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Transurethral resection of the prostate

TURP; Prostate resection - transurethral

Transurethral resection of the prostate (TURP) is a surgery to remove the inside part of the prostate gland. It is done in order to treat symptoms of an enlarged prostate.

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Male reproductive anatomy
Prostate gland

Presentation

Prostatectomy - series - Normal anatomy
Transurethral Resection of the Prostate (TURP) - Series

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Description

The surgery takes about 1 to 2 hours.

You will be given medicine before surgery so you don't feel pain. You may get general anesthesia in which you are asleep and pain-free or spinal anesthesia in which you are awake, but numb from the waist and below.

The surgeon will insert a scope through the tube that carries urine from your bladder out of the penis. This instrument is called the resectoscope. A special cutting tool is placed through the scope. It is used to remove the inside part of your prostate gland using electricity.

Why the Procedure Is Performed

Your health care provider may recommend this surgery if you have benign prostatic hyperplasia (BPH). The prostate gland often grows larger as men get older. The larger prostate may cause problems with urinating. Removing part of the prostate gland can often make these symptoms better.

TURP may be recommended if you have:

Before you have surgery, your provider will suggest you make changes in how you eat or drink. You may also be asked to try taking medicine. Part of your prostate may need to be removed if these steps do not help. TURP is one of the most common types of prostate surgery. Other procedures are also available.

Your provider will consider the following when deciding on the type of surgery:

Risks

Risks for any surgery are:

Additional risks are:

Before the Procedure

You will have many visits with your provider and tests before your surgery. Your visit will include:

If you are a smoker, you should stop several weeks before the surgery. Your provider can give you tips on how to do this.

Always tell your provider what drugs, vitamins, and other supplements you are taking, even ones you bought without a prescription.

During the weeks before your surgery:

On the day of your surgery:

After the Procedure

You will most often stay in the hospital for 1 to 3 days. In some cases, you may be allowed to go home the same day.

After surgery, you will have a small tube, called a Foley catheter, in your bladder to remove urine. Your bladder may be flushed with fluids (irrigated) to keep it clear of clots. The urine will look bloody at first. In most cases, the blood goes away within a few days. Blood can also seep around the catheter. A special solution may be used to flush out the catheter and keep it from getting clogged with blood. The catheter will be removed within 1 to 3 days for most people.

You will be able to go back to eating a normal diet right away.

Your health care team will:

You may need to wear tight stockings and use a breathing device to keep your lungs clear.

You may be given medicine to relieve bladder spasms.

Outlook (Prognosis)

TURP relieves symptoms of an enlarged prostate most of the time. You may have burning with urination, blood in your urine, frequent urination, and need to urgently urinate. This usually resolves after a little bit of time.

Related Information

Enlarged prostate
Prostate cancer
Frequent or urgent urination
Urinating more at night
Urinary catheters
Bladder stones
Hydronephrosis of one kidney
Neurogenic bladder
Prostate resection - minimally invasive
Simple prostatectomy
Bathroom safety for adults
Surgical wound care - open
Preventing falls
Indwelling catheter care
Kegel exercises - self-care
Transurethral resection of the prostate - discharge
Enlarged prostate - what to ask your doctor

References

Foster HE, Dahm P, Kohler TS, et al. Surgical management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA Guideline Amendment 2019. J Urol. 2019;202(3):592-598. PMID: 31059668 www.ncbi.nlm.nih.gov/pubmed/31059668.

Han M, Partin AW. Simple prostatectomy: open and robot-assisted laparoscopic approaches. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 106.

Milam DF. Transurethral resection and transurethral incision of the prostate. In: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas of Urologic Surgery. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 67.

Roehrborn CG. Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 103.

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Review Date: 7/31/2019  

Reviewed By: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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