Transurethral resection of the prostate (TURP) is a surgical procedure used to address urinary issues caused by an enlarged prostate.
A resectoscope is placed via the tip of your penis and into the tube that transports urine from your bladder (urethra). The resectoscope allows your doctor to see and remove extra prostate tissue that is obstructing urine flow.
TURP is commonly used for men who have moderate to severe urinary issues that have not responded to treatment. While TURP has long been seen to be the most successful therapy for an enlarged prostate, a number of alternatives, less invasive treatments are gaining popularity. These operations are less prone to problems and have a shorter recovery period than TURP.
TURP helps reduce urinary symptoms caused by benign prostatic hyperplasia (BPH), including:
TURP might also be done to treat or prevent complications due to blocked urine flow, such as:
Risks of TURP can include:
Several days before surgery, your doctor might recommend that you stop taking medications that increase your risk of bleeding, including:
Your doctor may prescribe an antibiotic to prevent urinary tract infection.
Arrange transportation because you won't be able to drive yourself home after the procedure that day or generally if you have a catheter in your bladder.
You might not be able to work or do strenuous activity for up to six weeks after surgery. Ask your doctor how much recovery time you might need.
The TURP procedure takes about 60 to 90 minutes to perform. Before surgery you'll be given either general anesthesia which means you'll be unconscious during the procedure or spinal anesthesia, which means you'll remain conscious. You might also be given a dose of antibiotics to prevent infection.
The resectoscope is inserted into the tip of your penis and extended through your urethra and into the prostate area. Your doctor won't need to make any cuts (incisions) on the outside of your body.
Your doctor will use the resectoscope to trim tissue from the inside of your prostate gland, one small piece at a time. As small pieces of tissue are cut from inside your prostate, irrigating fluid carries them into your bladder. They're removed at the end of the operation.
You'll likely stay in the hospital for one to two days.
You'll have a urinary catheter in place because of swelling that blocks urine flow. The catheter is generally left in place for at least 24 to 48 hours until swelling decreases and you're able to urinate on your own.
You might also notice:
Your doctor is likely to recommend that you:
Contact your doctor if you:
TURP typically relieves symptoms quickly. Most men experience a significantly stronger urine flow within a few days. Follow-up treatment to ease symptoms is sometimes needed, particularly after several years have passed.