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TRANSURETHRAL RESECTION OF THE PROSTATE (TURP)

 

This is a surgical procedure that is done to reduce the size of the prostate in men. It is the classic treatment for urinary symptoms due to BPH.

 

You need TURP if you have:

  • Urinary symptoms due to an enlarged prostate (BPH) that are inconvenient and are not adequately improved by medicines or changing one's lifestyle
  • An inability to pass urine without a catheter ('urinary retention')
  • Kidneys that are not functioning properly because the prostate is blocking the bladder
  • Recurrent urine infections due to obstruction caused by the prostate
  • Bleeding from the prostate due its enlargement (BPH), which may not have improved with a medication
     

How is TURP done?
TURP is done under spinal anesthesia (this means you can be awake during the procedure). The surgeon inserts a rod-shaped instrument known as a resectoscope into the urethra. A resectoscope is similar to a very small telescope and has a lens to visualize the tissue of the bladder and urethra. It also has a loop that is used to resect or cut away extra prostate tissue and enlarge the urethral opening.

You will likely spend some nights in the hospital. A catheter will be in place and it is not unusual to see blood in the catheter shortly after surgery. Urine should return to a normal color before the catheter is removed.

Post-Surgery
Even though there is no surgical incision during the TURP procedure, the patient will need a few days to a week to recover. During recovery, there should be no strenuous activity or heavy lifting. Since the urethral opening is made larger during this surgery, any symptoms or difficulties in urination should be significantly reduced after the surgery.

Risks

  • Inability to pass urine after the procedure (urinary retention). This usually resolves after another period of catheterisation.
  • Blood loss may occur and so anaemia may be a problem
  • Urinary infection
  • The fluid used during the procedure can be absorbed resulting in a drop in the sodium level of the blood. This is known as 'TURP syndrome'.
  • Clot retention and clot colic
  • After the procedure, a strong sense of urgency may develop i.e. an urgent desire to pass urine sometimes associate with urinary leakage ('urge incontinence'). Drugs can improve these symptoms usually within 6 months.
  • Retrograde ejaculation where semen is passed in the urine.
  • Erections may get worse or sometimes get better.

Prostate Assessment Clinic
Erectile dysfunction Clinic
Wellman clinic 

    • Prostate Assessment and Wellman clinic on Mondays & Thursdays 9:00am - 5:00 pm
    • Erectile Dysfunction Clinic on Wednesdays 9:00am - 5:00pm
    • Consultant Urologist Clinic on Tuesdays 5:30 - 7:00pm, Thursdays 11:00am - 1:00pm, Fridays 10;00am - 4:30pm
  • Call us on 01-2705803 , 07084358745 , 07030809081 , 08035288313| vantagemedicalcentre99@gmail.com for more details.