Transurethral Resection of The Prostate

Transurethral resection of the prostate (TURP) is used to treat moderate to severe cases of enlargement of the prostate gland (benign prostatic hyperplasia (BPH). TURP is the most common surgical procedure for BPH, accounting for about 90 percent of all BPH surgeries.

A TURP usually takes between half an hour and an hour, depending on how much of the prostate needs to be removed. You'll be given either a general or an epidural. If you have an epidural, the lower part of your body will be numb. You won't be able to see the operation, but you'll be able to hear what's going on. Usually, a nurse or the anesthetist will talk to you during the operation.

A surgeon will put a thin tube into the opening of your penis and up your urethra to your prostate. The tube has a light and a tiny camera on the end. The tube also has a tiny looped wire attached to it. This is heated with an electric current and used to cut away the bit of your prostate that's blocking your urine. The pieces of prostate are flushed down the tube with water.

Immediately after the surgery, you won't be able to urinate properly because your urethra will be sore and swollen. A thin, flexible tube called a catheter is put into your urethra to drain your urine (and any bits of prostate that still haven't come out) into a jar or bag by your bed. The doctor may flush fluid through the catheter into your bladder to help clear any blood clots. The fluid then drains away with your urine. Men say this flushing feels as though their bladder is constantly full.

You won't need stitches or dressings after the operation.

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