Transurethral Resection Prostate

Transurethral Resection of the Prostate (TURP): A Comprehensive Approach

Prostate health is a crucial aspect of men's lives, especially as they age. Among the most common problems related to the prostate is Benign Prostatic Hyperplasia (BPH), a condition in which the prostate experiences a non-cancerous growth that can affect quality of life. Among the treatment options for BPH, Transurethral Resection of the Prostate (TURP) has become a widely used and effective procedure. In this article, we will explore TURP in depth, its indications, the surgical process, and postoperative considerations.

What is Transurethral Resection of the Prostate?

TURP is a surgical intervention that is performed to treat Benign Prostatic Hyperplasia by removing part of the prostate tissue that is causing the obstruction of urinary flow. Although it is a common procedure today, it is essential to understand its fundamentals and how it is carried out in order to make informed decisions about prostate health.

Indications for TURP

TURP is usually considered when BPH symptoms significantly affect the patient's quality of life. Some of these symptoms may include frequent urination, difficulty starting to urinate, a weak or interrupted urine stream, and a feeling that your bladder is not emptying completely. If these symptoms do not respond to more conservative medical treatments, such as medications, TURP may be a recommended option.

Surgical Process

Before surgery, extensive medical studies and evaluations are performed to ensure that the patient is a suitable candidate for TURP. The procedure is usually performed under general or spinal anesthesia. The surgeon inserts a cystoscope, a thin tube with a camera on the end, through the urethra to access the prostate. Through the cystoscope, an instrument called a resectoscope is inserted, which allows the surgeon to remove some of the prostate tissue that is obstructing the urethra.

During TURP, the resectoscope can also be used to cauterize small blood vessels to minimize bleeding. Once the necessary tissue has been removed, the resectoscope is removed and a bladder catheter is placed to allow drainage of urine during initial recovery.

Postoperative Considerations

After TURP, patients usually stay in the hospital for a short time for observation and pain management. The bladder catheter, needed to facilitate urine drainage while the area heals, is usually removed in a few days. It is normal to experience some discomfort and a feeling of urgency when urinating during the first few weeks after surgery. Your doctor will provide specific guidelines about physical activity, fluid intake, and other aspects of recovery.

Advantages and Considerations of TURP

TURP offers several notable advantages. First, it is a minimally invasive procedure, which means that no major external incisions are required. This reduces recovery time and the risk of complications related to surgery. Additionally, TURP generally significantly improves urinary tract obstructive symptoms, allowing patients to regain a better quality of life in terms of urination.

However, it is important to note that like any medical procedure, TURP is not without its risks and considerations. There may be a risk of bleeding, infection, and in some cases sexual or ejaculation problems. Therefore, it is crucial to discuss all aspects of TURP with your doctor before deciding if it is the best option for treating BPH.

Conclusion

Transurethral Resection of the Prostate is an effective and widely used surgical intervention to treat Benign Prostatic Hyperplasia. Through a minimally invasive procedure, part of the prostate tissue that obstructs the urethra and affects urination is removed. Although TURP can offer significant improvements in symptoms and quality of life, it is essential to discuss the indications, risks, and benefits with your doctor to make informed decisions about prostate health.