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T.U.R.P

A transurethral resection of the prostate (TURP) is a surgical procedure that involves cutting away a section of the obstructing part of  prostate.

Indication

Symptoms:

  • problems starting to urinate
  • a weak urine flow or stopping and starting
  • having to strain to pass urine
  • a frequent need to urinate
  • waking up frequently during the night to urinate (nocturia)
  • a sudden urge to urinate
  • being unable to empty your bladder fully

Procedure:-

TURP is carried out under spinal or general anaesthesia

TURP is carried out using a device called a resectoscope, which is a thin metal tube containing a light, camera and loop of wire. This is passed along your urethra until it reaches your prostate, which means no cuts (incisions) need to be made in your skin.

The loop of wire is then heated with an electric current and is used to cut away the section of your prostate that is causing your symptoms. A thin tube called a catheter is then inserted into your urethra to pump fluid into the bladder and flush away pieces of prostate that have been removed.

Recovering from TURP

Hospital stay – one to three days after your operation.

Discharged with catheter- because your urethra will be swollen and you may not be able to urinate normally at first.

May feel weakness for 5 to 10 days,

Advised to stay off work and avoid lifting heavy objects, doing strenuous exercise, driving and having sex for at least a few weeks.

It’s normal to have some difficulties urinating and some blood in your urine for a few weeks. These problems should get better as you recover.

 

Laser TURP:- Holmium laser enucleation of the prostate (HoLEP) – a laser attached to a resectoscope is used to cut away excess prostate tissue

Advantage:-

  1. Less blood loss
  2. Faster procedure
  3. Adequate hemostasis
  4. Less painfull

Disadvantage:-

  1. Expensisve
  2. Irritating symptoms

Transurethral laser resection or vaporisation of the prostate