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Transurethral Resection of the Prostate (TURP)

Transurethral Resection of the Prostate (TURP) is a surgical procedure commonly used to treat benign prostatic hyperplasia (BPH), a condition in which the prostate gland enlarges and obstructs the flow of urine. This minimally invasive technique helps relieve urinary symptoms caused by an enlarged prostate, improving the quality of life for patients. TURP is considered the most effective treatment for moderate to severe BPH cases, especially when medications fail to provide relief.

Why is TURP Performed?

TURP is recommended for men experiencing severe urinary symptoms such as frequent urination, difficulty in starting urination, weak urine flow, incomplete bladder emptying, or urinary retention. When left untreated, BPH can lead to complications such as bladder stones, recurrent urinary tract infections (UTIs), or kidney damage. TURP helps in removing the excess prostate tissue that blocks the urethra, allowing urine to pass freely.

Preoperative Preparation

Before undergoing TURP, patients are required to undergo a series of medical evaluations, including blood tests, urine analysis, and imaging tests like ultrasound or cystoscopy. The doctor may advise stopping certain medications, especially blood thinners, to reduce the risk of excessive bleeding during surgery. Patients are also instructed to avoid eating or drinking for a few hours before the procedure.

The TURP Procedure

TURP is performed under general or spinal anesthesia. A thin, tube-like instrument called a resectoscope is inserted through the urethra to access the prostate gland. The resectoscope has a small wire loop that uses electrical energy to cut away the overgrown prostate tissue, relieving pressure on the urethra. A saline solution is continuously flushed through the area to clear out the removed tissue. Once the excess tissue is removed, a catheter is placed in the bladder to assist with urine drainage while the prostate heals.