Transurethral resection of the prostate (TURP) is surgery to remove the inside part of the prostate gland in order to treat an
Related topics include:
Benign prostatic hyperlasia Prostate resection – minimally invasive Simple prostatectomy
TURP; Prostate resection – transurethral
The surgery takes about 1 hour.
You will be given medicine before surgery so you don’t feel pain. You may get one of the following:
- General anesthesia: You are asleep and pain-free
- Spinal anesthesia: You are awake, but relaxed and pain-free
The surgeon will insert a scope through the tube that carries urine from your bladder out of the penis. This tube is called the urethra. A special cutting tool is placed through the scope. It is used to remove the inside part of your prostate gland using electricity.
Why the Procedure Is Performed
Your doctor may recommend this surgery if you have benign prostatic hyperplasia (
Prostate removal may be recommended if you have:
Difficulty emptying your bladder
urinary tract infections
Bleeding from the prostate
Bladder stoneswith prostate enlargement
Extremely slow urination
Damage to the kidneys
Before you have surgery, your doctor will suggest you make changes in how you eat or drink. You may also be asked to try taking medicine. Your prostate may need to be removed if these steps do not help. TURP is one of the most common type of prostate surgery. Other procedures are also available.
Your doctor will consider the following when deciding on the type of surgery:
- Size of your prostate gland
- Your health
- What type of surgery you may want
Risks for any surgery are:
Blood clotsin the legs that may travel to the lungs Breathing problems
- Infection, including in the surgical wound, lungs (
pneumonia), or bladder or kidney Blood loss Heart attackor strokeduring surgery
- Reactions to medications
Additional risks are:
- Problems with urine control
- Loss of sperm fertility
- Erection problems
- Passing the semen into the bladder instead of out through the urethra (
retrograde ejaculation) Urethral stricture(tightening of the urinary outlet from scar tissue)
- Transurethral resection (TUR) syndrome (water buildup during surgery)
- Damage to internal organs and structures
Before the Procedure
You will have many visits with your doctor and tests before your surgery. Your visit will include:
- Complete physical exam
- Treating and controlling
diabetes, high blood pressure, heart or lung problems, and other conditions
If you are a smoker, you should stop several weeks before the surgery. Your doctor or nurse can give you tips on how to do this.
Always tell your doctor or nurse what drugs, vitamins, and other supplements you are taking, even ones you bought without a prescription.
During the weeks before your surgery:
- You may be asked to stop taking medicines that can thin your blood, such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), and others.
- Ask your doctor which drugs you should still take on the day of your surgery.
On the day of your surgery:
- Do not eat or drink anything after midnight the night before your surgery.
- Take the drugs your doctor told you to take with a small sip of water.
- Your doctor or nurse will tell you when to arrive at the hospital.
After the Procedure
You will stay in the hospital for 1 to 3 days.
After surgery, you will have a small tube, called a
You will be able to go back to eating a normal diet right away.
You will need to stay in bed until the next morning. You will be asked to move around as much as possible after that point.
Your health care team will:
- Help you change positions in bed
- Teach you exercises to keep blood flowing
- Teach you how to perform coughing and deep breathing techniques. You should do these every 3 to 4 hours.
Tell you how to
care for yourselfafter your procedure.
You may need to wear tight stockings and use a breathing device to keep your lungs clear.
You may be given medication to relieve bladder spasms.
TURP relieves symptoms of an enlarged prostate most of the time. You may have burning with urination, blood in your urine, urinate often, and need to urgently urinate.
Related:Bathroom safety – adults, Surgical wound care – open, Preventing falls, Indwelling catheter care, Kegel exercises – self-care, Transurethral resection of the prostate – discharge , Enlarged prostate – what to ask your doctor , Enlarged prostate, Prostate cancer, Frequent or urgent urination, Urinating more at night, Urinary catheters, Bladder stones, Unilateral hydronephrosis, Neurogenic bladder, Prostate resection – minimally invasive, Simple prostatectomy