Transurethral Resection Of The Prostate (TUR-P)

Transurethral Resection Of The Prostate (TUR-P)

Transurethral resection of the prostate (TUR-P) is a minimally invasive or endoscopic surgical procedure that involves cutting a portion of the prostate. This corrects the flow of urine out of the bladder. The prostate is a small gland found only in men. It lies between the bladder and the urethra and surrounds the urethra. If the prostate enlarges, it can put pressure on the bladder and urethra. This can cause symptoms that affect urination. 

Why TUR-P is done;

TUR-P is often recommended when an enlarged prostate (benign prostatic hyperplasia) causes bothersome symptoms and does not respond to drug therapy. The procedure may also be needed after an acute urinary retention attack.

Symptoms that may improve after TUR-P are:

• Difficulty starting to urinate
• a weak urine stream
• Difficulty urinating
• frequent urination
• Waking up frequently at night to urinate
• sudden urge to urinate
• Inability to completely empty the bladder

Benefits of Bipolar TUR-P

Bipolar TUR-P appears to be as effective as conventional TUR-P in shrinking the prostate.

One advantage of the bipolar TUR-P is that all the energy stays inside the device. In normal (monopolar) TUR-P, the electrical current may separate from the cutting wire and damage the tissues around the prostate.

Some studies have also shown that bipolar TUR-P reduces complications such as bleeding during and after surgery. It also reduces the time for a catheter (a tube to remove urine) after surgery.

During classical (monopolar) TUR-P, the surgeon flushes the surgical area with a liquid to keep the area neat and clean. This fluid is low in sodium, and if this fluid enters the bloodstream, it can reduce blood sodium levels, leading to serious side effects. Bipolar TUR-P uses a saline (saline) solution that effectively reduces the risk of this complication called TUR syndrome. The reduced risk of TUR syndrome allows surgeons to use more time to perform the procedure, which means they can ideally work on larger prostates or perform more complex surgeries with bipolar TUR-P.

Potential Risks and Complications

As with any surgical procedure, there are risks and potential complications associated with Bipolar TUR-P. These include:

1. Bleeding: Blood loss is usually minimal during bipolar TUR-P.
2. Infection: Broad-spectrum antibiotics are administered at the beginning of the operation to minimize the risk of urinary tract infection.
3. Retrograde ejaculation (semen not coming out)
4. erectile dysfunction

What to Expect After Surgery

• Post-operative pain; Pain after surgery is usually minimal and can be controlled with oral analgesics to be prescribed.
• Urinary Catheter (catheter); A bladder catheter is placed in the operating room while you sleep and is generally left in place for 1-2 days after surgery. The catheter is usually removed before discharge
• Physical Activity; It is recommended to get out of bed and start walking under the supervision of your nurse or family member in the evening or at the latest in the morning after the surgery to prevent blood clots from forming in your legs.
• Hospital Stay; The average hospital stay for most patients is about 2 days.

You can make an appointment at Deva Hospital for prostate treatment. Call now!