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TURP Surgery - Transurethral Resection Prostate Treatment

TURP Surgery in India is a Transurethral Resection Prostate treatment performed by the best urologists in India. Get the most advanced painless treatment of Enlarged prostate at an affordable cost.

TURP Surgery in India is a Transurethral Resection Prostate treatment performed by the ... Read More

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What is TURP Surgery?

TURP stands for Transurethral Resection of the Prostate. It is a minimally invasive surgery that helps relieve the symptoms of prostate enlargement. Around 95% of BPH patients get TURP surgery, even with other treatment techniques available.

It is often considered to be the gold standard for BPH treatment, as it provides relief with very low chances of complications at an affordable price. The surgery is performed by removing parts of the prostate through the urethra without any cuts on the body.

The prostate gland is located below the bladder, surrounding the urethra. When it increases in size, it constricts the urethra, leading to urinary problems like difficulty in urination, painful urination, etc. While medicines may be a little effective in the initial stages of the disease, surgery is ultimately the best TURP Surgery option for all patients.

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Best healthcare Centre for TURP surgery in India

Pristyn Care is one of the largest surgery providers in India. It has tie-ups with some of the best hospitals all over India to help provide advanced TURP Surgery to all patients at affordable prices. Additionally, Pristyn Care has a team of expert urologists and general surgeons who are adept at performing TURP surgery without any complications for the patient.

Pristyn Care also provides other auxiliary services to the patient, such as complete insurance and hospital documentation support, easy payment plans like no-cost EMI, etc. It also provides cab facility to the patient for pick up and drop off from the hospital on the day of surgery and complimentary meals during hospitalization.

What Happens During TURP surgery?

Diagnosis for BPH (Benign Prostatic Hyperplasia)

Diagnosis of prostate enlargement is done via a combination of physical examination and diagnostic tests The prostate doctor will collect your family and medical history to analyze whether you might be at risk of having BPH. Risk factors for BPH include old age, sedentary lifestyle, unhealthy diet, etc. 

Diagnostic tests for BPH include:

  • Urine flow study: The patient’s urinary flow and volume are measured to determine any abnormality in the bladder or sphincter muscle function.
  • Digital rectal examination: The surgeon inserts a finger in the rectum and physically examines the prostate gland to determine its size and shape.
  • Prostate-specific antigen (PSA) blood test: It is the most reliable marker for prostate enlargement. If the PSA level in your blood is more than 2.5 ng/mL, you will likely have some degree of prostate enlargement.
  • Cystoscopy: In this test, the prostate doctor studies and measures the prostate through a camera (or cystoscope) inserted into the urethral opening at the tip of the penis.
  • Transrectal ultrasound and Prostate Biopsy: This test is done to determine the exact size and shape of the gland, and it is only performed if you are undergoing surgery if the doctor suspects you may have prostate cancer.

Other tests that a prostate doctor may perform are transabdominal ultrasound and Prostate magnetic resonance imaging (MRI).

TURP surgery

TURP surgery is performed using a resectoscope, a device formed using a narrow tube, a fiber optic camera, a light source, and an electric instrument for resection of the prostate gland. The surgery is performed under either spinal or general anesthesia, based on the patient and surgeon’s preference. It usually takes around 1-2 hours to complete.

The resectoscope is inserted through the urethra to avoid incisions on the body. The light source and camera help guide the electric loop towards the surgery site. Once it is located, the surgeon removes extra tissue from the prostate and cauterizes the surgical site. Then, the resectoscope is removed. 

Following this, a catheter is inserted into the urethra. It is used to pump fluid into the bladder and flush out the blood, blood clots, prostate pieces, etc., lodged into the prostate. Once the surgery is done, the patient is moved to a room for postoperative observation and evaluation.

How to Prepare for TURP surgery?

Before the surgery, the patient must thoroughly prepare to avoid complications of the surgery and for the after-effects of the surgery. If you are undergoing TURP, you should make the following preparations before the surgery:

  • Relay your entire medical to your doctor, especially if you have pre-existing health issues like diabetes, hypertension, etc. Make sure they are aware of your health status, pre-existing problems, and the medications you are currently taking. 
  • Some common anti-inflammatory drugs like aspirin and ibuprofen can increase the chances of bleeding during surgery, so they should be avoided for at least 2-3 days before the surgery.
  • Fast for at least 6-8 hours before the surgery, especially if your surgery is to be performed under general anesthesia.
  • If you have trouble performing bowel movements on the day before the surgery, you may need an enema to relieve your bowels before the surgery completely.
  • Bring an overnight bag to the hospital. Pack only loose-fitting clothes that are easy to wear and take off.

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What are the risks associated with TURP surgery?

Although TURP surgery is very safe, sometimes it can be associated with complications like:

  • Injury to the bladder or urethra
  • Hemorrhage
  • Infection
  • Electrolyte abnormality
  • Erectile dysfunction
  • Retrograde ejaculation 
  • TURP syndrome, etc.

If you notice any signs of complications like blood or pus in the urine, nausea, dizziness, etc., you should contact your surgeon immediately so they can safely manage them.

When is TURP Surgery required?

TURP Surgery is usually recommended for patients suffering from severe lower urinary tract symptoms (LUTS), which considerably impact their quality of life (life expectancy after TURP surgery). Some conditions for which TURP surgery may be required are:

  • Nocturia, i.e., frequent urge to urinate during the night
  • Slow and intermittent urine stream
  • Inability to easily start a urine stream
  • Urinary retention, i.e., inability to empty the bladder
  • Painful and uncomfortable urination
  • Constant feeling of bladder fullness

What Are The Benefits of TURP surgery?

The benefits of TURP surgery are:

  • The TURP Procedure is minimally invasive, so the recovery period is not prolonged.
  • The surgical site is cauterized, so there is minimal bleeding and infection.
  • Since there are no cuts, sutures, or bandages, there is a low chance of complications.
  • There is no effect on the sexual function of the patient many patients need TURP Surgery for the treatment of erectile dysfunction.
  • There is very little chance of recurrence of prostate enlargement after the surgery.

FAQ Around TURP Surgery

Is TURP Surgery a high-risk treatment?

No, while TURP is a major surgery with significant after-effects and possible complications, it is not a high-risk surgery. However, if you have a complication that isn’t properly managed, it can potentially turn fatal.

Can the prostate grow back after the TURP Surgery?

Yes, the prostate gland does grow even after the TURP Surgery, however, in most cases, the growth is so minimal that it does not have any significant impact on the patient.

How many years do the effects of TURP surgery last?

Generally, the positive effects of TURP Surgery can easily last for more than 15 years, as prostate growth is negligible during this period.

Why is the entire prostate gland not removed during TURP surgery?

The prostate gland is an essential gland that forms certain enzymes that are necessary for proper sperm function and semen formation. Thus, unless the patient is suffering from prostate cancer, the surgeon only removes a small part of the gland during TURP surgery, while the remaining gland is left intact.

How long does it take to regain bladder control after TURP surgery?

Most patients regain complete bladder control within 2-3 weeks of the surgery, but in some cases, full recovery can take about 12-18 months.

What is TURP surgery full form?

TURP stands for – Transurethral Resection Prostate.