A transurethral resection of the prostate (TURP) is surgery to remove parts of the prostate gland through the penis. No incisions are required.
Your urologist reaches the prostate by inserting an instrument into the end of the penis and subsequently through the urethra. The instrument is known as a resectoscope, and it contains a lighted camera and valves to control irrigating fluid. Additionally it contains an electrical wire loop that cuts tissue and seals blood vessels. The wire loop is guided by your urologist to remove the tissue blocking the urethra one piece at a time. The pieces of tissue are carried by the irrigating fluid into the bladder and then flushed out, at the end of the procedure.
In the majority of cases, a TURP is performed to alleviate symptoms caused by an enlarged prostate. In many cases this is due to benign prostate hyperplasia (BPH). It should be noted however that BPH is not cancer, and is instead a common part of ageing. When enlarged, the prostate gland can press against the urethra and interfere with the passage of urine as it leaves the body.
As with any surgery, certain complications can occur with TURP. Some possible complications may include:
-Blood in the urine after surgery
-Loss of erections
-Painful or difficult urination
-Retrograde ejaculation (when ejaculate goes into the bladder and not out the penis)
Be sure to discuss any concerns with your healthcare provider before the procedure.
Things to anticipate prior to the procedure:
– Your urologist will explain the procedure and give you the opportunity to ask questions.
– You will be requested to sign a consent form that gives permission for your urologist to perform the procedure.
– Your urologist will review your medical history, and perform an exam to be certain you’re in good health prior to the procedure.
– You will be told not to eat or drink anything for 8 hours prior to the procedure. (“Pre-operative Fasting”)
– Please inform your urologist concerning sensitivities or allergies, includingto medicines, latex, iodine, tape, contrast dyes, or anaesthesia.
– Please provide your urologist with a list of all medicines, herbs, vitamins and additional supplements you may be taking. This applies both to over-the-counter and prescribed medicines.
– Please inform your urologist if you have any history of bleeding disorders or if you are taking any blood-thinning medicines (anti-coagulants), aspirin, or any other medicines that affect blood clotting. You may be asked to temporarily suspend use of these medications prior to the procedure.
– Based on your specific medical needs, your urologist may suggest additional specific preparation.
Yes, TURP requires a hospital stay. In general patients remain in hospital for about 2 days with a catheter following the procedure.
– After the procedure, you may be taken to recovery and will be closely observed. Once your vital signs are stable and you are alert, you will be taken to your room on the hospital ward.
– You may receive pain medicine as required.
– Once you are awake, you may begin drinking liquids. You will be able to eat solid foods as soon as you are able to handle them.
The catheter will stay in place for about 2 days to help urine drain while your prostate gland heals. It is likely that you will have blood in your urine following surgery.
Arrangements will be made for a follow-up visit with your urologist. Your urologist may give you additional instructions after the procedure, depending on your situation.
It is important to drink fluids regularly. This will assist in flushing out any remaining blood or clots from the bladder.
– You will be informed not to perform any heavy lifting for several weeks following the procedure, in order to prevent complications such as bleeding.
– You may be tender or sore for several days following. Pain medications will be provided in this case to manage the soreness.
– Other activity restrictions may also apply.
– Please inform your urologist / GP if you experience any of the following:
– Fever and/or chills
– Difficulty urinating
– Difficulties with bladder control
– Alterations in urine output, color, or odor
– Increasing blood or clots in the urine
– Your urologist may provide you with additional instructions following the procedure – depending on your particular medical situation.
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