TURP

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
  • Prostate bleeding
  • 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

Risk and Complications

  • Reaction to medicines or anesthesia
  • Blood clots or bleeding
  • Breathing problems
  • UTI or urine traction infection post-operation
  • Tissue scarring
  • Damage to adjacent tissues or organs

Advantages

Disadvantages

Preoperative Preparation

  • 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

Open Prostatectomy

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.
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Dos, Don’ts and Precautions

  • Good hygiene practices like washing the penis or hands regularly
  • Proper rest
  • 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.
  • No drinks
  • 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