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Transurethral Resection of the Prostate (TURP)

Overview

Transurethral Resection of the Prostate (TURP) (C-section) is a surgical procedure used to deliver a baby through incisions in the mother's abdomen and uterus. Transurethral Resection of the Prostate (TURP) is a surgical procedure commonly performed to treat benign prostatic hyperplasia (BPH), which is an enlargement of the prostate gland. Below is an overview that includes various aspects of TURP:
 
  • Purpose: TURP is performed to relieve urinary symptoms caused by BPH, such as difficulty urinating, frequent urination, and urinary retention.
  • Procedure Type: It is a minimally invasive surgery performed through the urethra, eliminating the need for external incisions.

Specialty

  • Urology: TURP is a procedure performed by urologists, who specialize in the urinary tract and male reproductive system.
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How is Transurethral Resection of the Prostate (TURP) done?

Preoperative Assessment:
  • Medical history and physical examination.
  • Blood tests, including prostate-specific antigen (PSA) levels.
  • Urinalysis to check for infections or other urinary issues.
Medications:
  • Patients may be advised to stop certain medications (e.g., blood thinners) before surgery.
  • Antibiotics may be prescribed to prevent infection.
  • Fasting: Patients are typically required to fast for several hours before the procedure.
  • Bowel Preparation: In some cases, a bowel prep may be required to ensure the surgical area is clear.

Anesthesia:
  • TURP can be performed under general or spinal anesthesia, depending on the patient's condition and preference.++62
Resection Process:
  • A resectoscope (a thin tube with a light and camera) is inserted through the urethra.
  • The surgeon uses an electrical loop to remove excess prostate tissue, which alleviates pressure on the urethra.
  • Duration: The procedure usually takes about 60 to 90 minutes.
  • Postoperative Care: Patients may have a catheter placed to drain urine for a few days after the procedure.

While TURP is generally safe, potential complications can include:

  • Bleeding: Some bleeding is common, but excessive bleeding may require additional intervention.
  • Infection: Risk of urinary tract infections (UTIs) post-surgery.
  • Erectile Dysfunction: Changes in sexual function can occur, though many men retain their ability to achieve erections.
  • Incontinence: Some patients may experience temporary urinary incontinence.
  • Retrograde Ejaculation: A condition where semen enters the bladder instead of exiting through the penis during ejaculation.
Benefits of Transurethral Resection of the Prostate (TURP)
  • Symptom Relief: Significant improvement in urinary symptoms for most patients.
  • Minimally Invasive: Reduced recovery time and hospital stay compared to open prostate surgery.
  • Quick Recovery: Many patients return to normal activities within a few weeks.

Infrastructure Facilities

  • Surgical Facilities: TURP is typically performed in a hospital or specialized surgical center equipped with advanced surgical instruments and monitoring systems.
  • Recovery Rooms: Post-anesthesia recovery units are available for patient monitoring after surgery.
  • Urology Specialists: A team of urologists and nursing staff trained in managing urological procedures and complications.

Conclusion

TURP is a widely accepted procedure for treating urinary symptoms related to prostate enlargement. While it has potential risks, the benefits often outweigh them, making it a viable option for many men suffering from BPH. It's essential to consult with a healthcare provider to understand the best treatment options available based on individual health needs.

FAQs

Most patients take about 4-6 weeks to fully recover, but many return to normal activities within a few days.

Many patients are discharged the same day, but some may require an overnight stay depending on individual circumstances.

While many men retain normal erectile function, some may experience changes, such as retrograde ejaculation.

Most patients experience significant improvement in urinary symptoms after the procedure.

Yes, there are minimally invasive options such as laser therapy, medication, and lifestyle changes. Discuss with your urologist to determine the best approach for your situation.

Follow-up appointments will be necessary to monitor recovery. Patients are typically advised to drink plenty of fluids and avoid strenuous activities for a short period.

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