter is usually kept for 2-3 days after the surgery and it is removed once the bladder is completely flushed.

What are the side effects of TURP?

  • The urethra and surrounding area may get inflamed.
  • Difficulty urinating.
  • Discomfort due to the catheter.
  • Weakness or fatigue that may last for a couple of weeks.
  • The lower abdomen, penis, and urethra may become sensitive, red, and swollen for few weeks
  • Urinary incontinence

These minor side effects will disappear as the inflammation comes down.

What are the risks involved after TURP?

  • Urinary tract infections are possible after any prostate procedure. It happens when the catheter is placed for a longer time.
  • There could be a decrease in the volume of semen produced during ejaculation. Also, it may enter into the bladder rather than out of the penis. It is known as retrograde ejaculation. It is not harmful but it can interfere with the ability to father a child.
  • Erectile dysfunction may occur.

What is the preparation before surgery?

Your doctor may guide you to stop any medications that may increase the risk of bleeding, such as blood thinners, pain relievers.

What happens after the procedure?

  • Patient may notice blood in the urine post-surgery. If the bleeding is heavy and urine flow is blocked then contact the doctor immediately.
  • Patient may have some irritating urinary symptoms like pain while urinating, urge to urinate, frequency of urination.
  • Painful urination tends to reduce in 4 to 6 weeks

What care to be taken after the procedure at home?

  • Drink plenty of water
  • Consume high fibre foods to avoid constipation
  • Avoid strenuous activity
  • Avoid driving
  • Avoid any medication that may affect your tendency to bleed until the doctor allows it.