Transurethral Resection of the Prostate (TURP) Surgery
TURP is used to treat a benign enlargement of the prostate, also known as BPH (benign prostatic hyperplasia). This procedure removes prostate tissue to relieve pressure on the urethra, helping relieve symptoms. Excess prostate tissue is removed during a TURP, letting urine flow freely through the urethra. Although TURP is the most common BPH procedure, certain other procedures also help relieve BPH symptoms. Instead of TURP, your doctor may perform a TUIP, TUNA or laser ablation. If you will undergo one of these procedures, your doctor can explain more about it. Preparation and experience during surgery are similar to TURP.
Preparing for Your Procedure
Your doctor will explain how to prepare for your procedure. For example, you may be asked to stop taking certain medications a few days before the procedure. If your procedure will be performed in a hospital, you may be instructed not to eat or drink anything after the midnight before surgery. Be sure to follow any special instructions from your medical team.
During the TURP Procedure
An IV (intravenous) line is inserted into your hand or arm. You’ll receive pain medication through the IV. Although this medication probably won’t put you completely to sleep, you’ll be sleepy and feel no pain.
The doctor will insert a cystoscope (a thin, telescope-like tool) into your urethra. This tool allows your doctor to see the blocked part of the urethra.
A tool is then inserted through the cystoscope tool. This is done to remove the excess prostate tissue. Cut pieces of tissue collect in the bladder. The doctor will then wash them out of the bladder with water.
These tissue pieces will be sent to the lab to be sure they are free of cancer.
Possible Complications of Prostate Procedures
- Infection
- Blood clots
- Scarring of the urethra
- Bleeding
- Erectile dysfunction (rare)
- Absorption of fluid during the procedure (TURP syndrome)
- Permanent incontinence (very rare)
Retrograde Ejaculation
After some surgical treatments, semen may travel into the bladder instead of out of the penis during ejaculation. This side effect, called retrograde ejaculation, results in little or no semen when you ejaculate. This condition is harmless, and the feeling of orgasm won’t change. Retrograde ejaculation may also be a side effect of some medications.