Transurethral resection of the prostate (TURP)

This is the procedure used in 90% of BPH cases. It is sued for small to medium sized enlargements. No external incision is required here. An instrument called resectoscope is used specifically for this surgery. It is a cylindrical tube with valves for controlling and irrigating fluid, light and also incorporates an electrical loop which cuts tissues and seals off the blood vessels. The patient is put under anesthesia and resectoscope is inserted through the urethra to reach the prostate. The resectosocpe’s electrical wire loop dissects the obstructing tissue one piece at a time. These cut tissue pieces are carried into the bladder by the irrigating fluid in the resectoscope. These are then flushed out of the bladder at the end of the operation.

After TURP, most men are found to have a stronger urine flow than earlier. The post surgery complications include bleeding and infection catheter is required temporarily to empty the bladder. It is less traumatic than an open surgery and the recovery period is also consequently shorter. The normal TURP surgery costs in the range of Rs. 10000-30000 and requires a hospital stay of about 5 days.