TURP has been the established surgical standard for benign prostate obstruction for decades and remains one of the most effective treatments for men with significant urinary symptoms caused by an enlarged prostate. Performed through the urethra without any incisions, it removes the obstructing prostate tissue and provides durable, long-lasting relief for most men. Modern bipolar or plasma TURP uses saline irrigation, making the procedure safer than older techniques.
TREATMENTS
TURP – Transurethral Resection of the Prostate
When Is TURP Recommended?
TURP is recommended for men with moderate to severe lower urinary tract symptoms due to BPH when:
• Medications have not provided sufficient symptom relief
• There is significant obstruction on flow studies or urodynamics
• There is urinary retention, recurrent infection, blood in the urine, or bladder stones related to BPH
Risks and Considerations
All procedures carry risks, which your surgeon will discuss with you in detail. These may include:
• Retrograde ejaculation — semen passing backwards into the bladder, occurs in ~80%, it is harmless but important if fertility matters
• Blood in the urine, on and off, for up to 4–6 weeks
• Temporary urgency and frequency while the prostate cavity heals
• Urethral narrowing (2–4%) and, rarely incontinence (< 1%)
• Erections are usually unaffected, although some men may notice changes
Recovery at a glance: Usually 1–2 nights in hospital; the catheter is typically removed at 24–48 hours; avoid heavy lifting for 2–4 weeks.
1
Pre-Operative Assessment
Urinary flow rates, bladder ultrasound (post-void residual), symptom scoring and prostate sizing guide suitability for TURP versus alternative procedures.
2
Endoscopic Surgery
Performed through the urethra under anaesthesia. The obstructing prostate tissue is carefully resected, opening the urinary channel and restoring flow.
3
Recovery and Catheter Removal
A urinary catheter remains for 24–48 hours after surgery while in hospital. Most patients return home after two days and notice improved urinary flow quickly.
4
Outcome Monitoring
Urinary flow and symptom scores are reassessed at follow-up. Some blood in the urine can be expected intermittently for up to 4–6 weeks.
Our Approach
