Transurethral Electro Resection of the Prostate (TURP)

Transurethral Electro Resection of the Prostate (TURP)

Transurethral Electro Resection of the Prostate (TURP) is a surgical procedure used to treat benign prostatic hyperplasia (BPH), a noncancerous enlargement of the prostate gland. It is performed through the urethra, the tube that carries urine out of the body, and does not require an incision.

During TURP, an instrument called a resectoscope, which has a loop at the end, is inserted into the urethra. The loop, which is connected to an electrical current, is used to remove the excess tissue that is causing the obstruction of the urethra. The removed tissue is then extracted through the resectoscope.

TURP is typically performed as an outpatient procedure and may require an overnight stay in the hospital. The procedure is performed under general or spinal anesthesia and may take between 1 to 2 hours.

The recovery period after TURP typically lasts several weeks, during which time the patient may experience some discomfort and blood in the urine. Most patients are able to return to their normal activities within 4 to 6 weeks, but the full effects of the procedure may take several months to become apparent.

TURP is considered a safe and effective procedure for treating BPH, but like any surgery, it carries a risk of complications, including infection, bleeding, and scarring. Your doctor will discuss the risks and benefits of TURP with you, and help you determine if it is the best treatment option for you.

What Is The Purpose Of A Transurethral Resection?

The purpose of a transurethral resection (TUR) is to remove a portion of tissue or a growth inside the body using an instrument that is inserted through a natural body opening, such as the urethra. One specific type of transurethral resection is transurethral resection of the prostate (TURP), which is used to treat benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland.

During TURP, a resectoscope is inserted through the urethra and used to remove the excess tissue causing the obstruction of the urethra. The objective of the procedure is to relieve the symptoms of BPH, such as difficulty with urination, weak urine stream, and frequent urination.

TUR can also be performed for other purposes, such as the removal of tumors or growths in the bladder, ureters, or urethra. The specific type of TUR performed will depend on the location and type of tissue to be removed.

In general, TUR is a minimally invasive surgical procedure that provides a less traumatic alternative to open surgery and can result in quicker recovery times and fewer complications compared to traditional surgery.

Which Is Better TURP Or TUIP?

The choice between Transurethral Resection of the Prostate (TURP) and Transurethral Incision of the Prostate (TUIP) depends on the individual patient's specific needs and medical condition. Both procedures are used to treat benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland.

TURP involves the removal of excess prostate tissue, whereas TUIP involves making small incisions in the prostate to relieve pressure on the urethra. TURP is typically recommended for patients with larger prostate glands, while TUIP is recommended for patients with smaller prostate glands or those who have not responded to medical management.

TUIP is considered a less invasive procedure than TURP and often results in a quicker recovery time. However, the long-term effectiveness of TUIP may be lower compared to TURP, and some patients may require additional treatment in the future.

The decision on which procedure is best will be based on the patient's individual medical history, physical examination, and the severity of symptoms. Your doctor will discuss the risks, benefits, and alternatives of both procedures with you, and together you can make the best decision for your specific needs and circumstances.

What Is The Difference Between TURP And TUVP?

Transurethral Resection of the Prostate (TURP) and Transurethral Ultrasonic Vaporization of the Prostate (TUVP) are both surgical procedures used to treat benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland.

TURP is a traditional surgical procedure that involves removing excess prostate tissue using a resectoscope that is inserted through the urethra. The removed tissue is extracted through the resectoscope. TURP has been used for many years and is considered a safe and effective treatment for BPH.

TUVP is a newer, minimally invasive procedure that uses high-frequency ultrasound energy to vaporize excess prostate tissue. The energy is delivered through a small instrument that is inserted through the urethra, and the vaporized tissue is absorbed by the body.

Compared to TURP, TUVP is generally considered to have a quicker recovery time, less postoperative pain, and a lower risk of certain complications, such as bleeding and scarring. However, long-term outcomes and durability of TUVP are not yet well established compared to TURP.

The choice between TURP and TUVP will depend on the patient's individual medical history, physical examination, and the severity of symptoms. Your doctor will discuss the risks, benefits, and alternatives of both procedures with you, and together you can make the best decision for your specific needs and circumstances.

What Is A Transurethral Resection Procedure?

Transurethral resection (TUR) is a surgical procedure in which a portion of tissue or a growth inside the body is removed using an instrument that is inserted through a natural body opening, such as the urethra. One specific type of transurethral resection is transurethral resection of the prostate (TURP), which is used to treat benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland.

The TURP procedure is performed under general or spinal anesthesia and typically takes about 60 to 90 minutes. During the procedure, a resectoscope, which is a narrow tube with a light and a cutting tool, is inserted through the urethra and into the prostate gland. The excess prostate tissue is then removed using the cutting tool.

Once the tissue has been removed, the cut surface of the prostate is cauterized to prevent bleeding. The removed tissue and any irrigating fluid are then suctioned out through the resectoscope, and the instrument is removed.

The objective of the TURP procedure is to relieve the symptoms of BPH, such as difficulty with urination, weak urine stream, and frequent urination. The procedure is considered minimally invasive and can result in a quicker recovery time and fewer complications compared to traditional open surgery.

It is important to note that the specific details of the TURP procedure can vary depending on the patient's individual medical history, physical examination, and the severity of symptoms. Your doctor will discuss the risks, benefits, and alternatives of the procedure with you before scheduling the procedure.

What Happens Before Transurethral Resection Of The Prostate?

Before undergoing a transurethral resection of the prostate (TURP), there are several steps that will occur:

Medical evaluation: Your doctor will perform a thorough medical evaluation to determine if TURP is the appropriate treatment for your condition. This evaluation will likely include a physical examination, a review of your medical history, and laboratory tests.

Urologic evaluation: Your doctor may perform a urologic evaluation to assess the size and shape of your prostate gland and to evaluate your urinary symptoms. This may include a digital rectal exam (DRE), a uroflowmetry test to measure the speed and volume of your urine flow, and a post-void residual (PVR) measurement to determine how much urine remains in your bladder after urination.

Preparation: Before the procedure, you will be asked to follow specific instructions to prepare for the procedure, such as:

Refrain from eating or drinking for several hours before the procedure

Take a laxative to empty your bowels

Stop taking certain medications, such as blood thinners, before the procedure

Anesthesia: The TURP procedure is performed under general or spinal anesthesia. Your doctor will discuss the best option for you based on your individual needs and circumstances.

Consent: Before the procedure, you will be asked to sign a consent form that outlines the risks, benefits, and alternatives of the procedure.

Pre-operative evaluation: Before the procedure, a nurse or anesthesiologist will review your medical history and perform a physical examination to ensure that you are in good condition for the procedure.

Blood tests: Blood tests may be performed to check your blood cell counts, electrolyte levels, and kidney function.

It is important to discuss any concerns or questions that you may have with your doctor before the procedure. Your doctor will be able to provide you with specific instructions and information to help you prepare for the procedure.

What Happens After Transurethral Resection Of The Prostate?

Transurethral resection of the prostate (TURP) is a surgical procedure that is used to relieve symptoms of benign prostatic hyperplasia (BPH), which is a non-cancerous enlargement of the prostate gland. After the procedure, patients typically experience a period of recovery, during which they may experience certain symptoms and side effects.

Immediately after the procedure, most patients will experience some discomfort, such as a burning sensation during urination or mild pain in the lower abdomen. Some patients may also experience light bleeding or spotting for a few days after the procedure.

In the days and weeks following TURP, patients may experience some urinary symptoms, such as:

Urgency: the need to urinate frequently or suddenly

Weak urinary stream

Incomplete emptying of the bladder

Blood in the urine

Temporary incontinence: the inability to control the flow of urine

Most of these symptoms are normal and are a result of the healing process. Most will resolve on their own within a few weeks or months after the procedure. In some cases, patients may need to use a catheter for a short period of time after the procedure to help them void their bladder properly.

It is important to follow all postoperative instructions and follow-up appointments with the healthcare provider to monitor recovery and ensure proper healing. If you have any concerns or questions, it is important to discuss them with your healthcare provider.

What Is The Recovery Time For TURP?

The recovery time after transurethral resection of the prostate (TURP) can vary depending on several factors, including the patient's age, overall health, and the extent of the procedure. On average, however, most patients can expect to take about 1-2 weeks off work to recover.

During the first few days after the procedure, patients may experience some discomfort, such as a burning sensation during urination, and may need to limit their physical activity. Most patients are able to return to their normal daily activities, such as driving and light exercise, within a few days.

In the first few weeks after TURP, patients may experience some urinary symptoms, such as a weak urinary stream or temporary incontinence, which are normal and a result of the healing process. Most of these symptoms will resolve on their own within a few weeks or months.

It is important to follow all postoperative instructions and attend all follow-up appointments with the healthcare provider to monitor the recovery process and ensure proper healing. The healthcare provider may also recommend certain lifestyle changes, such as avoiding heavy lifting or strenuous exercise, to help ensure a smooth recovery.

It is also important to note that the full benefits of TURP may not be seen for several months after the procedure, as the prostate gland may take time to shrink back to its normal size. In most cases, however, patients can expect to experience significant improvement in their symptoms and an increased quality of life after TURP.

When Should I See My Healthcare Provider?

It is important to follow all postoperative instructions and attend all follow-up appointments with your healthcare provider after a transurethral resection of the prostate (TURP) procedure. Your healthcare provider will be able to monitor your recovery and ensure that you are healing properly.

You should see your healthcare provider immediately if you experience any of the following symptoms after TURP:

Severe pain or discomfort

Heavy bleeding or severe spotting

A fever or chills

Worsening urinary symptoms, such as a weak stream or frequent urination

Difficulty urinating or an inability to empty your bladder

Nausea or vomiting

A sudden worsening of your symptoms

If you have any questions or concerns about your recovery, it is important to discuss them with your healthcare provider. They can provide you with guidance and recommend any necessary treatments or lifestyle changes to help you recover as smoothly as possible.