Transurethral resection of the prostate

(TURP)

Overview -

TURP or transurethral resection of the prostate is performed to address urinary issues caused by an enlarged prostate.

A resectoscope is a surgical instrument that is inserted into your penis via the tip. and into the tube that transports urine from your bladder (urethra). Your doctor can use the resectoscope to see and trim away any excess prostate tissue that is obstructing urine flow.

TURP is a procedure used to treat men who have moderate to severe urinary issues that have not responded to treatment. While TURP has long been thought to be the most successful treatment for an enlarged prostate, a number of other, less invasive treatments are gaining popularity. Compared to TURP, these treatments have fewer problems and a shorter recovery time.

Why it's done-

TURP helps to relieve the following urinary symptoms caused by benign prostatic hyperplasia (BPH):

• Frequent, urgent need to urinate

• Difficulty starting urination

• Slow (prolonged) urination

• Increased frequency of urination at night

• Stopping and starting again while urinating

• The feeling you can't completely empty your bladder

• Urinary tract infections

TURP may be used to treat or prevent complications caused by obstructed urinary flow, such as:

• Recurring urinary tract infections

• Kidney or bladder damage

• Inability to control urination or an inability to urinate at all

• Bladder stones

• Blood in your urine

Surgery Procedure –

The doctors of the Urology department at Medipulse will begin the treatment by inserting a fine telescope into the urethra through the penis after you are asleep. The urethra is the tube that links the bladder with the penis and allows urine to pass from the bladder to the penis. This gadget may be used to evaluate the urethra, prostate, and bladder. A resectoscope is used to cut away the enlarged prostate tissue after the prostate has been examined. The tissue is sliced by an electrical current travelling via a wire loop at the end of the resectoscope. While cutting prostate tissue, the wire loop shuts blood vessels.

A urinary catheter is a pipe made of soft plastic, is inserted into the urethra at the conclusion of the procedure to drain the urine from the bladder. The catheter is then attached to fluid bags (saline or salty water) that flush any blood from the bladder. Your urine may seem red or blood stained, which is typical. This isn't a cause for concern, and the irrigation into your bladder will continue until your urine is clear.

• During transurethral resection of the prostate, a resectoscope is introduced into the urethra and threaded up into the enlarged prostate (TURP).

• The resectoscope has a small camera and an electrical loop that allows the surgeon to see the gland during the process. The doctor uses the loop to remove enlarged prostate tissue that is blocking the urethra.

• After the treatment, the broader path allows urine to flow more easily.

The sample from your prostate will be sent to a pathologist for analysis to ensure that there is no prostate cancer present. You'll be alert yet sleepy. if you get a spinal anaesthetic, and it is critical that you remain still while the doctor operates. During the procedure, you will not experience any discomfort. For several hours following the operation, you may have numbness or heaviness in your legs, which is quite normal.

Risks and Complication-

• Temporary difficulty urinating.

• Urinary tract infection

• Dry orgasm. .

• Erectile dysfunction.

• Heavy bleeding. .

• Difficulty holding urine

• Need for re-treatment.

Do’s and Don’ts after TURP :

Do’s

• To flush the bladder, drink plenty of water.

• To avoid constipation and straining during bowel movements, eat high-fiber foods. A stool softener may also be recommended by your doctor.

• Wait four to six weeks before having sex.

Don’ts

• Don't start taking blood thinners again until your doctor says it's okay.

• For four to six weeks, or until your doctor says it's OK, avoid vigorous exercise such as heavy lifting.

• Don't drive until your catheter has been removed and you've stopped using prescription pain relievers.

Insurance Covered – Following insurances are covered for TURP :

The average length of stay - entails 1 days in hospital & 3-4 weeks to fully recover

Doctors who perform TURP procedure :