Understanding Transurethral Resection of the Prostate (TURP): Types and Procedure

Transurethral Resection of the Prostate (TURP) is a common surgical procedure used to treat benign prostatic hyperplasia (BPH), a condition where the prostate gland enlarges, causing urinary problems. In this blog, we will delve into the details of TURP, its types, and how it helps patients regain a better quality of life.

Types of TURP:

• Conventional TURP: This is the traditional TURP procedure where a resectoscope, a thin, lighted tube with a wire loop, is inserted through the urethra. The loop is used to remove excess prostate tissue, alleviating urinary obstruction.
• Laser TURP (HoLEP): High-Power Holmium Laser Enucleation of the Prostate (HoLEP) employs laser energy to vaporize and remove prostate tissue. It is a less invasive alternative to conventional TURP and is associated with shorter recovery times and reduced bleeding.

The TURP Procedure:

• Anesthesia: TURP can be performed under general or spinal anesthesia, ensuring the patient’s comfort during the procedure.
• Insertion of the Resectoscope: The surgeon inserts the resectoscope into the urethra, guiding it to the prostate.
• Tissue Removal: In conventional TURP, the surgeon uses the wire loop to trim and remove excess prostate tissue, while in laser TURP, the laser energy vaporizes the tissue.
• Continuous Irrigation: Throughout the procedure, a sterile solution irrigates the bladder to flush out tissue fragments and maintain visibility.
• Catheter Placement: After removing the excess tissue, a catheter is placed in the urethra to assist urine drainage.
• Completion of Surgery: Once the surgeon is satisfied with the tissue removal, the resectoscope is removed, and the patient is taken to the recovery room.

Benefits of TURP:

• Improved Urinary Flow: TURP effectively relieves urinary symptoms caused by BPH, such as weak urine stream and frequent urination.
• Reduced Risk of Complications: TURP is associated with lower rates of complications compared to open prostate surgery.
• Shorter Recovery Time: Laser TURP, in particular, offers a quicker recovery with less postoperative discomfort.

Conclusion:

Transurethral Resection of the Prostate (TURP) is a well-established procedure for treating BPH, allowing patients to regain their urinary function and quality of life. With advancements like laser TURP, the surgery has become even more efficient and less invasive. If you are experiencing urinary problems due to an enlarged prostate, consult with your urologist to determine if TURP is the right option for you.