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Transurethral Resection of the Prostate  

Transurethral resection of the prostate (TURP) is a surgical method that involves cutting away a segment of the prostate gland as part of the treatment of Benign Prostatic Hyperplasia (BPH) or enlarged Prostate.  TURP is mainly performed to treat BPH, not prostate cancer

Benign Prostatic Hyperplasia (BPH) 

Prostate is a gland which is located between the penis and the bladder and surrounds the tube that carries urine from the bladder to the penis (urethera). If the prostate becomes enlarged, it places pressure on both the urethera and the bladder and causes difficulty in urination. Some of the symptoms of the disease include:

  • Difficulty in urination
  • Frequent urination
  • Urine retention 
  • Difficulty in emptying the bladder fully. 

Enlarged prostate is a condition which is commonly present in men who are above 50 years. It is not cancer. The causes of this disease are not known but to some extent this occurs due to the changes in hormone levels in the body in course of ageing. 

Indications for Transurethral Resection of the Prostate:

  • Refractory urinary retention 
  • Persistent Urinary tract infections 
  • Gross hematuria 
  • Bladder calculi 
  • Renal insufficiency secondary to bladder outlet obstruction 
  • Weak or permanently damaged bladders 
  • Large bladder diverticula.

 

Apart from these indications, Transurethral Resection of the Prostate is also advised to those patients who are not responding to BPH medical therapies or alternative procedures. Usually, patients not positively reacting to alpha-adrenergic blockers or/and 5-alpha reductase inhibitors are suggested to go for this surgery.  

Procedure: 

Transurethral Resection of the Prostate (TURP) is a procedure where, an instrument is inserted in to the urethera and the section of the prostate which blocks the flow of urine is removed. This procedure usually is done with a general anesthesia or a spinal anesthetic.  After the surgery, a catheter is used to remove the clots of blood in the bladder and the same is removed when urine is free from clots or significant bleeding. 

Transurethral Resection of the Prostate is a safe process. Risks may occur which include, 

Temporary Side Effects  

After this procedure, patients may face trouble in urinating for a few days. Usually a temporary tube is inserted through the penis to carry out the urine out of the bladder. 

Urinary Tract Infection - Urinary Tract Infections occur after the enlarged prostate procedure. Antibiotics are prescribed and other treatments may be followed to get rid of this infection. In rare cases recurring urinary tract infections may occur in men. 

Bleeding - Significant blood loss may occur in patients who have larger prostates and sometimes blood transfusion may be required in such cases. 

Dry Orgasm - TURP may cause retrograde ejaculation. It means the semen released during the ejaculation, instead of exiting the penis, enters the bladder. This is not harmful but this long term side effect occurs in 75% of men after TURP procedure. 

Low Sodium in Blood - This is a rare complication and it occurs as the body absorbs too much of fluid which is used to wash the surgery area at the time of the procedure. This is called as TURP syndrome or Transurethral Resection (TUR) syndrome. 

  

  

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