Introduction
Transurethral resection of the prostate (TURP) was the first ‘keyhole’ operation and is the gold-standard for BPH (enlarged prostate) and remains the standard to which other operations for this are compared.
What Is TURP?
Transurethral resection of the prostate (TURP) involves coring out the central part of the prostate to physically enlarge the channel one passes urine through using standard electric current. It is minimally invasive and is carried out under general anaesthetic. TURP is an inpatient procedure with a required stay of 1-2 nights.
Who Is TURP Procedure Suitable For?
It is suitable for all patients with BPH.
Is TURP A Major Operation?
TURP is a major operation performed in theatre and requires a stay of 1-2 days.
How Long Does A TURP Operation Last? (H2)
TURP operation itself takes up to one hour.
How To Prepare For TURP
There is no specific preparation for TURP itself, however as it is performed under general anaesthesia a 6hour fast will be required beforehand.
How Is The TURP Procedure Done? (H2)
The following steps are performed during a TURP surgery:
- Following anaesthesia, an electrical loop inserted into the urethra via a telescope.
- The enlarged part of the prostate is visualised and the loop is used to cut the tissue and seal the blood vessels as it removes the prostate in slivers.
- The slivers of tissue are washed out at the end of the operation
- Catheter remains inserted for 2 days, and irrigation fluid flows into the bladder to rinse any blood in it away.
What Happens After TURP Procedure?
Following a TURP operation, patients are discharged from hospital 48 hours and should avoid heavy physical exercise for 2 weeks. Urinary flow is usually markedly improved immediately but frequency may take 6-12 weeks to completely settle. All patients experience retrograde ejaculation after TURP i.e. sperm going back into the bladder at the time of climax, rather than coming out of the penis and being washed out of the bladder the next time it is emptied.
Can A TURP Be Reversed?
No, a TURP cannot be reversed.
What Are The Risks Of A TURP?
The following risks of TURP may be experienced
- Infection
- Bleeding
- Pain
- Retrograde ejaculation
- Incontinence (<1%)
- Impotence (approx. 5%)
- Failure to void – approximately 10% of patients may not be able to pass urine straight after the operation and may need a catheter for 1-2 weeks
Alternative Treatments To TURP
The alternative treatments to TURP are HoLEP, REZUM, Urolift
Click here for TURP patient information from the British Association of Urological Surgeons.
