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TRANSURETHRAL RESECTION OF PROSTATE (TURP)
TURP is the most common operation for an enlarged prostate (benign prostatic hyperplasia or BPH). BPH, sometimes known as benign prostatic hypertrophy, benign prostatic obstruction, is an overgrowth of cells of the prostate that blocks the flow of urine, making it difficult to pass urine.
The Procedure
The operation is usually done under general anaesthesia. TURP is performed using a narrow, flexible, tube-like telescopic camera called an endoscope. The endoscope is inserted into your urethra (the tube that carries urine from the bladder and out through the penis). Your surgeon will then cut out and remove the middle of your enlarged prostate using specially adapted surgical instruments.
During the operation, your bladder is flushed with a sterile solution to remove the pieces of prostate tissue. The operation itself takes up to an hour and a half.
How long do I have to be hospitalized?
You will need to rest until the effects of the anaesthetic have passed. You may need pain relief to help with any discomfort as the anaesthetic wears off. You will have a catheter to drain urine from your bladder into a bag. The catheter is also used to wash out your bladder with a sterile solution. This helps to flush out any blood clots in your bladder. The catheter will be removed when your urine begins to run clear. This is usually within two to three days.
You may have a drip in your arm to prevent dehydration - this will be removed once you're drinking enough fluid.
You will be encouraged to get out of bed and move around as this helps prevent chest infections and blood clots in your legs. You will need to stay in hospital for about four to five days.
Recovery and Recuperation
It can take up to six weeks to recover fully from TURP. Upon discharge you will be given analgesic tablets for pain relief. You should drink enough fluid to flush out your bladder and help you to recover.
After two weeks you can resume your normal activities. You shouldn't do any strenuous activity for about six weeks after the operation.
Follow your surgeon's advice about driving. You shouldn't drive until you're confident that you could perform an emergency stop without discomfort. This is usually about six weeks after the operation.
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