Transurethral Resection of The Prostate (TURP)

When approaching BPH or benign prostatic hyperplasia, we take a stepped approach toward its treatment. However, when lifestyle change, medications, and in-office BPH procedures like Rezum and Urolift have not been effective in reducing the lower urinary symptoms of BPH, we may consider a surgical procedure known as Transurethral Resection of the Prostate, or TURP. TURP was once one of the most common surgical procedures performed in the United States. This was prior to the myriad of non-surgical and in-office options we now have at our disposal. While we often try more conservative options first, TURP remains the gold standard in treating more significant obstruction due to prostatic enlargement. Patients may also consider Aquablation BPH therapy which can be discussed during consultation with Dr. Kapadia.

How Is a TURP Performed?

A TURP mechanically cuts away excess prostatic tissue using bipolar electrical current. Dr. Kapadia uses a specially made medical device, which is inserted through the urethra and up into the prostate. The device has a high-definition camera to allow exceptional visualization of the prostate and excess tissue buildup. During the procedure, the prostate is irrigated with saline (saltwater) to protect surrounding tissue. The procedure is performed under general anesthesia and can take up to an hour and a half. Patients will stay in the hospital for one night for observation.

Results of a TURP

The TURP procedure is extremely effective and offers patients up to 7 years of relief from symptoms. Eventually, as with any BPH procedure, tissue in the prostate will regrow and an additional procedure will be necessary.

Recovery and Post-op Care Considerations

The recovery from a TURP is relatively straightforward. Patients do not experience much pain, however, after the procedure, they can expect some blood in the urine for up to a month. A catheter will be placed for at least a day, and most patients will return home with it still in place. Patients will then visit with Dr. Kapadia to have the catheter removed. Almost all patients will experience retrograde ejaculation after their TURP. There is also a very small risk of incontinence, after the procedure. Of note, full continence may not return in a linear fashion, as the bladder needs to adjust to the lack of obstruction. This can take up to a few months.

To learn more about BPH treatment options including medication, in-office treatments and ultimately a TURP, patients are encouraged to contact our office and schedule a consultation with Dr. Kapadia, who can offer the benefits and considerations of each procedure.