Transurethral Resection (TURP)

Transurethral Resection Procedure (TURP) and Benefits

Transurethral Resection of the Prostate (TURP) is a commonly performed minimally invasive surgical procedure used primarily to treat urinary problems caused by an enlarged prostate (Benign Prostatic Hyperplasia – BPH) and to remove tumors from the bladder. This technique is widely recognized for its effectiveness and safety, providing significant relief to patients suffering from urinary obstruction and other related issues.

The Procedure

1. Preparation: Prior to the procedure, patients undergo a thorough evaluation, including a review of medical history, physical examination, and necessary diagnostic tests such as ultrasound or cystoscopy.
2. Anesthesia: The procedure is typically performed under spinal or general anesthesia, ensuring the patient is comfortable and pain-free.
3. Resectoscope Insertion: A resectoscope, which is a thin, tube-like instrument equipped with a light, camera, and surgical loop, is inserted through the urethra into the bladder.
4. Tissue Removal: The surgeon uses the resectoscope to view the inside of the bladder and prostate, precisely cutting away the excess prostate tissue or bladder tumor. The removed tissue is flushed out with a sterile solution.
5. Finishing Up: Once the problematic tissue is removed, the resectoscope is carefully withdrawn. A catheter may be temporarily placed to assist with urine drainage during the initial recovery period.

Benefits

1. Minimally Invasive:
   • Benefit: The TURP procedure does not require external incisions, which significantly reduces the risk of complications such as infections and excessive bleeding.
   • Reason: The resectoscope is inserted through the urethra, minimizing trauma to surrounding tissues and leading to a quicker and less painful recovery.
2. Effective Symptom Relief:
   • Benefit: Patients experience rapid and significant improvement in symptoms such as frequent urination, weak urine flow, and the inability to empty the bladder completely.
   • Reason: By removing the obstructive tissue, the procedure alleviates pressure on the urethra, enhancing urine flow and bladder function.
3. Shorter Hospital Stay and Recovery Time:
   • Benefit: Most patients are discharged the same day or after an overnight stay, allowing them to return to their normal activities sooner.
   • Reason: The minimally invasive nature of the procedure means less postoperative pain and a faster recovery compared to traditional open surgery.
4. Precision Surgery:
   • Benefit: The use of a resectoscope allows for high precision in removing only the problematic tissue, preserving the surrounding healthy tissue.
   • Reason: This precision reduces the risk of damaging nearby structures, such as nerves and muscles, which is crucial for maintaining normal urinary and sexual function.
5. Proven Results:
   • Benefit: TURP has a high success rate, with many patients reporting long-term relief from urinary symptoms and improved quality of life.
   • Reason: It is a well-established procedure with a track record of effective outcomes and patient satisfaction.