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Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems that are caused by an enlarged prostate. An instrument called a resectoscope is inserted through the tip of your penis and into the tube that carries urine from your bladder.

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Prostate Enlargement Surgery

A procedure known as Transurethral resection of the prostate (TURP), TURP, is an operation that is performed to treat urinary issues that are brought on by an enlarged prostate. You will have equipment known as a resectoscope put through the end of your penis and into the tube that leads from your bladder to the outside of your body (urethra).

Transurethral resection of the prostate, often known as TURP, is the most common type of surgery used to treat benign prostatic hyperplasia (BPH), as stated by the American Urological Association. Approximately 150,000 males in the United States undergo the procedure each year.

The vast majority of TURP procedures are carried out on patients who are under the influence of general anesthesia and are either unconscious or asleep during the surgery.

Alternately, they may employ spinal anesthesia, in which a needle is inserted into the spine to numb the area below the waist. This prevents the patient from feeling anything.

How does the process get carried out?

Following the administration of an anesthetic, the surgeon will then place a device known as a resectoscope into the urethra. It may be necessary to employ a second device in order to flush sterile fluid through the surgical site in some instances.

After the resectoscope has been properly positioned, the surgeon will use it to remove any aberrant prostate tissue and then seal any blood arteries that have been ruptured.

In the final step of the procedure, the surgeon will introduce a long tube made of a plastic called a catheter into the urethra. The catheter will then be used to flush the destroyed prostate tissues into the bladder, where they will be eliminated by urine.

Surgical Methods Available

The following are some examples of the several types of surgical procedures that you and your doctor might discuss:

Open prostatectomy (open surgery): When the prostate is significantly enlarged, when there are difficulties, or when the bladder has been damaged and needs to be repaired, a doctor will frequently perform this procedure. During open surgery, the surgeon makes a cut in the patient’s abdomen and removes the enlarged prostate along with the surrounding tissue.

Prostatectomy(laparoscopically or robotically): Prostatectomy can be performed laparoscopically or robotically. When doing surgery to remove the enlarged tissue of the prostate, traditional open surgery is different from laparoscopic surgery or robotic surgery in that it requires only one major incision as opposed to the four smaller incisions required for laparoscopic or robotic surgery.

Other Aspects That Should Be Thought About

Have a discussion with your physician before undergoing any of these procedures to determine whether you will be given something to numb the area (also known as “local anesthesia”) or whether you will be given something so that you will not be awake (also known as “general anesthesia”) while the procedure is being performed. The technique determines both what you obtain and where you have it in your possession.

What To Expect During Enlarged Prostate Surgery

The type of procedure that is performed on your prostate will determine the kinds of things you can anticipate happening during the operation. Certain minimally invasive treatments can be carried out under local anesthetic, during which you will remain awake but the region of your body that is being operated on will be rendered numb. Other surgical procedures are performed while you are under general anesthesia and unconscious.

If you choose to have full anesthesia, you will be required to do the following:

  • Starting at midnight the night before surgery, you will need to fast (don’t eat or drink anything).
  • If you smoke, you need to give up the habit at least four to six weeks before your surgery.
  • Alcohol should be avoided for the whole 48 hours before surgery.

Before having surgery, it is possible that your doctor would instruct you to cease taking certain drugs, vitamins, and herbal supplements. Talk to your surgeon about all of your medications, including those you get without a prescription, those you buy over the counter, and any supplements you take, and if they tell you to stop taking them, do as they say.

If you suffer from sleep apnea, you should let your surgeon know about it so that the anesthesiologist can closely monitor your breathing both during the procedure and while you are recovering.

Recovery

The majority of TURP procedures take between one and two hours, and patients must recuperate for many hours while being continuously monitored.

After TURP procedures, the catheter is often left in place for between two and three days before being withdrawn once the bladder has been thoroughly drained.

Recovering From Prostrate Surgery

The type of operation you have will determine how long it will take you to recover. Immediately following your surgery, you will be brought to a recovery room where you will remain there for between one and two hours. 

The majority of medical operations are done as outpatient procedures, which means you will be able to return home the same day. On the other hand, depending on the nature of the procedure and your overall health, your surgeon might advise you to stay in the hospital overnight.

After you get discharged from the hospital, you will need to get at least one but preferably two days’ worth of rest at home before you can get back to your regular routine.

After any of the following operations, you should wait for one to two weeks before engaging in an intense activity or moving heavy objects:

UroLift, GreenLight laser prostatectomy, transurethral incision of the prostate (TUIP), transurethral microwave therapy (TUMT), and TUMT all involve removing the prostate through the urethra.

At Cure Stone, medical professionals who have received education and training in a wide variety of medical specialties work together as part of a team in order to increase the chances of a kidney transplant being successful.

Our doctors were among the first to execute a variety of operations, such as various Prostate Enlargement Surgeries. The medical professionals that perform such surgeries at Cure Stone have extensive experience and superiority in their field.

FAQs

Is prostate surgery considered major surgery?

A radical prostatectomy is a big surgery that could have some side effects. If you are an older man with prostate cancer that is growing slowly, you may not need this type of surgery. This is because your cancer might grow so slowly that you are more likely to die of old age or something else than from prostate cancer.

The UroLift System is a simple procedure that uses tiny implants to lift and hold the enlarged prostate tissue out of the way so it no longer blocks the urethra. The prostate tissue is not cut, heated, or taken away.

In four to six weeks, you should be able to resume your regular activities. Regular checkups with your doctor are necessary to ensure your health. After surgery, most men go back for follow-up visits every three months for the first year, and then twice a year after that.

A TURP may be recommended for men with moderate to severe urinary issues that have not improved with treatment. Although transurethral resection of the prostate (TURP) has traditionally been the gold standard for treating an enlarged prostate, newer, less invasive treatments are showing promise.