TURP removes part of the gland that produces semen to relieve symptoms of benign prostatic hyperplasia (BPH) – an abnormal, noncancerous increase in the number of cells that make up the prostate tissue. BPH can affect normal urine flow by causing bladder infections, difficulty controlling bladder function and difficulty emptying the bladder.
In a transurethral resection, a thin telescope with a light, small camera, and electric cutting edge (resectoscope) is passed through the urethra and into the prostate.
Tell a health care provider about any:
- Allergies you have.
- Medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
- Problems you or family members have had with anesthetic medicines.
- Blood disorders you have.
- Surgeries you have had.
- Medical conditions you have.
- Prostate infections you have had.
- Allergic reactions to medicines.
- Damage to other structures or organs, such as:
- The urethra.
- The bladder.
- Muscles that surround the prostate.
- Difficulty getting an erection.
- Difficulty controlling urination (incontinence).
- Scarring, which may cause problems with urine flow.
- Follow instructions from your health care provider about eating or drinking restrictions.
- Ask your health care provider about:
- Changing or stopping your regular medicines. This is especially important if you are taking diabetes medicines or blood thinners.
- Taking medicines such as aspirin and ibuprofen. These medicines can thin your blood. Do not take these medicines before your procedure unless directed by your health care provider.
- You may have a physical exam.
- You may have a blood or urine sample taken.
- You may be given antibiotic medicine to help prevent infection.
- Ask your health care provider how your surgical site will be marked or identified.
- Plan to have someone take you home after the procedure. You may not be able to drive for up to 10 days after your procedure.
What Happens During The Procedure?
- An IV tube will be inserted into one of your veins.
- You will be given one or more of the following:
- A medicine to help you relax (sedative).
- A medicine to make you fall asleep (general anesthetic).
- A medicine that is injected into your spine to numb the area below and slightly above the injection site (spinal anesthetic).
- Your legs will be placed in foot rests (stirrups) so that your legs are parted and your knees bent.
- The resectoscope will be passed through your urethra to your prostate.
- Parts of your prostate will be resected using the cutting edge of the resectoscope.
- The scope will be removed and replaced with a temporary tube (catheter) that is used to help urine flow. Fluid may be passed through the catheter to keep the catheter open.
Post Procedure Care
- Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medicines you were given have worn off.
- You may continue to receive fluids and medicines through an IV tube.
- You may have some pain which can be managed medicinally.
- You will have a catheter draining your urine.
- You may have blood in your urine. Your catheter may be kept in until your urine is clear.
- Your urinary drainage will be monitored. If necessary, your bladder may be rinsed out (irrigated) through your catheter.
- You will be encouraged to walk around as soon as possible.
- You may have to wear compression stockings. These stockings help prevent blood clots and reduce swelling in your legs.
- Do not drive for 24 hours if you received a sedative.
This information is not intended to replace advice given to you by your health care provider.