Trans urethral resection of prostate (TURP) is a technique that helps in providing relief from these symptoms.
Your urologist will be performing this procedure on an out patient basis. You will be given general anesthesia, to help you stay relaxed and numb the pain during the procedure; and antibiotics to prevent infection prophylactic ally. After the effects of anesthesia have kicked in the urologist will insert a thin tube like instrument, containing a light source, a camera and a wire loop; called a resectoscope into your urethra until it reaches the narrowing caused by the prostate. This instrument contains a wire loop, which has been charged with an electric current to remove the prostate tissue. Small pieces of tissue are progressively removed until the urethra is adequately patent. The pieces of tissue are directed to the bladder with the help of irrigation fluid. They are removed at the end of the procedure.
A TURP is suggested for individuals with non cancerous enlargement of prostate with moderate to severe symptoms like:
In preparation for the surgery your doctor might want to know about all the medicines that you’ve been taking and might ask you to stop taking some of them like blood thinners and over the counter pain relief medication to reduce the risk of excessive bleeding. Your doctor would like to know if you have any clotting disorder or have a family history of the same. You are requested to inform your doctor about allergies to anesthetic agents that you might have. It is advisable to arrange for someone to drive you home because you won’t be able to drive home with a catheter in place in your bladder.
The complications associated with TURP are:
You may be allowed to go home a day or two after the surgery. A catheter is placed inside your bladder through your urethra to allow you to urinate, as the urethra is swollen after the surgery and may block urination. The catheter is generally kept in place for 24-48 hours. Your doctor will advise you to:
You may also see a pinkish discoloration of your urine after the surgery; this will resolve itself in about a day or two. This can also be accompanied by painful urination which resolves in four to six weeks.
If you experience any of the following symptoms you are requested to contact your doctor immediately:
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