Prostate removal - TURP refers to Transurethral Resection of the Prostate. TURP is a surgical procedure used to treat urinary problems caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). During this procedure, a portion of the prostate is removed to improve urine flow and alleviate symptoms.

Overview of TURP

Transurethral Resection of the Prostate (TURP):

1. Purpose:

• To relieve symptoms of BPH such as difficulty urinating, frequent urination, incomplete bladder emptying, and urinary tract infections.
• Anesthesia: Performed under general or spinal anesthesia to ensure the patient is comfortable and pain-free.
• Resectoscope Insertion: A resectoscope (a type of endoscope equipped with a camera and surgical instruments) is inserted through the urethra to reach the prostate.
• Tissue Removal: Using an electrically heated wire loop, small pieces of prostate tissue are shaved away. These pieces are flushed out with a fluid solution.
• Completion: After sufficient tissue is removed to relieve the obstruction, the resectoscope is removed, and a catheter is placed in the bladder to help with urine drainage during the initial healing period.

1. Procedure:

Indications for TURP

1. Moderate to Severe BPH Symptoms:

• Symptoms that significantly impact quality of life and are not adequately managed with medications.
• Bladder stones, recurrent urinary tract infections, or kidney damage due to prolonged obstruction.
• Inability to urinate effectively, leading to the need for catheterization.

1. Complications of BPH:
2. Urinary Retention:

Advantages of TURP

1. Effective Symptom Relief:

• High success rate in improving urinary flow and reducing symptoms associated with BPH.
• No external incisions, leading to shorter recovery times and less postoperative pain compared to open surgery.
• Most patients can resume normal activities within a few weeks post-surgery.
• Durable improvement in symptoms, often lasting many years.

1. Minimally Invasive:
2. Quick Recovery:
3. Long-Term Results:

Disadvantages and Risks

1. Postoperative Complications:

• Risk of bleeding, infection, and temporary urinary retention.
• A common side effect where semen enters the bladder instead of exiting through the urethra during ejaculation.
• Temporary or, in rare cases, permanent loss of bladder control.
• Some patients may require additional procedures if symptoms recur or if the initial resection is insufficient.

1. Retrograde Ejaculation:
2. Urinary Incontinence:
3. Reoperation:

Postoperative Care

1. Catheter Use:

• A catheter is usually left in place for a few days to allow urine to drain while the prostate heals.
• Drinking plenty of fluids to flush out the bladder and prevent blood clots.
• Avoiding heavy lifting, strenuous activities, and sexual activity for several weeks to promote healing.
• Regular check-ups to monitor recovery and address any complications promptly.

1. Hydration:
2. Activity Restrictions:
3. Follow-Up Appointments:

Considerations

• Patient Selection: TURP is typically recommended for men with significant BPH symptoms not relieved by medication.
• Alternatives: Other treatments for BPH include medication, minimally invasive therapies (like laser treatments), and open or robotic-assisted prostatectomy for more severe cases.
• Long-Term Monitoring: Patients need regular follow-up to monitor prostate health and manage any long-term effects of the procedure.

Disclaimer

The information provided here is for general informational purposes only and should not be considered medical advice. TURP is a specialized procedure that should be performed by qualified healthcare professionals based on individual patient circumstances. If you have any concerns about BPH or require medical treatment, please consult with a healthcare provider for proper evaluation and management.