TURP

Transurethral resection of the prostate (TURP) is an effective surgical procedure used to treat an enlarged prostate when other conservative treatments have failed.

The prostate gland sits between the bladder and the urethra. An enlarged prostate occurs when the prostate gland swells and disturbs the flow of urine in the urethra. The obvious symptoms include struggles in urinating and a sensation of inability to empty the bladder. TURP is mainly used when benign prostatic hyperplasia (BPH) does not respond to other forms of treatment or medication.

TURP (Transurethral Resection of the Prostate) in Atlanta

Transurethral resection of the prostate (TURP) is an effective surgical procedure used to treat an enlarged prostate when other conservative treatments have failed.

The prostate gland sits between the bladder and the urethra. An enlarged prostate occurs when the prostate gland swells and disturbs the flow of urine in the urethra. The obvious symptoms include struggles in urinating and a sensation of inability to empty the bladder. TURP is mainly used when benign prostatic hyperplasia (BPH) does not respond to other forms of treatment or medication.

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The Benefits of TURP

The benefits of having a TURP can be described as follows:

  • It will be easier to start urinating since the urethra will no longer be constricted by the enlarged prostate.
  • Urination will no longer be marked starting and stopping.
  • There will be no feeling of pain when urinating.
  • The frequency of urinating will be greatly reduced.
  • Nocturia or urinating frequently at night will be alleviated.
  • The sudden sensation of urgency to urinate will go away.
  • The bladder can be emptied fully.

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Understanding the TURP Surgical Procedure

Anesthesia is administered in order to keep the patient unconscious and pain-free during the procedure. Transurethral resection prostate (TURP) is carried out using a resectoscope. A resectoscope is a small device consisting of a metal tube, camera and wire. It is inserted along the urethra and moved until it reaches the prostate. This does not make any cuts on the skin.

The wire is then exposed to an electrical current, which heats it up. The current can then cut away the enlarged part of the prostate gland. A catheter (thin tube) is inserted into the urethra with the overall aim of flushing the bladder and removing any pieces of the prostate that may have been removed.

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How to Recover after TURP

Many patients remain in the hospital for about three days after the surgery is done. The catheter used during the operation is not immediately removed due to the swollen urethra. The catheter will help with urination.

Men feel fatigued for almost a week after being discharged from the hospital. The majority of men need up to eight weeks to fully heal and return to their normal daily activities. It is advisable for patients to take things easy, stay home from work for a while and only engage in light activity. Activities such as heavy lifting, sex and strenuous exercise should be avoided completely during recovery.

Patients will also have trouble urinating at first. They will also notice blood in the urine. It is normal and nothing to worry about as long as the symptoms improve with time. Stay in touch with your doctor and attend any post-surgery appointments. If the symptoms do not get better, it is better to inform the doctor right away.

The Risks Associated with TURP

TURP is effective, and it is a safe procedure with little possibility of causing long-term issues. However, this does not mean that TURP is completely risk-free. Some side effects and risks of TURP include:

  • Retrograde ejaculation – TURP can cause men to experience the pleasure of ejaculating (orgasm), except that they will not have an emission. The ejaculate is deposited into the bladder instead of being directed through the urethra.
  • Men will lose control of their bladder (urinary incontinence) for a short period of time and the problem will sort itself out in a matter of weeks. If incontinence persists, further treatment will be needed.
  • Erectile dysfunction – There’s a very small chance of having an erectile dysfunction, but it’s not common with TURP.
  • Urinary tract infections (UTIs) – Temporary problems in passing urine may lead to UTIs.
  • Hospital admission – TURP may require up to a three-day hospital stay after the procedure is completed.
  • Patients may need up to four weeks to completely recover from the procedure. This may inconvenience those who may not be able to afford a month off work.
  • A catheter will be inserted and will remain in place until the swelling of the urethra has subsided.

The patient will most likely:

  • Pass urine with blood – This is normal and happens after surgery. However, the patient should monitor the amount of blood in the urine and it should get better in time. If the patient does not get better, a doctor may be needed for examination.
  • Urinary inflammation – The patients will experience irritating symptoms.

The following is recommended for the recovery period after TURP surgery:

  • Drink lots of water – Fluids help to flash and clean the bladder.
  • Eat a healthy diet – Foods rich in high-fiber are recommended. The minimize constipation which helps in easy the pain associated with bowel movements.
  • Do not take any blood-thinning medications until given the green light by the doctor to do so.
  • Avoid strenuous activities.
  • Avoid driving.

Optional Treatments and Medications for an Enlarged Prostate

These methods listed below can be used to treat enlarged prostate:

Alpha Blockers

This treatment method thrives on relaxing the neck muscles of the bladder and the prostate muscle fibers. The relaxation of the muscles allows for easy urination. The urine flow improves within two days and as a result, reduces the number of visits to the bathroom. The examples of alpha blockers used are alfuzosin, doxazosin, terazosin and tamsulosin.

HoLEP

Holmium laser enucleation of the prostate is a process that uses a laser attached to a resectoscope. It cuts away extra prostate tissue.

PUL Implants

Prostatic urethral lift (PUL) implants are inserted and pull the enlarged prostate away from the urethra. This unblocks the urethra and results in improved urine flow.

Prostate Vaporization

A cystoscope is inserted into the urethra. The urethra has a laser attached to it. The laser releases energy that burns and dismantles the enlarged prostate.

While there are many possibilities for treating BPH or an enlarged prostate, TURP is among the most effective. Some insurances cover the cost of TURP. Others may wish to pursue a payment plan or financing option to move forward with the procedure. If you’re considering TURP as a surgical option, you may be distressed by the symptoms caused by BPH. You may have even started searching online for “TURP surgery near me.” If you’d like more information about TURP and BPH treatments, call us at 678-344-8900 today.