DR. MAYANK MOHAN AGARWAL
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Transurethral Resection of the Prostate (TURP)

Transurethral Resection of the Prostate (TURP) is a procedure that is used to remove excessive growth of the prostate gland, resulting from Benign Prostatic Hyperplasia (BPH). The prostate gland plays an important role in the functioning of the male reproductive system, secreting fluid into the urethra during ejaculation. It surrounds the urethra and is located immediately below the neck of the urinary bladder.Transurethral Resection of the Prostate (TURP) is a procedure that is used to remove excessive growth of the prostate gland, resulting from Benign Prostatic Hyperplasia (BPH). The prostate gland plays an important role in the functioning of the male reproductive system, secreting fluid into the urethra during ejaculation. It surrounds the urethra and is located immediately below the neck of the urinary bladder.

TURP Procedure

TURP is an invasive procedure that removes the overgrowth of prostate tissue. TURP is still considered the “gold standard” of prostate surgery options and the preferred treatment for BPH , despite the more recent development of less-invasive treatments. It is performed by a urologist in a hospital under general anesthesia or spinal anesthesia coupled with a sedative.

A resectoscope (an instrument much like a cystoscope with the advantages of a microscope, light, irrigation capability, and a wire loop) or a spring-action cutting tool, is inserted into the urethra to reach the enlarged prostate gland. The electricity is generated through the cutting tool that removes small pieces of tissue until the urethra is no longer restricted.

In order to control bleeding, the vessels are cauterized by the wire loop and the bladder and urethra are irrigated with a saline solution. A urinary catheter is put in for the purpose of resting the bladder and prostate, to keep the urethra open if swelling develops, and to empty the bladder of blood to avoid clotting. The procedure takes about 90 minutes to two hours.