The prostate gland plays an important role in both sexual and urinary function. It's common for the prostate gland to become enlarged as a man ages. Benign Prostatic Hyperplasia (BPH) is a common disorder in the elderly male. It is usually treated medically and with changes in life style. If the medical treatment does not help to reduce patients, urinary symptoms, a urological operation is advised. This surgical is known as TURP (Transurethral resection of the prostate). TURP is generally done to relieve symptoms due to prostate enlargement and symptoms may include Problems with the urine stream, frequent urination at night, an urgent need to urinate and incidences of dribbling or leakage after urination.
These symptoms can create problems such as retaining urine in the bladder which leads to infections and formation of stones.
A transurethral resection of the prostate (TURP) is a surgical procedure that removes portions of the prostate gland through the penis. It is performed by visualising the prostate through the urethra and removing tissue by dissection. TURP is associated with bleeding risks as the catheter is inserted in the urethra and removal of tissues. To reduce any occurrence of such incidences, the length of the procedure is limited to less than one hour. There are no external incisions. The surgeon reaches the prostate by inserting an instrument through the urethra called a resectoscope It has light and valves that control irrigating fluid. An electrical loop that cuts tissue and seals blood vessels. It's inserted through the penis and the wire loop is guided so it can remove the obstructing tissue one at a time. The pieces of tissue get are carried by fluid into the bladder and are flushed out at the end of the procedure or during the procedure as required.
TURP is the only treatment option when BPH is not controlled on medication. This is considered the most effective treatment for BPH. This procedure is carried out with spinal or general anaesthesia with successful outcome in almost 80-90% of BPH patients.
As with any surgical procedure, certain complications can occur. Some possible complications may include blood in the urine after surgery, painful or difficult urination, possibility of infection, retrograde ejaculation (ejaculation occurs in the bladder instead of penis), bleeding and infection.
Though the procedure has high success rates it is not devoid of postoperative complications leading to confusion, changes in mental status, vomiting, nausea, and even coma. This is known as TURP syndromeThere may be other risks depending on your specific medical condition. Patient must discuss any concerns with the doctor prior to the procedure.
Once home, it is important to drink lots of fluid. This aids in flushing out any remaining blood or clots from the bladder.
What is the prostate gland?
The prostate gland is about the size of a walnut and surrounds the neck of a man's bladder and urethra—the tube that carries urine from the bladder. It's partly muscular and partly glandular, with ducts opening into the prostatic portion of the urethra. It's made up of three lobes, a center lobe with one lobe on each side.
What is the function of the prostate gland?
The prostate gland plays an important role in both sexual and urinary function As part of the male reproductive system; the prostate gland's primary function is to secrete a slightly alkaline fluid that forms part of the seminal fluid (semen), a fluid that carries sperm. During male climax (orgasm), the muscular glands of the prostate help to propel the prostate fluid, in addition to sperm that was produced in the testicles, into the urethra. The semen then travels through the tip of the penis during ejaculation.
I am a heart patient with BPH. Can I undertake TURP?
Usually due to risk of bleeding, TURP is not recommended in heart patients. Please talk to the specialist to rule all the treatment option to treat your BPH.
Will I need medications post TURP??
You shall need medications after TURP. The urinary incontinence will diminish after TURP.
Is TURP an out-patient procedure?
TURP is a short procedure; however, patient needs to stay at the hospital for a day and two for monitoring all the vital signs of recovery following the procedure.
Reconstructive urology is a highly specialized field of urology that restores both structure and function to the genitourinary tract. Prostate procedures, trauma (auto accidents, gunshot wounds, industrial accidents, straddle injuries, etc.), disease, obstructions, blockages (e.g., urethral strictures), can require reconstructive surgery.
The urinary and reproductive tracts are closely linked, and disorders of one often affect the other. Urologic oncology concerns the surgical treatment of malignant genitourinary diseases such as cancer of the prostate, adrenal glands, bladder, kidneys, ureters, testicles, and penis.
Paediatric urologists treat children (and occasionally adults) with reconstructive problems related to the genitourinary tract (kidneys, ureters, bladder, urethra, vagina, genitalia).