What is the Transurethral Resection of the Prostate (TURP) Procedure?
Transurethral Resection of the Prostate (TURP) is a minimally invasive surgical procedure used to treat BPH. The procedure involves removing the inner portion of the prostate that is obstructing the urethra, improving urine flow and relieving symptoms like frequent urination, weak stream, and difficulty starting urination. TURP is performed using a special instrument called a resectoscope, which is inserted into the urethra through the penis, eliminating the need for external incisions.
TURP surgery is typically recommended when medications or lifestyle changes fail to relieve symptoms of BPH. The procedure can be performed under general or spinal anesthesia and typically requires a hospital stay of 1-2 days.
Which Conditions can be Treated with the TURP Procedure?
Transurethral Resection of the Prostate (TURP) is primarily used to treat conditions related to an enlarged prostate, but it can also be effective for other urological issues. Here are the key conditions that can be treated with TURP:
Benign Prostatic Hyperplasia (BPH)
BPH is a non-cancerous enlargement of the prostate gland, common in older men. TURP helps in relieving symptoms such as frequent urination, weak urine stream, difficulty starting/stopping urination, nocturia (night-time urination), and a feeling of incomplete bladder emptying.
The procedure removes excess prostate tissue causing the blockage, relieving symptoms and improving urine flow.
Prostate Cancer (Palliative Relief)
While TURP is not a curative treatment for prostate cancer, it can help relieve urinary symptoms caused by advanced prostate cancer. TURP helps in relieving symptoms of urinary obstruction, retention, or difficulty urinating due to tumor growth pressing on the urethra.
It provides symptomatic relief in cases where cancer has spread and other treatments are not effective.
Prostatic Hyperplasia with Urinary Retention
Prostatic hyperplasia with urinary retention refers to the severe bladder outlet obstruction due to an enlarged prostate, causing an inability to urinate. Patients with acute urinary retention often experience the inability to pass urine despite strong urges, bladder distension, and severe discomfort.
TURP procedure helps patients relieve the obstruction, allowing normal urination and preventing bladder damage.
Prostate Stones (Benign Prostatic Calculi)
Prostate Stones are hard mineral deposits that can form in the prostate gland. Patients with prostate stones often experience painful urination, frequent UTIs, blood in urine, and urinary retention.
Transurethral Resection of the Prostate (TURP) helps remove the stones along with the obstructing prostate tissue.
Bladder Outlet Obstruction (BOO) Due to Prostatic Enlargement
This condition refers to the blockage at the bladder neck or urethra caused by an enlarged prostate, which causes difficulty urinating, weak stream, straining to urinate, and incomplete bladder emptying.
Patients who undergo TURP often experience relief from the obstruction, improving bladder function.
Recurrent Urinary Tract Infections (UTIs) Due to Prostatic Obstruction
UTIs that recur due to poor bladder emptying caused by prostate enlargement. Symptoms include painful urination, cloudy urine, frequent urination, and fever. TURP helps remove the obstruction, which eventually reduces the frequency of UTIs.
When to Consult the Doctor for TURP Procedure?
Get in touch with a urologist if you are experiencing persistent symptoms of BPH or if the symptoms get worse even after OTC medications or home remedies. BPH symptoms may include:
Frequent Urination (Nocturia)
One of the most common symptoms of BPH is frequent urination, especially at night, a condition known as nocturia. This occurs because the enlarged prostate puts pressure on the bladder, causing it to fill up more quickly and trigger the urge to urinate more often. Men with BPH may find themselves waking up multiple times during the night to go to the bathroom, which can significantly disrupt sleep and affect overall quality of life.
Weak or Interrupted Urine Stream
Another common symptom is a weak or interrupted urine stream. As the prostate enlarges, it can partially block the urethra, making it difficult for urine to flow freely. This results in a weak, slow stream of urine or the flow may start and stop intermittently. This obstruction can make it frustrating and time-consuming to urinate, as the individual may have to wait longer for the stream to resume or try to force the urine out.
Difficulty Starting Urination (Hesitancy)
Hesitancy, or difficulty starting urination, is a symptom that many men with BPH experience. When trying to urinate, they may feel a delay before the urine starts flowing, even though they have the urge to go. This happens because the enlarged prostate puts pressure on the urethra, making it harder for the bladder to initiate the urination process. In some cases, a man may have to strain or push before urination begins, which can be both uncomfortable and frustrating.
Incomplete Bladder Emptying
A feeling of incomplete bladder emptying is common in men with BPH. After urination, they may still feel as though their bladder has not fully emptied, leading to the urge to urinate again shortly after. This can be caused by the obstruction of the urethra, preventing the bladder from fully expelling urine. This sensation can lead to frequent bathroom trips and discomfort, as the bladder doesn’t empty completely during each visit.
The urgency to urinate is another symptom often associated with BPH. This involves a sudden, intense urge to urinate, which can come quickly and leave little time to reach the bathroom. Sometimes, the urgency can result in urinary incontinence, where the person may leak urine before reaching a toilet. This symptom is caused by the pressure the enlarged prostate places on the bladder, causing it to send signals that the bladder is full even when it may not be.
Dribbling After Urination
Some men with BPH experience dribbling after urination, where a small amount of urine leaks out after they believe they’ve finished. This occurs because the urethra is still partially compressed by the enlarged prostate, preventing the bladder from fully emptying. This after-dribble can be inconvenient and frustrating, and it may lead to the need for additional hygiene measures, such as wearing protective pads.
Pain or Discomfort During Urination
In some cases, men with BPH may experience mild pain or discomfort during urination. This may manifest as a burning sensation or a feeling of pressure while urinating. While this is not always a common symptom, it can occur when the enlarged prostate irritates the urethra or bladder. Persistent pain may also indicate another underlying issue, such as an infection, and should be discussed with a doctor.
Blood in Urine (Hematuria)
Though less common, blood in the urine (hematuria) can sometimes occur in men with BPH. The enlargement of the prostate may cause small blood vessels to rupture, leading to blood in the urine. Hematuria can also result from other conditions, such as urinary tract infections (UTIs) or kidney stones, so it’s essential to have it evaluated by a doctor to rule out other causes.
How to Prepare for Transurethral Resection of the Prostate (TURP)?
Before undergoing TURP, your doctor will provide specific instructions to help prepare you for the procedure. Preparation may include:
These may include blood tests, a physical exam, and a urine test to ensure you're in good health for surgery.
The urologist may ask you to stop taking certain medications, especially blood thinners or anti-inflammatory drugs, to reduce the risk of bleeding.
Typically, you will be required to fast for at least 8-12 hours before the surgery.
The surgical team will discuss anesthesia options (general or spinal) and any pre-operative medications you may need.
Arranging for Post-Surgery Care
Since you’ll likely need a short hospital stay, you may need to arrange transportation and care at home post-surgery.
What Happens During TURP/How is TURP Performed?
Transurethral Resection of the Prostate (TURP) is a minimally invasive surgical procedure designed to relieve symptoms caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Here’s a step-by-step guide on what happens during the procedure:
The patient is given either general or local anesthesia, which puts you to sleep, or spinal anesthesia, which numbs the lower part of your body.
The surgeon inserts a thin tube with a light and camera (the resectoscope) through the urethra to the prostate without the need for any external incisions.
The surgeon removes the excess prostate tissue blocking the urethra using the resectoscope. The tissue is cut away in small pieces and flushed out with a sterile solution.
The surgeon may use heat or electricity to cauterize any bleeding blood vessels, minimizing bleeding during the surgery.
Once the prostate tissue is removed, the resectoscope is carefully withdrawn, and a catheter is inserted to help drain urine and prevent clot formation. The catheter typically stays in place for 1-2 days after surgery.
What to Expect After the Transurethral Resection of the Prostate (TURP) Procedure?
After the TURP procedure, the patient is monitored in a recovery room for a few hours, where the doctor checks the vitals and evaluates any risk of complications. The patient may experience the following after the TURP procedure:
Some pain or discomfort is normal. You may be given pain relief medications.
A catheter remains in the bladder to help drain urine. This is typically removed within 1-2 days.
Some blood in the urine is normal for a few days after surgery.
The patient may urinate more frequently in the first few weeks.
Many men experience retrograde ejaculation, where semen enters the bladder instead of exiting through the penis. This is usually temporary.
The initial recovery period usually takes about 4-6 weeks. However, the patient is advised to avoid heavy lifting, strenuous exercise, or sexual activity during this time.
What are the Advantages of Transurethral Resection of the Prostate (TURP)?
TURP offers several advantages, particularly for those with moderate to severe BPH symptoms that haven’t responded to other treatments:
TURP is highly effective in alleviating urinary symptoms caused by BPH, such as difficulty urinating, weak stream, and frequent nighttime urination.
Since the procedure doesn’t require an incision, the risk of infection and scarring is reduced compared to traditional surgery.
Most men can return to normal activities within 4-6 weeks, with many reporting an improved quality of life post-surgery.
TURP provides long-lasting relief for BPH symptoms. Many men experience improvement for years after the procedure.
While hospital stays may vary, TURP is often performed as an outpatient procedure or with a short hospital stay of 1-2 days.
Artemis Hospitals Offer Advanced TURP Procedure By Top Urologist in Gurgaon
Artemis Hospitals offers exceptional care for patients undergoing Transurethral Resection of the Prostate (TURP), ensuring a safe, comfortable, and effective treatment experience. Choose Artemis Hospitals for TURP surgery due to the following reasons:
Artemis Hospitals is staffed with highly qualified urologists and surgical specialists with extensive experience in performing TURP surgeries, ensuring optimal results and care.
State-of-the-Art Facilities
The hospital is equipped with the latest technology and advanced surgical instruments, providing cutting-edge treatment options and ensuring the best outcomes for patients.
From diagnosis to post-surgery recovery, Artemis offers a holistic approach to TURP surgery, providing personalized care and support every step of the way.
Minimally Invasive Techniques
Artemis Hospitals specializes in minimally invasive TURP procedures, which help reduce recovery time, minimize complications, and improve patient comfort.
Patient-Centered Approach
The hospital focuses on patient education, ensuring you understand every aspect of the surgery, from preparation to recovery, and addressing all your concerns and needs.
Expert Post-Operative Care
Artemis ensures thorough post-operative care, with a focus on fast recovery, managing any discomfort, and monitoring for potential complications.
To book an appointment with the top urologists for Transurethral Resection of the Prostate at Artemis Hospitals, call our customer care at +91-124-451-1111 or WhatsApp us at +91 9599285476. You can also schedule an appointment through our online patient portal or download and register on the Artemis Personal Health Record mobile app, available for both iOS and Android devices.
Article By Dr. Ankit Goel
Consultant - Robotic Surgery & Urology
Artemis Hospitals
Frequently Asked Questions:
What is TURP syndrome?
TURP syndrome refers to a rare but serious complication that occurs when large amounts of the irrigation fluid used during surgery are absorbed into the bloodstream. It can lead to symptoms like nausea, vomiting, confusion, and high blood pressure.
How long does the TURP procedure take?
The TURP procedure typically takes between 60 to 90 minutes, depending on the size of the prostate and the complexity of the surgery.
Is the TURP procedure painful?
The procedure itself is performed under anesthesia, so you won't feel pain during the surgery; however, some mild discomfort or soreness may occur post-surgery, which can be managed with pain medication.
What is the recovery time after TURP?
The initial recovery time usually takes about 2 to 6 weeks, but it may take up to 3 months for full recovery and for urinary symptoms to stabilize.
How long will I stay in the hospital after TURP surgery?
Most patients stay in the hospital for 1 to 2 days after the TURP procedure, depending on their recovery and whether there are any complications.
When can I resume normal activities after TURP?
You should avoid heavy lifting and strenuous activities for at least 4 to 6 weeks, but light activities like walking can generally be resumed sooner. Consult the doctor before resuming any physical activity to avoid complications.
Where can I find the best urologist near me for a TURP procedure?
Artemis Hospital has a team of some of the best urologists in Gurgaon with an average experience of 15+ years in performing advanced TURP procedures with a high success rate. Urologists at Artemis Hospitals are renowned for their comprehensive approach in diagnosing and treating Benign Prostate Hyperplasia and other urinary disorders.
Will I need a catheter after the TURP procedure?
Yes, a catheter is typically inserted after surgery to help drain urine and allow the prostate to heal. It is usually removed within 1 to 2 days.
Are there alternatives to TURP?
Yes, alternatives include medications (e.g., alpha blockers, 5-alpha reductase inhibitors), laser therapy, and other types of prostate surgery, such as prostatectomy or UroLift.
Can TURP be performed for prostate cancer?
TURP is primarily used for BPH. While it can provide symptom relief in cases of prostate cancer, it is not a curative cancer treatment.
How to Book an Appointment with the Best Urologist in Gurgaon at Artemis Hospitals?
To book an appointment with the best urologists in Gurgaon, call Artemis Hospitals at +91-124-451-1111 or WhatsApp us at +91 9599285476. You can also schedule an appointment through our online patient portal or download and register on the Artemis Personal Health Record mobile app, available for both iOS and Android devices.
What are the risks of TURP surgery?
Complications from TURP are rare but may include bleeding, infection, erectile dysfunction, urinary incontinence, and TURP syndrome.
