Transurethral Resection Of the Prostate (TURP) is the most typical surgery technique to treat Benign Prostatic Hyperplasia (BPH). Here, a few portions of the prostate get removed that are affecting one’s urine flow. With TURP, some men might happen to face “retrograde ejaculation,”. It is the ejaculation of semen into the bladder.
Talk to the Best Urologist In Siliguri now!
Is TURP right for me?
If you have a benign enlarged prostate that is causing you trouble, including difficulty urinating, frequent trips to the bathroom, or blood in your urine, TURP may be a suitable option for you. This surgery can permanently reduce these problems and improve symptoms significantly. However, before deciding on TURP, it’s vital to discuss other treatment options such as medication and monitoring with a healthcare professional. Additionally, newer nonsurgical options like laser surgery or focused ultrasound are also available and may be worth discussing.
What are the benefits and risks of TURP?
Transurethral resection of the prostate (TURP) offers significant benefits for men with benign prostatic hyperplasia, including:
- Improved urinary symptoms: TURP can help reduce the frequency and urgency of urination, troublesome remaining urination, and prolonged urination.
- Long-term relief: Studies have shown that TURP can permanently reduce prostate-related problems, signifying a long-lasting solution.
However, TURP also comes with risks such as:
- Bladder injuries
- Bleeding and blood in the urine after surgery
- Electrolyte abnormalities
- Infection
- Loss of erections
- Painful urination
- Impotence
- Retrograde ejaculation
- Urinary incontinence
It’s important to weigh the benefits and risks before deciding to undergo a TURP. It’s crucial to discuss TURP thoroughly with a healthcare professional and consider other treatment options as well before making a decision.
How long does a TURP surgery take?
Transurethral resection of the prostate (TURP) surgery usually takes between 1 to 2 hours. The exact duration may depend on the amount of tissue that needs to be removed. Before the procedure, you will receive anesthesia to prevent pain and sometimes a sleep-like state as well. Once the surgery is completed, you’ll be moved back to the recovery area to rest and monitor your progress.
What is recovery like after TURP?
After a transurethral resection of the prostate (TURP) surgery, most men experience tiredness and a feeling of being under the weather for a week or two. The recuperation process usually takes 3 to 4 weeks, during which heavy lifting or strenuous activities are to be avoided. Additionally, it may take 4 to 6 weeks for full recovery, and it is essential to follow doctors’ guidelines closely to ensure proper healing. During the recovery period, urinary frequency might be noticeable, but it usually improves with time. Depending on the surgical intervention and individual healing rate, some men may experience improvements in urinary difficulty within a few days to several months. It is important to consult a healthcare professional for personalized advice and adjustments to the recovery process as needed.
What tests do I need before TURP surgery?
Before TURP surgery, pre-operative preparation generally involves a thorough evaluation by a healthcare provider. This may include a physical examination, blood tests, an electrocardiogram (ECG), and possibly other tests depending on individual circumstances. Blood tests may check for clotting function, complete blood count, and prostate-specific antigen (PSA) levels. A cystoscopy may also be performed to visualize the urethral tract. Additionally, some patients may be asked to undergo urinalysis to assess ligament stability. It’s essential to consult a healthcare professional to determine the necessary tests and prepare for the surgery, ensuring you’re in good health and well-suited for the procedure.
What medications should I avoid before TURP?
It’s important to inform your healthcare provider about any medications you are taking that may increase the risk of bleeding, such as anticoagulants like warfarin, rivaroxaban, aspirin, or clopidogrel. You may be advised to stop taking these medications several days before your transurethral resection of the prostate (TURP) surgery to prevent heavy bleeding during the procedure. Consult your healthcare professional for specific instructions on when to stop taking these medications based on your individual situation. Additionally, other medications that could affect bleeding or recovery may need adjustments or discontinuation before the surgery, so it’s crucial to involve your healthcare team in your planning process.
What can I expect during the consultation for TURP?
During the consultation, your healthcare provider will discuss the TURP procedure, its benefits, risks, and expected outcomes. You’ll have the opportunity to ask questions, and they will answer any concerns you may have about the surgery. The doctor may also explain specific preparations you need to make before the surgery, such as stopping certain medications, and discuss the recovery process. Consultations typically provide essential information to help you make an informed decision about whether the TURP procedure is appropriate for you. Be sure to bring any necessary medical records and ask clear questions to help you understand the proces
How long will I need to stay in the hospital after TURP?
After TURP (transurethral resection of the prostate), you’ll typically need to stay in the hospital for 1 to 2 days. The length of your hospital stay may vary depending on your individual case and whether any complications arise during or after the surgery. Your healthcare provider will monitor your progress closely and provide guidance on when you’ll be ready to go home. They may order a catheter to be placed to help you urinate while your body heals, and this could affect your discharge timer. In most cases, the catheter is removed within 24 to 48 hours, allowing you to start passing urine on your own. If you have any concerns about your recovery after TURP, you should discuss them with your healthcare provider to ensure a smooth and successful recovery process.
What kind of pain can I expect after TURP?
After undergoing a Transurethral Resection of the Prostate (TURP) procedure, some pain is quite common. Mild to moderate discomfort at the operation site is normal. Pain in the pelvic region, rectum, perineum, or lower abdomen is also possible. Pain may be felt when urinating due to urinary tract healing and the presence of a catheter. You may experience burning sensation while urinating, bladder cramps, and spasms in the bladder. It’s important to take pain relievers as suggested by your healthcare provider to manage discomfort and soreness following the procedure. Most patients report that pain is not a significant problem after TURP. Be sure to follow your doctor’s instructions on managing your pain effectively and ensuring a smooth recovery.
For severe pain that is not manageable with prescribed medications, it’s essential to consult your healthcare provider immediately. Remember not to drive, operate heavy machinery, or make important decisions while taking narcotic pain medications. Make sure to discuss any concerns with your healthcare provider before your surgery.
How long will I have a catheter after TURP?
After a Transurethral Resection of the Prostate (TURP) procedure, a catheter is typically left in place for 24 to 48 hours, or until urination becomes possible again. This allows the swelling caused by the surgery to subside and encourages proper urine flow. The duration may vary depending on individual circumstances, and your healthcare provider will determine the most appropriate time for catheter removal. It’s essential to follow your healthcare provider’s instructions carefully to ensure a successful recovery.
In some cases, early catheter removal may be considered, but this usually depends on the severity of the surgical procedure and individual healing rates. Your healthcare team will discuss catheter removal options with you during your recovery process. For most patients, a catheter is typically removed several days or weeks after the surgery. Generally, urinary retention after TURP gradually improves over several weeks, allowing for improved urinary function and increased control. Each person’s healing process is unique, so it’s essential to consult your healthcare provider for personalized guidance on catheter management after TURP.
What are the signs of infection after TURP?
Following your Transurethral Resection of the Prostate (TURP) procedure, it is essential to monitor for signs of infection. Symptoms may include an increase in pain or discomfort, burning sensation during urination, frequent urination, and blood in the urine. These symptoms could indicate an infection, and you should contact your healthcare team if they persist.
After experiencing TURP, adult males may encounter a urinary tract infection (UTI), which can progress to a severe sepsis if not treated promptly. Studies suggest that around 5-10% of patients develop symptomatic UTIs following TURP. Factors contributing to postoperative infections include the iatrogenic disruption to the urinary tract during the procedure and bacterial colonization around the catheter site. Should you notice any warning signs of an infection, it’s crucial to report them to your healthcare team and follow their recommended course of action.
When can I resume normal activities after TURP?
After TURP, most people experience pain during the first few days of recovery. However, this can vary from person to person. The type and severity of pain that someone experiences can depend on the extent of the surgery and individual healing times. It’s common for people to experience a combination of discomfort in the bladder, rectum, and genitals. Pain medications like paracetamol, ibuprofen, or morphine may be prescribed to help manage this discomfort, but your healthcare provider may also recommend physical therapy or other treatments. It’s important to follow their instructions carefully and not hesitate to seek additional medical attention if necessary. Some postoperative pain can persist for a few weeks, but with time and proper care, the symptoms should become more manageable.
What are the long-term side effects of TURP?
While TURP is generally safe and effective, there are potential long-term side effects. The most common long-term complications include retrograde ejaculation and urinary incontinence. Retrograde ejaculation occurs when semen flows back into the bladder instead of out through the urethra during ejaculation, affecting approximately 65-75% of men who undergo the procedure. Urinary incontinence, also known as loss of bladder control, can occur in a small number of cases, though the exact prevalence is not well established.
Other long-term complications include urethral strictures and bladder neck contractures, which can impact urinary flow and require further medical intervention. In some cases, retreatment may be necessary. The incidence and severity of these complications can vary significantly between individuals, making it essential to discuss any concerns with your healthcare provider.
It is important to remember that every individual’s response to surgery is unique, and some men may experience no long-term side effects or only minor complications. Additionally, advances in surgical techniques and technology continue to improve the safety and efficacy of TURP, reducing the risk of complications. Always consult with your healthcare provider for personalized information about your specific situation and any potential risks associated with TURP.
Are there other treatments for an enlarged prostate?
In addition to medications, surgery, and laser treatments, there are a few other options available for treating an enlarged prostate. One such option is convective water therapy, a relatively new treatment that uses steam to reduce the size of the prostate gland. These treatments are evaluated on a case-by-case basis, with the most suitable options depending on factors such as overall health, likelihood of complications, and the severity of symptoms. It’s important to consult with your healthcare provider to determine the best course of action to manage your enlarged prostate.
It’s worth noting that a combination of treatments, such as medications and surgery, may also be used to manage symptoms and slow the progression of the disease. The National Institutes of Health states that transurethral resection of the prostate (TURP) is often the first choice of surgery for BPH. Other surgical options include minimally invasive laser or robotic procedures to remove parts of the prostate gland. The choice of surgery will depend on various factors, including the extent of prostate enlargement, the individual’s overall health, and personal preference.
What are the pros and cons of other enlarged prostate treatments compared to TURP?
When comparing enlarged prostate treatments, both TURP and HOLEP have their pros and cons. TURP offers good outcomes in terms of improving urinary flow, reducing symptoms, and enhancing quality of life. However, HOLEP is found to be a safer surgical procedure compared to TURP, with less bleeding and potentially better long-term relief of urinary bladder outlet obstruction. On the other hand, TURP can have fewer benefits due to its invasiveness and potential risks than laser treatments like HOLEP. In terms of other surgical approaches, TmLEP and PVP haven’t been scientifically proven to be effective in the improvement enlarged prostate symptoms compared to TURP.
