Benign prostatic hyperplasia (BPH), or enlarged prostate, affects millions of men globally, causing urinary difficulties that impact your daily life. Transurethral Resection of the Prostate (TURP) is a minimally invasive surgical procedure that relieves BPH symptoms. This procedure is designed to treat urinary problems caused by an enlarged prostate, a common condition affecting men over 50.
In this article, we’ll delve into the details of TURP offered at Lazare Urology, its benefits, and what to expect during and after the procedure.
Contents
What is TURP?
TURP is a minimally invasive surgical procedure that removes excess prostate tissue blocking the urethra, restoring normal urine flow. TURP involves the removal of excess prostate tissue through the urethra, using a specialized endoscope and electrocautery loop, to restore normal urine flow and alleviate symptoms. As a gold standard treatment for BPH, TURP offers a high success rate, minimal complications, and significant improvement in quality of life for men suffering from urinary difficulties.
TURP is recommended for men with:
- Moderate to severe BPH symptoms.
- Failed medical therapy.
- Urinary retention.
- Recurrent urinary tract infections.
- Bladder stones.
What are the benefits of TURP?
TURP is an advanced, modern, and innovative surgical procedure offering the following benefits:
- Improved urine flow: TURP increases urine flow rate and reduces urinary hesitancy.
- Reduced symptoms: Relief from frequency, urgency, and nocturia.
- Minimally invasive: No external incisions.
- Quick recovery: Most men return home the same day.
- Long-term results: TURP provides lasting symptom relief.
What does preparation before TURP involve?
Preparing before any surgical procedure is crucial to prevent complications and ensure optimal outcomes. Your doctor will:
- Record your medical history, and assess overall health for the presence of any debilitating conditions like diabetes, or hypertension.
- Check for infections through complete urine analysis like blood routine and culture tests
- Order for diagnostic tests like ultrasound scans or cystoscopy.
- Discuss anesthesia options
- Will instruct you to:
- Avoid blood thinners, herbal supplements, and vitamins a week before the surgery
- Discontinue smoking and avoid alcohol consumption a few days before the surgery
How is TURP performed?
TURP involves the following procedural steps:
- Administration of general or spinal anesthesia
- Insertion of urethral catheter
- Insertion of resectoscope through the urethra
- Extending the scope to the prostate gland
- Excess prostate tissue removal through an electrocautery loop
- Reshaping the prostate gland
- Electrocauterization to stop bleeding
- Flushing out the tissue fragments with irrigation fluid
- Insertion of Foley catheter to drain bladder
What does post-procedure care involve?
Here is a comprehensive guide to post-procedure care after TURP.
Immediate post-procedure care (hospital stay)
- Your vital signs, urine output, and catheter drainage quantity are evaluated and monitored
- Your doctor will provide pain medication for discomfort
- You will be encouraged to prevent dehydration through fluid IV drips
- Bed rest for the next 24 hours will be recommended
Discharge instructions
- You will trained about the proper catheter irrigation and drainage
- You must continue your pain medications
- Remember to increase physical activity gradually and try short brisk walks
At home (first 2-4 weeks)
- Avoid heavy lifting, bending, or strenuous activities.
- Continue catheter irrigation and drainage.
- Monitor for adequate output.
- Continue to follow the medication schedule.
- Drink plenty of water to avoid dehydration
- Eat fiber-rich foods to prevent constipation.
Are there any complications associated with TURP?
TURP, when performed by a skilled and experienced urologist, does not pose any complications. However, like any surgical procedure, there may be mild complications that resolve gradually. These include:
- Bleeding or hemorrhage
- Urinary tract infections
- Urinary retention
- Catheter-related issues like blockage or leakage
- Temporary incontinence
- Erectile dysfunction
- Infertility
- Urethral stricture
Bottom line
TURP remains a gold standard treatment for BPH, offering significant symptom relief and improved quality of life. While risks exist, careful urologist selection and skilled surgical technique minimize complications. Consult a urologist to determine if TURP is right for you.
