Understanding the Process of Turp Transurethral Resection of the Prostate

The prostate is a small, walnut-sized gland located just below the bladder in men. As men age, the prostate gland can enlarge, causing a condition known as benign prostatic hyperplasia (BPH). This enlargement can cause urinary symptoms such as frequent urination, weak urine flow, and difficulty emptying the bladder completely. One of the most common surgical treatments for BPH is transurethral resection of the prostate (TURP).

TURP is a minimally invasive procedure performed to relieve symptoms associated with an enlarged prostate. The goal of TURP is to remove excess prostate tissue that is pressing against the urethra, the tube responsible for transporting urine from the bladder out of the body. By removing this tissue, the urinary flow is improved, and the symptoms of BPH are alleviated.

Before the procedure begins, the patient is typically given anesthesia to ensure comfort during the process. There are two types of anesthesia commonly used for TURP: general anesthesia, where the patient is completely unconscious, or spinal anesthesia, where the patient is numb from the waist down but remains awake.

Once the anesthesia has taken effect, the surgeon inserts a specialized surgical instrument called a resectoscope through the urethra and into the prostate. The resectoscope has two channels, one for a light source and the other for a surgical tool called a resecting loop. This loop uses electrical energy to cut and remove the excess prostate tissue.

The surgeon carefully moves the resectoscope around to evenly remove the obstructing tissue, avoiding damage to the surrounding structures. The removed tissue is then flushed out through the bladder and collected for further examination to rule out the presence of any abnormal cells.

TURP generally takes about one to two hours, depending on the size of the prostate and the severity of the obstruction. After the procedure, a urinary catheter may be inserted to help drain urine from the bladder temporarily. This catheter is usually removed within a few days, once the patient can urinate effectively.

Recovery after TURP varies from patient to patient, but most individuals can expect some temporary side effects. These can include urinary urgency, increased frequency of urination, mild discomfort in the lower abdomen or urethra, and blood in the urine. However, these symptoms typically improve over time as the body heals.

It is crucial for patients to follow all post-operative instructions provided by their healthcare team. This may include taking medications to prevent infection or to manage any remaining symptoms. It is also essential to contact the doctor if there is severe pain, excessive bleeding, or any signs of infection.

TURP has been widely used for many years and has a high success rate in relieving BPH symptoms. However, as with any surgical procedure, there are risks involved. These risks may include bleeding, infection, urinary incontinence, erectile dysfunction, or retrograde ejaculation (where semen enters the bladder instead of exiting through the penis).

In conclusion, TURP is an effective surgical treatment for benign prostatic hyperplasia. The procedure aims to alleviate urinary symptoms by removing excess prostate tissue obstructing the urethra. While there are risks involved, TURP has been proven to provide long-term relief for many men suffering from BPH. If you are experiencing symptoms related to an enlarged prostate, it is essential to consult with a healthcare professional to discuss whether TURP or any other treatment options are suitable for you.