What is Transurethral Resection of the Prostate (TURP)?
TURP is designed to relieve symptoms of an enlarged prostate by reducing the size of the prostate. TURP is also a diagnostic procedure where tissue is removed to screen for the presence of cancer.
The prostate is located just under the bladder and behind the testicles.
The urethra — a hollow tube that carries both urine and semen to the penis — passes through the prostate.
In some men, the prostate gland becomes enlarged. Symptoms of an enlarged prostate include:
- a full bladder feeling even when the bladder is empty,
- pain when urinating,
- weak urinary stream,
- sexual dysfunction.
To relieve you of your symptoms, your doctor feels that you would benefit from a surgical procedure called TURP. TURP is designed to relieve symptoms of an enlarged prostate by reducing the size of the prostate.
It is also a diagnostic procedure. Tissue removed during a resection of the prostate or TURP is routinely screened for the presence of cancer.
So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.
Your doctor will then lift your penis upward.
A well-lubricated instrument called a resectoscope is then gently inserted into the urethra.
When the resectoscope reaches the back of the penis, your doctor will pull the penis downward in order to create a straight path into the prostate.
Using this tool, your doctor will then scrape excess tissue from the prostate, restoring it to its normal size.
Tissue removed from the prostate may be sent a laboratory for analysis.
When the surgery is complete, your doctor will remove the resectoscope. Your doctor will probably ask you to wear a temporary Foley catheter.
A Foley catheter is a narrow tube inserted through your urethra and into your bladder. The catheter is connected to a bag that is attached to your leg by a strap. While the Foley catheter is in place, urine will pass from your bladder into the bag. You will not need to urinate into a toilet.
The nurse will show you how to change the bag when it is full. An appointment will be made for you to return to the doctor’s office in a couple of days to have the catheter removed. As soon as the anesthesia wears off and you feel comfortable, you’ll be allowed to leave.