TURP

Transurethral resection of the prostate (TURP) is a type of prostate surgery used primarily to treat urinary problems caused by an enlarged prostate. The procedure is considered the most effective treatment for an enlarged prostate and is also used to treat prostate cancer.

Procedure

The TURP procedure involves the removal of prostate tissue using a resectoscope inserted through the urethra. The resectoscope, a thin, tube-like instrument with a light, lens, and a cutting tool, is used to remove tissue from the prostate. The procedure is performed under general anesthesia or spinal anesthesia.

Indications

TURP is indicated for men with benign prostatic hyperplasia (BPH) who have symptoms that have not improved with medication. Symptoms may include frequent urination, difficulty starting and stopping urination, and inability to completely empty the bladder. TURP may also be used to treat urinary problems caused by conditions such as prostate cancer or prostatitis.

Risks and Complications

Like all surgeries, TURP carries some risks. These may include bleeding, infection, urinary incontinence, and erectile dysfunction. A rare but serious risk is TURP syndrome, a potentially life-threatening condition caused by the absorption of too much of the fluid used to wash the surgical area.

Recovery

Recovery from TURP surgery typically involves a hospital stay of 1 to 2 days. A catheter is usually left in place for several days to help urine flow. Most men can return to their normal activities within a few weeks.

See Also

• Prostatectomy
• Prostate cancer
• Benign prostatic hyperplasia
• Urinary incontinence
• Erectile dysfunction

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