Transurethral resection of the prostate (TURP) is a surgery to remove part of the prostate gland.
The prostate gland is part of the male reproductive system. It makes and stores a milky fluid that forms part of semen. The prostate is below the bladder and in front of the rectum. It also wraps around a tube called the urethra. The urethra allows urine to flow out of the body.
A TURP is done to relieve blockage of urine flow from the prostate. It is done to improve the flow of urine. When a man has an enlarged, noncancerous prostate, this is called
benign prostatic hyperplasia
(BPH). In BPH, the prostate grows and presses against the urethra and bladder. The pressure can cause problems with the normal flow of urine.
A TURP may also be done when a man has prostate cancer. It may be done if the doctor thinks that a complete prostate removal surgery is too risky. In this case, TURP is also done to relieve urine blockage and lessen symptoms. It is not done to treat the cancer itself.
A special scope that looks like a thin tube with a light on the end will be used. The scope will be passed through the hole at the tip of the penis where urine comes out and passes into the bladder. The bladder will then be filled with a solution. The solution will let the doctor see the inside of your body better.
The prostate gland is examined through the scope. A small surgical tool will be inserted through the scope. This tool will be used to remove a part of the enlarged prostate.
A catheter will be placed in the bladder. Urine will flow out the catheter to give the area time to heal. Your catheter may also be used to flush the bladder and to remove blood clots.
You will be taken to the recovery room where your breathing, pulse, and heart rate will be monitored. You will be given pain medication.
There will be a catheter in your bladder to drain urine. The catheter may be left in place overnight or longer. Water may be flushed through the catheter into your bladder to wash out blood and clots.
The catheter drainage bag will be kept below the level of your bladder.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
Washing their hands
Wearing gloves or masks
There are also steps you can take to reduce your chance of infection such as:
Washing your hands often and reminding your healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Recovery can take up to 3 weeks. During this time, you may have to change or restrict activities until your doctor says it is okay. You may be given specific exercises to do at home to promote healing and maintain strength. Pain can be managed with medications.
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Last reviewed September 2018 by
EBSCO Medical Review Board
Adrienne Carmack, MD Last Updated: 9/30/2013