Minimally Invasive Urology & Stone Center

Transurethral Resection of the Prostate (TURP) Surgery

TURP is the most common prostate surgery and the gold standard. The surgeons at St. Joseph Hospital utilize bipolar current to avoid many of the serious side effects encountered with the original TURP. TURP is not an open procedure (no external incision) so recovery time is usually short. During the procedure, your doctor inserts a resectoscope through the urethra. This instrument contains a light, valve for controlling irrigating fluid and an electrical loop that allows your doctor to remove excess prostate tissue that is pressing against the urethra. This allows urine to flow freely.

The excess pieces of tissue removed during the procedure are carried to the bladder via irrigating fluid. Your doctor will flush them out of the bladder with water after the procedure. These tissue pieces will be sent to the lab to ensure they do not contain cancer cells.

One side effect of TURP may be retrograde ejaculation where semen may travel into the bladder instead of out of the penis during ejaculation. This side effect 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.