TURP AKA Trans Urethral Prostatectomy is a procedure that surgically removes the enlarged portion or section of the prostate gland. The Benign Prostatic Hyperplasia or enlarged prostate mostly affects aged men.
Why did it need?
TURP is recommended when the patient has symptoms like
Urine tract infection or acute retention
Damage of the kidneys
Increased frequency of urinating especially at night
Slow flow or dribbling after urinating
The patient either has an uncontrollable urge or cannot urinate easily.
Facts and figures
While 80% of men develop BHP gradually; prostate diseases are more common in men who are 40 and above.
As per statistics, every year, close to 30,000 men in the United States die due to prostate cancer.
Amongst the various treatments available for BHP, TURP in today’s world is considered as Gold Standards
Fabian first described the use of intraprostatic stents during the 1980s. This is one of the secondary treatments to BHP for people suffering from outlet obstruction.
Risk and Complications
Reaction to medicines or anesthesia
Blood clots or bleeding
UTI or urine traction infection post-operation
Damage to adjacent tissues or organs
BHP surgery has a high success rate. Post the surgery, close to 88% of patients have reduced symptoms.
After the removal of the catheter, most patients will notice their urine flow has improved
The pain for most patients reduces after the surgery. This makes it easier for them to pass urine and sleep peacefully at night.
10 years post the first surgery, close to 15-20% opt for another one.
After a TRUP operation, some patients develop fertility issues and temporary problems with urinating.
In some cases, it has been reported that instead of the semen going out through the urethra, it goes into the bladder.
Patients tend to develop urethral stricture or transurethral reaction syndrome
Complete physical, blood and urine examination
DRE or Digital examination of the rectal
PSA or Prostate-specific antigen test
Physician visit to obtain the list of medicines that have to be stopped or taken before the surgery
Letting the surgeon know if you drink or smoke
Arrange for a person to come along with you to drive you back
Fasting post-midnight before the day of the surgery
Medical tourists will have to book a hotel room close to the hospital preferably on the ground floor.
Post operative care
The patient may have to stay back for 1-3 days post the surgery. A catheter will be placed during this time until there are no blood traces found in the urine.
Post the surgery, the first 6 weeks, a patient will have urination problems or discomfort like pain
If there is an enlarged prostate that cannot be treated by TURP, then the surgeon would recommend open prostatectomy. This is a surgical procedure that requires a hospital stay and reduces the chances of another surgery. If in the case of prostate cancer, this surgery is contraindicated.
Dos, Don’ts and Precautions
Good hygiene practices like washing the penis or hands regularly
to prevent constipation, laxatives are advisable
Diet should consist of high fiber foods and lots of fluid
Post the surgery The patient should not indulge into sexual activity at least for 6 weeks.
for the first two weeks, it is advisable not to drive
For 6 weeks, the patient should avoid strenuous activities
Proper recovery post the surgery will take close to 6-8 weeks