Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems that are caused by an enlarged prostate.
An instrument called a resectoscope is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The resectoscope helps your doctor see and trim away excess prostate tissue that’s blocking urine flow.
TURP is generally considered an option for men who have moderate to severe urinary problems that haven’t responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective. These procedures generally cause fewer complications and have a quicker recovery period than TURP.
The prostate is a walnut-sized reproductive gland responsible for producing some of the fluid components of semen. The most common surgery for BPH is called transurethral resection of the prostate or TURP. During the procedure, surgeons remove the excess prostate tissue through the urethra.
The 5-year risk rate for a reoperation following TURP is approximately 5%. Overall mortality rates following TURP by a skilled surgeon are virtually 0%.
You shouldn’t experience any severe pain, but there may be some discomfort and bladder spasms (contractions) from the catheter, which is left in place because your urethra (the tube that carries urine out of the body) will be swollen and sore.
The effects of treatment last for 15 years or more. TURP does not remove the entire prostate. No incisions (cuts) are needed. The hospital stay is 1 to 2 days or until there is no significant blood in your urine.
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.
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