Transurethral Resection Of The Prostate
Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate surrounding the urethra: benign prostate hyperplasia or BPH. The symptoms can be very cumbersome to a man and may include: dribbling, slow stream, urgency, increase frequency, urinary tract infections, etc.
A combined visual and surgical instrument (resectoscope) is inserted through the tip of the penis and into the urethra. Using the resectoscope, the excess prostate tissue that’s blocking urine flow will be trimmed away.
TURP is generally considered an option for men with moderate to severe urinary problems that haven’t responded well to oral medication. Traditionally, TURP has been considered the most effective treatment for an enlarged prostate.
How is transurethral resection of the prostate performed?
- This surgery is practiced mainly under spinal anaesthesia.
- The resectoscope is inserted into the urethra into the prostate and starts by observing the inside of the urethra, prostate and bladder.
- The excess prostate tissue is removed or vaporized in the area surrounding the urethra. It's basically enlarging the inside of a donut hole.
- A catheter is placed in the bladder to allow urine to flow and is removed when there is no more blood in the urine (usually after 24 to 48 hours). Bladder irrigation is often necessary, depending on the amount of bleeding in the urine following the operation.
- If there is little bleeding and the medical condition allows, the patient can leave with his probe at the end of the day. Otherwise, a night of hospitalization is often necessary
Different Types of TURP
- Monopolar standard TURP
- Bipolar TURP by Plasma Loop
- Bipolar electro vaporisation TURP with Plasma Button
- Holmium Laser resection
- Green Light Photo selective Vaporization of Prostate