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Transurethral Resection of the Prostate (TURP)

article written by Dr. Hassan Khan

The outlet of the urinary bladder runs through the prostate gland. This gland is walnut size and secretes the seminal fluid.

With age this gland enlarges and in some men the enlargement occurs much faster than normal.This enlarged gland may cause restriction in the flow of urine. This is manifested as slow stream, waking up at nights to pass urine and may result in the sudden inability to pass urine.

TURP is the surgical management of the enlarged prostate gland. It is an endoscopic procedure done via a telescope placed through the penis. An electro surgical current is used to cut small pieces off the prostate. A variation of this current is used to stop the bleeding. TURP is used to treat the noncancerous enlarged prostate and is not a treatment option for prostate cancer.

Occasionally the pathologist may find cancer in the removed gland and this may warrant further treatment.TURP can be done under spinal or general anaesthesia.

TURP is NOT laser prostatectomy and has the advantage of sending the prostate specimen for pathological reporting.

Complications of the procedure includes retrograde ejaculation, bleeding and very rarely regrowth of the glandular tissue.

It does not alter sexual function.

TURP is a fairly common operation but with the development of highly specific and successful medications this operation is becoming less and less.

TURP is the GOLD STANDARD in management of the enlarged prostate and Urologists spend many years perfecting this technique.

© Trinidad and Tobago Prostate Brachytherapy Limited.