During transurethral resection of the
prostate (TURP), an instrument is inserted up the
urethra to remove the section of the prostate that is
blocking urine flow.
TURP usually requires a stay in the hospital. It is
done using a
The hospital stay after TURP is
commonly 1 to 2 days.
Following surgery, a
catheter is used to remove urine and blood or blood clots in the
bladder that may result from the procedure. When the
urine is free of significant bleeding or blood clots, the catheter can be
removed and you can go home.
Strenuous activity, constipation, and
sexual activity should be avoided for about 4 to 6 weeks. Symptoms such as frequent
urination will continue for a while because of irritation and inflammation
caused by the surgery. But they should ease during the first 6 weeks.
Your doctor may recommend TURP if
symptoms caused by
benign prostatic hyperplasia (BPH) have not improved
in response to home treatment and medicines.
For men who have moderate to severe
symptoms of prostate enlargement, TURP is more effective than watchful waiting
in relieving urinary symptoms. Studies have found that:
Men experience about an 85% improvement in their
American Urological Association (AUA) symptom index
scores.2 For example, if you had a score of 25, after
this surgery it might be at about 4. Men who are very bothered by their
symptoms are most likely to notice great improvement in their symptoms after
TURP. Men who are not very bothered by their symptoms are less likely to notice
a big change.
The risks of transurethral resection of the
prostate (TURP) include problems with sexual performance, incontinence, and
problems from surgery.
TUR syndrome doesn't happen when TURP is done using a bipolar tool (resectoscope) compared to a monopolar resectoscope. You may want to ask your doctor which kind of tool he or she uses.
Surgery usually is not required to
treat BPH, although some men may choose it because their symptoms bother them
so much. Choosing surgery depends mostly on your preferences and comfort with
the idea of having surgery. Things to think about include your expectation of the
results of the surgery, the severity of your symptoms, and the possibility of
having complications from the surgery.
Men who have severe
symptoms often have great improvement in quality of life following surgery. Men
whose symptoms are mild may find that surgery does not greatly improve quality
of life. Men with only mild symptoms may want to think carefully before
deciding to have surgery to treat BPH.
Complete the surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.
McNicholas T, Kirby R (2011). Benign prostatic hyperplasia, search date July 2009. Online version of BMJ Clinical Evidence: http://www.clinicalevidence.com.
Fitzpatrick JM (2012). Minimally invasive and endoscopic management of benign prostatic hyperplasia. In AJ Wein et al., eds., Campbell-Walsh Urology, 10th ed., vol. 3, pp. 2655–2694. Philadelphia: Saunders.
AUA Practice Guidelines Committee (2010). AUA guideline on management of benign prostatic hyperplasia. Chapter 1: Guideline on the management of benign prostatic hyperplasia (BPH). Available online: http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines.cfm?sub=bph.
Wilt TJ, N'Dow J (2008). Benign prostatic hyperplasia. Part 2—Management. BMJ, 336(7637): 206–210.
March 5, 2012
E. Gregory Thompson, MD - Internal Medicine
& J. Curtis Nickel, MD, FRCSC - Urology
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