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Transurethral resection of the prostate (TURP) is a surgery to remove part of the prostate gland.
The prostate gland sits 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 remove part of the prostate. It is done to ease pressure on the urethra caused by extra prostate tissue. Less tissue will make it easier for urine to pass out of the bladder. TURP should ease urination problems such as:
TURP is most often done as part of treatment for:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will talk about possible problems, like:
Some factors that may increase the risk of complications include:
Your doctor may do the following:
Leading up to your procedure:
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 and moved up to the bladder. The bladder will then be flushed 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. Once the tissue taken out, the scope will be removed.
A catheter will be placed in the bladder. It will help urine will flow out and give the area time to heal. The catheter may also be used to flush the bladder and to remove blood clots.
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Removed tissue will be sent to a lab for testing.
About 60 to 90 minutes
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medicine.
An overnight stay is typically planned for a TURP. In some cases, the stay can be up to 2 days.
You will be taken to the recovery room where your breathing, pulse, and heart rate will be monitored. You will be given pain medication.
Recovery can take up to 3 weeks. Activities may be restricted for a few days.
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:
If you think you have an emergency, call for emergency medical services right away.
American Cancer Society
National Cancer Institute
Men's Health Centre
The Prostate Centre at The Princess Margaret
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How is BPH treated? Urology Care Foundation website. Available at: http://www.urologyhealth.org/urologic-conditions/benign-prostatic-hyperplasia-(bph)/treatment. Accessed September 18, 2020.
Leocádio DE, Frenkl TL, Stein BS. Office based transurethral needle ablation of the prostate with analgesia and local anesthesia. J Urol. 2007;178(5):2052-2054.
Prostate enlargement (benign prostatic hyperplasia). National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia. Accessed September 18, 2020.
Tan A, Liao C, Mo Z, Cao Y. Meta-analysis of holmium laser enucleation versus transurethral resection of the prostate for symptomatic prostatic obstruction. Br J Surg. 2007;94(10):1201-1208.
Wendt-Nordahl G, Bucher B, Hacker A, Knoll T, Alken P, Michel MS. Improvement in mortality and morbidity in transurethral resection of the prostate over 17 years in a single center. J Endourol. 2007 Sep;21(9):1081-1087.
Last reviewed September 2020 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 09/18/2020