What Is TURP Surgery?

TURP stands for Transurethral Resection of the Prostate. It is a commonly performed endoscopic procedure for men with urinary symptoms caused by benign prostate enlargement.

As the prostate enlarges, it can narrow the urethra and make it difficult for urine to pass from the bladder. TURP removes part of the enlarged prostate tissue surrounding the urethra, helping to improve the urinary passage.

What Is Benign Prostatic Hyperplasia (BPH)?

Benign prostatic hyperplasia, or BPH, is a non-cancerous enlargement of the prostate gland that becomes more common with increasing age. Because the urethra passes through the prostate, enlargement can gradually interfere with normal urine flow.

Some men have mild symptoms that can be managed with lifestyle changes or medicines, while others may develop significant obstruction, urinary retention or other complications requiring a procedure such as TURP.

Symptoms of an Enlarged Prostate

BPH can cause a range of lower urinary tract symptoms. The severity of symptoms does not always directly correspond to the size of the prostate.

When Is TURP Surgery Recommended?

TURP is not necessary for every man with an enlarged prostate. Treatment depends on the severity of symptoms, prostate characteristics, bladder function, medical history and response to previous treatment.

A urologist may consider TURP when urinary symptoms remain troublesome or when prostate obstruction has resulted in complications.

• Moderate to severe urinary symptoms caused by BPH.
• Persistent symptoms despite appropriate medical treatment.
• Difficulty passing urine or recurrent urinary retention.
• Repeated urinary tract infections associated with incomplete bladder emptying.
• Bladder stones related to prostate obstruction.
• Recurrent or troublesome blood in the urine associated with an enlarged prostate.
• Urinary obstruction associated with bladder or kidney problems.

How Is an Enlarged Prostate Diagnosed?

Before recommending TURP, the urologist evaluates the urinary symptoms, prostate and bladder function and looks for other possible causes of urinary problems.

• Detailed medical and urinary symptom history.
• Physical examination and prostate assessment when clinically appropriate.
• Urine examination to check for infection or blood.
• Blood tests, including kidney function assessment when required.
• PSA testing when clinically appropriate.
• Ultrasound assessment of the kidneys, bladder and prostate when indicated.
• Measurement of urine left in the bladder after urination.
• Uroflowmetry or other bladder-function tests when required.

Treatment Options for Enlarged Prostate

Treatment for BPH is individualized. Depending on the severity of symptoms and clinical findings, options may range from observation and medicines to minimally invasive procedures or surgery.

How Is TURP Surgery Performed?

TURP is performed in a hospital or surgical facility under appropriate anesthesia. The surgeon uses a resectoscope passed through the urethra to view the prostate and remove the obstructing tissue.

Preparation Before TURP Surgery

Proper preparation helps the surgical and anesthesia teams identify potential risks and plan the procedure safely.

• Complete medical and urological evaluation.
• Review of current medicines and medical conditions.
• Urine testing to identify urinary infection.
• Blood tests and other investigations as advised.
• Assessment of prostate and bladder findings when required.
• Informing the doctor about blood-thinning medicines and supplements.
• Following fasting instructions before anesthesia.
• Following all preoperative instructions provided by the treating team.

Recovery After TURP Surgery

Recovery after TURP varies between patients. A urinary catheter is commonly kept temporarily after surgery while the bladder and urinary passage recover.

Many patients can return to usual activities within a few weeks, but complete healing can take longer. Heavy lifting and strenuous exercise should be avoided until the treating doctor advises that they are safe.

Post-Treatment Care After TURP

• Drink fluids according to your doctor's instructions.
• Take prescribed medicines as directed.
• Attend all scheduled follow-up appointments.
• Avoid heavy lifting and strenuous physical activity until medically cleared.
• Avoid constipation and excessive straining during bowel movements.
• Follow instructions regarding medicines, including blood thinners.
• Follow the recommended timeline before resuming sexual activity.
• Report fever, inability to pass urine, heavy bleeding or worsening symptoms promptly.

Advantages of TURP Surgery

Risks and Complications of TURP

TURP is generally performed safely when appropriately indicated, but like any surgical procedure it has potential risks. The individual risk depends on factors such as prostate characteristics, general health and other medical conditions.

• Bleeding or blood in the urine after surgery.
• Urinary tract infection.
• Temporary difficulty passing urine after catheter removal.
• Temporary urinary urgency, frequency or burning.
• Urinary incontinence, which is usually temporary but can rarely persist.
• Urethral stricture or narrowing of the urinary passage.
• Bladder neck narrowing in some patients.
• Erectile dysfunction, which can occur but is uncommon.
• Retrograde ejaculation or dry orgasm.
• Need for additional treatment if symptoms persist or recur.
• Risks related to anesthesia and other surgical complications.

Limitations and Considerations of TURP

• TURP is not required for every patient with an enlarged prostate.
• Some patients may be better suited to medicines or another prostate procedure.
• Temporary urinary symptoms may occur during recovery.
• Retrograde ejaculation can occur after the procedure.
• Some patients may require additional treatment in the future if symptoms persist or recur.
• The expected outcome depends on prostate characteristics, bladder function and overall health.

Expected Outcome After TURP

The main objective of TURP is to remove prostate tissue that is obstructing urine flow and improve urinary symptoms.

Many patients experience improved urinary flow and relief from obstructive symptoms after recovery. However, the final outcome varies according to prostate size, bladder function, duration of obstruction and other individual factors.

TURP Surgery Cost in Thane

The cost of TURP surgery in Thane can vary from patient to patient. The final estimate depends on the patient's medical condition, prostate characteristics, hospital facilities and the treatment plan recommended by the urologist.

• Preoperative consultation and investigations.
• Prostate size and complexity of the procedure.
• Surgeon's and anesthetist's charges.
• Hospital and operating-room charges.
• Anesthesia and medications.
• Catheter, consumables and other surgical materials.
• Length of hospital stay and postoperative care.
• Additional investigations or treatment if required.

A personalized estimate can be discussed after evaluating your symptoms, medical history and investigation reports.