Trans Urethral Resection of Prostrate (TURP)

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The enlarged prostate gland can become a subject of concern after a certain age in men. It causes trouble while urinating and that is one of the main reason why such men are advised to undergo trans urethral resection of prostate (TURP) surgery.

What is Trans-Urethral Resection of Prostate (TURP)?

The prostate gland goes through two phases as a man grows old. The growth phase occurs during puberty when the gland assumes double its size. The second phase of growth takes place after a man has attained the age of 25. This final size at this stage continues to remain the same throughout the life. But when men suffer from benign prostatic hyperplasia, the prostate gland gets further enlarged.

When the gland enlarges, it squeezes the urethra and as a result, the wall of the bladder grows thick. With time, the bladder grows weak and loses its ability to empty the urine completely. This allows some urine to stay back in the bladder at all times. Along with this, the urethra also narrows and hence, all the problems associated with urination keep coming back.

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 completely empty the bladder
  • Infection in the urinary tract

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

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Before the Treatment

  • TURP involves simple steps. The patient is required to share their medical history with their doctor and reveal if he is allergic to specific medications.
  • Before the surgery, the patient is required to fast for 8 hours.
  • The patient is advised to take medications as suggested by the doctor.
  • The patient is advised to undergo specific tests, including prostate-specific antigen (PSA) test to exclude prostate cancer as a diagnosis.
  • The patient is advised to stop taking blood-thinning medications to avoid the chances of complications.
  • Anticoagulant medications should be completely stopped at least five days before the procedure.

How it is Performed

  • 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.

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Q: What is the cost of TURP?

A: TURP operation cost differs from patient to patient. Additionally, it depends on the country where you are planning to undergo the surgery.

Q: What is the duration of the surgery?

A: The surgery time ranges from 45 to 60 minutes.

Q: What are the side effects of TURP?

A: Impotency, problems in urination, and bladder control problems are some of the side effects of TURP.

Q: Can a prostate grow back after TURP?

A: In some patients, the prostate gland can grow back after the surgery. Therefore, the problems that the patient had at the time of BPH diagnosis may return.

Q: How safe is TURP surgery?

A: TURP is a generally safe procedure. However, like any other surgery, there are a few risks associated with the procedure.


Doctor's Speak

  • Interview with Dr. Vijay Sharma, Urologist in India on the Management of Kidney StonesDr. Vijay SharmaIndia

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Trans Urethral Resection of Prostrate (TURP)