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Transurethral resection of the prostate (TURP) is a surgery to remove part of the prostate gland.
The prostate gland is part of the male reproductive system. It makes and stores a milky fluid that forms part of semen. The prostate is below the bladder and in front of the rectum. It also wraps around a tube called the urethra. The urethra allows urine to flow out of the body.
Reasons for Procedure
A TURP is done when a man has an enlarged, noncancerous prostate. This is called benign prostatic hyperplasia (BPH) . In BPH, the prostate grows and presses against the urethra and bladder. The pressure can cause problems with the normal flow of urine. A TURP is done to improve the flow of urine.
A TURP may also be done when a man has prostate cancer. It may be done if the doctor thinks that a complete prostate removal surgery is too risky. In this case, TURP is also done to relieve urine blockage and lessen symptoms. It is not done to treat the cancer itself.
TURP syndrome, also known as TUR syndrome, occurs in about 2% of patients. It will usually occur within the first 24 hours after the procedure. Symptoms may include:
- Increase or decrease in blood pressure
- Abnormal heart rhythm
- Increased breathing rate
- Nausea or vomiting
- Blurred vision
Other complications may include:
- Urinary tract infection —most common complication
- Bleeding, which may require blood transfusion
- Incontinence —inability to control urine
- Sperm goes into the bladder rather than out the end of the penis
- If you plan on having children in the future, talk to your doctor about this surgical side effect before surgery.
- Reaction to anesthesia
Some factors that may increase the risk of complications include:
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What to Expect
Prior to Procedure
Your doctor may do the following:
- Physical exam
- Review of medications and supplements
- Blood tests, urine tests, and a urine culture
- Ultrasound —a test that uses sound waves to visualize the kidney, bladder, and/or prostate
- Urine flow studies
Leading up to your procedure:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure like:
- Anti-inflammatory drugs such as ibuprofen
- Blood thinners
- Anti-platelet medications
- The night before, eat a light dinner. Do not eat or drink anything after midnight.
Description of Procedure
A special scope that looks like a thin tube with a light on the end will be used. The scope will be passed through the hole at the tip of the penis where urine comes out and passed into the bladder. The bladder will then be filled with a solution. The solution will let the doctor see the inside of your body better.
The prostate gland is examined through the scope. A small surgical tool will be inserted through the scope. This tool will be used to remove a part of the enlarged prostate.
A catheter will be placed in the bladder. Urine will flow out the catheter to give the area time to heal. Your catheter may also be used to flush the bladder and to remove blood clots.
Immediately After Procedure
Removed tissue will be sent to a lab for testing.
How Long Will It Take?
About 60-90 minutes
Will It Hurt?
For several days after the surgery, you may feel some pain. The catheter may also cause some discomfort. Talk to your doctor about medication to help you manage pain.
Average Hospital Stay
An overnight stay is typically planned for a TURP. In some cases, the stay can be up to 2 days.