A Comprehensive Guide to Trans Urethral Resection of Prostrate (TURP) Treatment

Transurethral resection of the prostate (TURP) is a common surgical procedure used to address urinary issues resulting from an enlarged prostate. During TURP, a resectoscope is inserted through the penis and passed along the urethra to access the prostate. This instrument allows surgeons to visualize and remove excess prostate tissue that obstructs urine flow.

TURP is often recommended for men experiencing moderate to severe urinary symptoms unresponsive to medication. While effective, other non-surgical alternatives exist, offering comparable outcomes to TURP with fewer side effects and quicker recovery times. These alternative procedures provide viable options for individuals seeking treatment for an enlarged prostate while minimizing the impact on daily life.

Transurethral Resection of the Prostate (TURP) alleviates urinary symptoms resulting from benign prostatic hyperplasia (BPH), such as:

Frequent, urgent need to urinate.
Trouble starting urination.
Slow urination.
More trips to the bathroom at night.
Stopping and starting again while urinating.
The feeling that you can't fully empty your bladder.
Urinary tract infections.

Following are the signs and symptoms :

Increased frequency of urination
Difficulty initiating urination
Weak urinary stream
Urinary urgency
Incomplete bladder emptying
Blood in the urine may appear red, pink, or brownish.
Inability to empty the bladder, leading to urinary retention and discomfort.
Lower Urinary Tract Symptoms (LUTS)
Symptoms such as hesitancy, dribbling, and nocturia (waking up at night to urinate).
Pain or discomfort in the lower abdomen or pelvis, particularly during urination.

Here are the following tests that were done before TURP:

Uroflowmetry: It measures the rate and pattern of urine flow during urination, providing information about the severity of urinary obstruction.
Cystoscopy: A cystoscope, is inserted through the urethra into the bladder to visualize the prostate and assess its size, shape, and any abnormalities.
Prostate-Specific Antigen (PSA) Test: It assesses prostate health and detects conditions such as prostate cancer.
Urinalysis: Analysis of a urine sample can detect signs of infection, blood, or other abnormalities in the urinary tract.
Urodynamic Testing: This test analyses bladder and urethral function, including bladder pressure and urine flow, to assess bladder function and identify any urinary abnormalities.
Transrectal Ultrasound (TRUS): This technique may be used to assess prostate size and morphology.
Abdominal Ultrasound or CT Scan: These imaging studies may be performed to evaluate the urinary tract and rule out other conditions.

After Transurethral Resection of the Prostate (TURP), patients remain hospitalized for one to two days with a catheter in place for urine drainage until swelling subsides. Common post-surgery experiences include blood in the urine, discomfort during urination, and increased urination frequency. However, contacting the doctor is crucial if unable to urinate, experiencing fever, or notice clots in the urine.

Following surgery, patients are advised to: