Introduction:

Transurethral Resection of the Prostate (TURP) is a common surgical procedure used to treat benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland that can cause urinary difficulties. This article explores the TURP procedure, its indications, surgical techniques, potential complications, and post-operative care.

Indications for TURP:

TURP is recommended for patients with significant BPH symptoms, such as:

• Frequent or urgent need to urinate
• Weak or interrupted urine flow
• Difficulty starting urination
• Inability to completely empty the bladder
• Nocturia (frequent urination at night)

Surgical Techniques:

TURP is typically performed under general or spinal anesthesia. The surgeon inserts a thin, lighted instrument called a resectoscope through the urethra to access the prostate. The procedure can be performed using different techniques, including:

• Monopolar TURP: The most common method where an electrical current is used to cut and coagulate prostate tissue.
• Bipolar TURP: Utilizes a different energy source to reduce the risk of complications related to electrical current spread.

TURP Procedure Steps:

• The surgeon inserts the resectoscope and visualizes the prostate gland.
• Prostate tissue is removed in small pieces using a cutting loop or vaporization technique.
• Bleeding vessels are sealed using a coagulating tool to minimize bleeding.
• The removed tissue fragments are flushed out of the bladder using irrigation fluid.

Potential Complications:

Although TURP is considered safe, potential complications may include:

• Bleeding: In rare cases, excessive bleeding may require additional interventions.
• Urinary Incontinence: Temporary leakage of urine can occur but is usually short-lived.
• Erectile Dysfunction: Some patients may experience difficulty achieving or maintaining an erection.
• Urinary Retention: In rare instances, difficulty urinating may persist temporarily.

Post-Operative Care:

Following TURP, patients can expect to stay in the hospital for a day or two for observation. Post-operative care may include:

• Monitoring urinary catheter: A catheter is inserted to allow urine drainage and is usually removed within a day or two after the procedure.
• Pain management: Pain medications may be prescribed to manage discomfort.
• Avoiding strenuous activities: Patients are advised to avoid heavy lifting and strenuous activities during the recovery period.

Conclusion:

Transurethral Resection of the Prostate (TURP) is an effective surgical option for relieving urinary symptoms caused by benign prostatic hyperplasia. With its proven track record, TURP continues to improve the quality of life for many men suffering from prostate enlargement.

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