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What is Transurethral Resection of the Prostate (TURP)?

Introduction to TURP

Transurethral Resection of the Prostate (TURP) is a common surgery for men with prostate problems. Doctors use TURP to treat symptoms caused by an enlarged prostate. This condition is called benign prostatic hyperplasia (BPH). Many men experience BPH as they get older. TURP helps improve urine flow and reduces discomfort. In the USA and worldwide, TURP is a standard treatment for BPH.

Why is TURP Performed?

Doctors recommend TURP when the prostate becomes too large and blocks urine flow. Because the prostate sits below the bladder, it can press against the urethra. This makes it hard to pass urine. TURP is not for prostate cancer. Instead, it is for non-cancerous growths. The main goal is to relieve symptoms and improve quality of life.

Symptoms and Conditions Leading to TURP

Many men with BPH notice changes in how they urinate. For example, you may:

  • Have trouble starting to urinate
  • Feel a weak urine stream
  • Need to urinate often, especially at night
  • Feel like your bladder is never empty
  • Experience sudden urges to urinate
  • Notice dribbling after urination

    • Sometimes, BPH can cause infections or bladder stones. In rare cases, it may lead to kidney problems. If medicines do not help, doctors may suggest the TURP procedure.

    Step-by-Step: The TURP Procedure

    Before surgery, you will meet your doctor to discuss the plan. Here is what usually happens during a TURP:

  • You receive anesthesia to keep you comfortable.
  • The doctor inserts a thin tube (resectoscope) through the tip of your penis into the urethra.
  • This tube has a camera and a small cutting tool.
  • The doctor removes small pieces of prostate tissue that block urine flow.
  • Removed tissue is flushed out with fluid.
  • A catheter (soft tube) is placed to help drain urine after surgery.

    • The TURP procedure usually takes about one hour. Most patients stay in the hospital for one to two days.

    Preparing for TURP

    Proper preparation helps ensure a safe surgery. Your doctor will give you instructions, but you may need to:

  • Stop certain medicines, such as blood thinners
  • Have blood and urine tests
  • Arrange for someone to drive you home
  • Follow fasting rules before surgery

    • Always tell your doctor about your health history and any allergies.

    Risks and Possible Complications

    Like all surgeries, TURP has some risks. However, most people recover well. Possible risks include:

  • Bleeding during or after surgery
  • Infection in the bladder or urinary tract
  • Temporary difficulty urinating
  • Retrograde ejaculation (semen goes into the bladder)
  • Rarely, injury to the urethra or bladder

    • According to the CDC and medical journals, serious problems are uncommon. Still, it is important to know the signs of infection or heavy bleeding.

    Benefits of TURP

    TURP offers many benefits for men with BPH. For instance, you may notice:

  • Stronger urine flow
  • Less need to urinate at night
  • Relief from discomfort or pain
  • Lower risk of bladder infections

    • Most men feel much better within a few weeks after the TURP procedure.

    Recovery After TURP

    After TURP, you will spend a short time in the hospital. The catheter stays in place for one to three days. Once it is removed, you may notice some blood in your urine. This is normal and should improve soon. At home, you should:

  • Drink plenty of water
  • Avoid heavy lifting for a few weeks
  • Rest and take short walks
  • Follow your doctor’s advice about medicines

    • If you have fever, severe pain, or trouble urinating, call your doctor right away.

    Aftercare and Lifestyle Guidance

    Good aftercare helps you heal faster. For example, you should:

  • Eat a healthy diet with fruits and vegetables
  • Limit caffeine and alcohol
  • Avoid straining during bowel movements
  • Return to normal activities slowly

    • Most men can return to work in two to four weeks. Sexual activity can usually resume after four to six weeks, but always check with your doctor first.

    Prevention Tips

    While you cannot always prevent BPH, some healthy habits may help. For instance:

  • Stay active and exercise regularly
  • Maintain a healthy weight
  • Limit caffeine and alcohol
  • See your doctor for regular check-ups

    • Early treatment of urinary symptoms can prevent complications.

    Conclusion

    In summary, Transurethral Resection of the Prostate (TURP) is a safe and effective treatment for men with BPH. It can greatly improve your quality of life. However, every patient is different. Consult a urologist at Dr. Narendra Basarge for personalized advice about TURP.