Trans Urethral Resection of Prostrate (TURP) Surgery Cost in Bangkok

The enlarged prostate gland can become a concern for men after a certain age, leading to difficulties with urination. This issue often prompts medical professionals to recommend transurethral resection of the prostate (TURP) surgery.

The prostate gland undergoes two phases of growth as men age. The initial growth phase occurs during puberty when the gland doubles in size. The second phase of growth typically occurs after the age of 25, reaching its final size, which generally remains constant throughout life. However, in cases of benign prostatic hyperplasia, the prostate gland may further enlarge.

As the gland enlarges, it compresses the urethra, causing the bladder wall to thicken. Over time, the bladder weakens, resulting in incomplete urine emptying and allowing urine to remain in the bladder. Additionally, the narrowing of the urethra exacerbates urinary difficulties, leading to recurring issues with urination.

As of now, it is not totally clear why most men develop BPH but it mainly indicates an imbalance of hormones and sexual activities with advanced age. Apart from that, there can be urinary tract infection, narrowing of the urethra known as urethral stricture, inflammation of the prostate, bladder or stones in the kidney, nerve problems in controlling the bladder, or scarring in the neck of the bladder as a result of previous surgery.

The following are some of the symptoms of BPH:

• Frequent urge to urinate
• Difficulty in initiating urination
• The urine stream that flows is weak and stops and starts in the session
• At the end of urination, dribbling is often experienced
• Straining is felt at the time of urination
• Blood in the urine
• Inability to empty the bladder
• Infection in the urinary tract

Some of these above symptoms can occur even in men whose prostate has not enlarged significantly.

• Usually, this procedure is conducted under the influence of general anaesthesia, which is administered at the beginning of the procedure.
• A special instrument called a resectoscope is inserted into the tip of the penis to reach the prostate area. No cuts or incisions are made during the procedure.
• The same instrument is used to trim the areas of the prostate gland.
• The cut pieces are irrigated into the bladder.
• The matter present inside the bladder is finally removed at the end of the surgery.

Patients are required to stay in the hospital for at least one to two days after the procedure. Patients who undergo TURP are required to have a catheter in place for urine drainage for at least a few days. The catheter is removed when the swelling reduces and the patient is in a position to urinate by himself.

It is normal to experience blood in the urine right after the surgery, pain at the time of urination, and frequent urination after the surgery. However, you must contact the doctor in case you are unable to urinate at all, develop fever, or notice the presence of clots in the urine.

After the surgery, you are required to:

• Drink plenty of fluids.
• Abstain from sex for at least four to six weeks.
• Avoid taking any blood-thinning medications until approved by the doctor.
• Each diet rich in fiber.
• Avoid driving until the catheter is removed.