Transurethral Resection of Prostate: Procedures and Recovery

Transurethral Resection of the Prostate (TURP) is a surgical procedure commonly performed to treat benign prostatic hyperplasia (BPH), a non-cancerous prostate gland enlargement. During the procedure, a surgeon removes part of the prostate tissue through the urethra (the tube that carries urine from the bladder out of the body). TURP is typically performed when other treatments, like medication, have not been effective. It helps in the relief of symptoms like poor urine flow, frequent urination, and trouble urinating.

Types of Transurethral Resection of the Prostate (TURP)

There are several types of Transurethral Resection of the Prostate (TURP), primarily based on the technique or instruments used during the procedure. They include:

Standard TURP: The most popular type, in which extra prostate tissue obstructing urine flow is removed by inserting a resectoscope into the urethra.
Laser TURP: A laser is used to vaporize or remove prostate tissue, offering less bleeding and a quicker recovery compared to standard TURP.
Plasma Button TURP: This method uses a special plasma button electrode to vaporize prostate tissue, providing better precision and less bleeding than traditional TURP.
Holmium Laser Enucleation of the Prostate (HoLEP): Usually performed on bigger prostates, this type of laser surgery involves removing prostate tissue using a holmium laser.
TURP with Bipolar Technology: Uses a bipolar energy system that reduces the risk of complications like fluid absorption and bleeding compared to traditional monopolar TURP.

Indications of TURP (Transurethral resection of the prostate)

Transurethral Resection of the Prostate (TURP) is mainly used to treat benign prostatic hyperplasia (BPH), a non-cancerous prostate enlargement that causes urinary issues. Key indications for TURP include:

Moderate to severe urinary symptoms (e.g., frequent urination, weak stream, urgency, incomplete bladder emptying)
Ineffective medical treatment for BPH symptoms
Urinary retention (inability to fully empty the bladder)
Recurrent UTIs caused by chronic urinary retention
Kidney damage due to urinary obstruction
Bladder stones or hematuria (blood in the urine) linked to BPH

Who Will Treat TURP (Transurethral resection of the prostate) Surgery?

TURP (Transurethral Resection of the Prostate) is typically performed by a urologist, a medical doctor specializing in the diagnosis and treatment of urinary system disorders, including conditions related to the prostate.

Preparing for TURP Surgery

If you’re scheduled for Transurethral Resection of the Prostate (TURP) surgery, proper preparation is vital to ensuring a smooth and successful experience. Here’s a step-by-step guide to help you get ready for the procedure:

Consult with Your Urologist: Discuss the procedure, benefits, risks, and address concerns.
Medical Evaluation: Your urologist will review your medical history and conduct physical exams.
Medication Review: Share your current medications; your doctor will advise on any adjustments.
Fasting: Follow guidelines on when to stop eating or drinking before surgery.
Tests and Imaging: Blood tests, urine tests, and imaging may be required.
Preoperative Instructions: Follow all guidelines for a smooth procedure.

Steps Involved in TURP (Transurethral resection of prostate) surgery

TURP (Transurethral Resection of the Prostate) is a surgery to treat urinary symptoms caused by an enlarged prostate (BPH). Here’s an overview of the procedure:

Anesthesia: The surgery is done under general or spinal anesthesia.
Resectoscope Insertion: A thin instrument (resectoscope) is inserted through the urethra to access the prostate.
Tissue Removal: The specialist uses the resectoscope to trim or remove excess prostate tissue, which blocks urine flow.
Irrigation: The area is irrigated to flush out tissue and prevent complications.
Catheter Placement: A catheter is inserted to drain urine and help the healing process.
Postoperative Care: The patient is monitored after surgery and may go home the same day or stay briefly in the hospital.
Catheter Removal: The catheter is removed after 1-2 days once the patient can urinate independently.

Recovery After TURP Surgery

Recovery after Transurethral Resection of the Prostate (TURP) surgery is a crucial phase that requires patience, care, and adherence to medical guidance. Here’s a comprehensive overview of what you can expect during the recovery period:

Immediate Care: You will be monitored as the anesthesia wears off, and a catheter may be placed to drain urine.
Hospital Stay: Most patients stay for 1-2 days, depending on health and surgery.
Catheter: A catheter will remain for a few days to help with healing. Follow care instructions.
Discomfort: Mild pain, burning during urination, and bladder spasms may occur. Pain meds can help.
Urinary Changes: Blood in urine is normal initially; expect pink or brown urine.
Physical Activity: Rest initially; avoid heavy lifting or strenuous activity for a few weeks.
Hydration & Diet: Drink plenty of fluids and eat a balanced diet to support healing.
Medications: Take prescribed medications, including pain relievers and antibiotics.
Catheter Removal: The catheter is removed once the urethra heals. You may feel frequent urination after removal.
Resumption of Activities: Gradually return to work and exercise as directed by your urologist.
Full Recovery: Full recovery may take several weeks, with your urologist providing guidance throughout.

Benefits of Transurethral Resection of the Prostate (TURP)

Improved Urinary Flow: TURP removes prostate tissue that obstructs urine flow, leading to easier and more consistent urination.
Reduced Urinary Symptoms: It alleviates symptoms like frequent urination, difficulty starting/stopping urination, and a weak urine stream.
Improved Quality of Life: Patients often experience better overall well-being, including improved sleep and fewer disruptions to daily activities.
Minimally Invasive: TURP is performed through the urethra, avoiding external incisions and reducing recovery time.
Long-lasting Results: Most patients experience lasting relief from symptoms, with fewer recurrences of urinary problems.
Lower Risk of Complications: Compared to traditional open surgery, TURP has a lower risk of complications and a quicker recovery time.

Lifestyle changes after TURP (Transurethral resection of the prostate) surgery

Embracing Positive Lifestyle Changes After TURP Surgery

After undergoing Transurethral Resection of the Prostate (TURP) surgery, certain lifestyle adjustments can significantly contribute to your overall well-being and aid in a smoother recovery. Here are some lifestyle changes to consider:

Stay Hydrated: To clear your urinary system, drink a lot of water.
Balanced Diet: Eat fruits, vegetables, whole grains, lean proteins, and healthy fats.
Manage Weight: To reduce the burden on the urinary system, keep your weight in check.
Bladder Health: Avoid holding in urine and frequently empty your bladder.
Limit Caffeine & Alcohol: Reduce consumption, especially after surgery, to avoid bladder irritation.
Avoid Heavy Lifting: Avoid strenuous activities that may strain your muscles.
Gradual Exercise: Before beginning physical activity again, speak with your urologist. Start with easy activities like walking.
Follow Medication Guidelines: Take prescribed medications as directed.
Pelvic Floor Exercises: Kegels can help strengthen urinary muscles.
Respond to Urges: Don’t hold in urine; it supports bladder health.

Book Doctor Appointment