TURP (Transurethral Resection of the Prostate) is an effective treatment for urinary obstruction caused by an enlarged prostate.TURP is a surgical procedure used to relieve urinary obstruction caused by an enlarged prostate. The procedure commonly takes around 60–90 minutes, although this varies depending on the size of the prostate and individual circumstances.
Symptoms of an Enlarged Prostate
- Difficulty starting urination
- Weak or slow urinary stream
- Intermittent urine flow
- Straining to pass urine
- Feeling that the bladder has not completely emptied
- Frequent urination
- Getting up several times at night to urinate
- Sudden or urgent need to urinate
- Urine leakage
- Complete inability to pass urine in severe cases
Why Might I Need TURP?
- Medicines do not adequately control your symptoms.
- You have repeated episodes of urinary retention.
- You develop recurrent urinary tract infections.
- Bladder stones develop because of obstruction.
- There is significant urine left in the bladder after urination.
- The obstruction affects kidney function.
- You have recurrent or significant bleeding from the prostate.
- Your symptoms significantly affect your quality of life.
Care Following surgery
A urinary catheter is usually kept in place for a short period after surgery.
Many patients stay in the hospital for approximately 1–3 days, depending on their recovery and urine condition.
For approximately 2–4 weeks:
- Avoid heavy lifting.
- Avoid strenuous exercise.
- Avoid excessive straining during bowel movements.
- Avoid activities that significantly increase abdominal pressure.
- Avoid sexual activity until your doctor says it is safe.
Frequently Asked Questions
When Will My Urination Improve?
Many patients notice a significant improvement in urinary flow soon after the procedure.
Will I have a scar?
No. TURP is performed through the natural urinary passage, so there is no external surgical incision.
Why is a catheter needed?
The catheter allows urine to drain while the prostate area heals and helps flush out blood or small clots from the bladder. Catheter is usually placed for 5-7 days after surgery
Can the prostate grow again after TURP?
The tissue removed during TURP generally does not grow back in the same way. However, remaining prostate tissue can enlarge over time, and a small number of patients may require further treatment.
Can I return to normal life after TURP?
Yes. After recovery, most men can return to their normal daily activities.
Will I have sexual problem after TURP?
TURP doesn't cause sexual problem. However, retrograde ejaculation is common. This means that during orgasm, semen may flow backward into the bladder instead of coming out through the penis. You may therefore experience a "dry orgasm."
Will TURP cure prostate cancer?
No. TURP is primarily a treatment for urinary obstruction caused by benign prostate enlargement (BPH). It is not a definitive treatment for prostate cancer.
Contact:
Dr Arun Shah
MCh Urology
National Urology Center, Janakpur
9744427743