All you need to know about Transurethral resection of the prostate (TURP)!

What is TURP?

Sometimes, men can face urinary problems due to enlarged prostate. Sometimes these problems can be treated with the use of medications, but in more severe cases, doctors recommend surgery. Transurethral resection of the prostate, also known as TURP, is the surgery that can help patients with their urinary problems. TURP is known to be the most effective treatment of enlarged prostate, but nowadays, other minimally invasive procedures start to be popular with a better outcome.

How is the transurethral resection of the prostate done?

During the transurethral resection of the prostate, surgeons usually reach the affected parts by inserting an instrument called resectoscope through the urethra. Later, the resectoscope will help the doctor to trim away excess tissue of the prostate and remove the blockings of urine flow. Resectoscope is generally 12 inches long with a diameter of 0.5 inches. Resectoscope is usually equipped with a lighted camera and valves to control irrigating fluid. Resectoscope is also equipped with an electrical loop of wire that can seal blood vessels and cut tissues. During the Transurethral resection of the prostate, surgeons guide the wire loop to the affected part and remove tissues that are blocking the urethra. The removal of tissues will be done one piece at a time, and later on, tissues will be carried into the bladder by the mean of irrigating fluid. Once the procedure is over, everything will be washed out from the bladder. That is the reason for irritating urinary symptoms after the transurethral resection of the prostate. This can easily be solved by drinking plenty of water, eating food which is rich in fiber, avoid drinking alcoholic beverages, intense activities, and sex for a while.

When is the transurethral resection of the prostate (TURP) necessary?

In principle, transurethral resection of the prostate can reduce symptoms due to prostatic hyperplasia. These symptoms include:

• Frequent and urgent need to urinate
• Difficulties in starting urination
• Slow or prolonged urination
• Increase of urination frequency during the night
• Not being able to urinate continuously
• Feeling not to be able to empty your bladder completely
• Infections in area of urinary tract

• Complications during urinating: After the transurethral resection of the prostate, you might face infections in the urinary tract area. This is a possible complication after prostate procedures. Prescription of antibiotics after surgery helps patients in this regard. Moreover, a few days after the transurethral resection of the prostate procedure, you might face temporary difficulties in urinating. Up to the point when you can’t urinate on your own, a catheter will help you in this regard.
• Dry orgasms: One of the common and long term side effects of transurethral resection of the prostate surgery is retrograde ejaculation, also known as a dry orgasm. This happens during ejaculations when semen releases into the bladder. This is not particularly harmful.

What is the post-operation recommendation for TURP surgery?

After the surgery, patients need to be monitored for 1-2 days. During this time, their urination takes place with the help of a catheter due to swelling that can, in principle, block the urine flow. Observing blood traces in the urinary is a typical case after the surgery; however, finding severe bleeding is not normal and should be reported to the doctor. The general condition of the patient will improve in 6 to 8 weeks after surgery. Drinking a lot of water, avoiding sexual activities, and consuming high-fiber foods during this time is essential.