Categories: Urology

Management of TURP

Transurethral Resection of the Prostate (TURP) is a surgical method used for the treatment of urinary problems. It is due to the enlargement of the prostate gland. Resectoscope (a medical instrument) is inserted through the tip of your penis to drain out urine from your bladder (urethra). With the help of a resectoscope, the doctors can trim away the extra prostate tissue for proper urine flow. TURP is the best treatment for men who have severe urinary problems. TURP is also considered the most effective treatment for prostate enlargement. Also called the gold standard procedure. These procedures have very few complications and give you quicker recovery.

Why do a TURP?

You can take TURP treatment if you are facing the problem below:

  1. TURP can reduce urinary symptoms caused by Benign Prostatic Hyperplasia (BPH) and other prostate disorders if not relived by medication
  2. Difficulty in urination or Slow (prolonged) urination
  3. Stopping and starting again while urinating
  4. Increased frequency of urination at night
  5. The feeling you can’t wholly empty your bladder

Must be done in case of if:

  1. Above mentioned symptoms bother your quality of life
  2. Recurring urinary tract infections not controlled by drugs
  3. Kidney or bladder impairment or damage
  4. Bladder stones
  5. Blood in your urine due to prostate enlargement

Preparation for surgery:

Before surgery, the doctor might recommend you to stop taking medications that increase your risk of bleeding, and it can be as follows:

  • Antiplatelet drugs like Warfarin (Coumadin) or Clopidogrel (Plavix).
  • NSAIDs like Aspirin, Ibuprofen (Advil, Motrin IB) or Naproxen Sodium (Aleve).
  • Your doctor may prescribe an antibiotic to prevent urinary tract infection.
  • Arrange for a transportation facility because you won’t be able to drive yourself home after the procedure that day or if you have a catheter in your bladder.
  • You might not be able to work or do strenuous activity for up to two weeks after surgery. Ask your doctor how much time you may need for the recovery.

Expectation:

  • The TURP procedure usually takes about 60 to 90 minutes.
  • Before beginning the process, they will give you general anaesthesia which will make you unconscious alternatively they can provide you spinal anaesthesia to make you feel no pain.
  • You will also give a dose of antibiotics to prevent infection.

TURP procedure:

  • The resectoscope is inserted from the tip of your penis and extended through the urethra. And also into the prostate area.
  • The doctor will not make any cuts on the outside of your body. So you don’t need to worry about that.
  • The doctor uses a resectoscope to trim tissue from the inside of your prostate gland, by taking one small piece at a time. Small pieces of fabric cut from inside of the prostate; the fluid gets inside of the bladder. This fluid removes at the end of the operation.

Expected observation:

  • Blood in your urine: It is normal to see blood in urine right after surgery. Don’t worry about that, but make sure to contact your doctor if the blood in your urine looks like thick ketchup.
  • Urinary Tract Infection: Will settle after a course of antibiotics.
  • Irritating sensation: You will face irritating urinary sensation while urination which may be painful for you.
  • Time for recovery: It usually takes 2 to 4 weeks for recovery from the state and be normal.

Doctors Recommendation to you:

  • Suggestion: The doctor will recommend that you drink plenty of water to flush out and high-fibre foods and to avoid constipation and straining during a bowel movement.
  • Stool softer: Your doctor also recommends to give you stool softener tablets for softening the seat, which pharmacology decrease the workload around the urethra to absorb more water.
  • Anti-platelet drug: The doctor will recommend you stop taking any blood-thinning medications until your doctor gives you a green signal.
  • Physical work: Avoid strenuous activity like heavy lifting weight for four weeks.
  • No sexual intercourse: Hold off on sex for four to six weeks. It may create pressure on urethra while ejecting out the sperm.

Dr. Chandra Sekhar Patro | Consultant – Urology | Narayana Multispeciality Hospital, Barasat

Narayana Health

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