BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuTransurethral resection of the prostateTURP; Prostate resection - transurethralTransurethral resection of the prostate (TURP) is a surgery to remove the inside part of the prostate gland. It is done in order to treat symptoms of an enlarged prostate.Enlarged prostateThe prostate is a gland that produces some of the fluid that carries sperm during ejaculation. The prostate gland surrounds the urethra, the tube th...ImageRead Article Now Book Mark Article Description The surgery takes about 1 to 2 hours.You will be given medicine before surgery so you don't feel pain. You may get general anesthesia in which you are asleep and pain-free or spinal anesthesia in which you are awake, but numb from the waist and below.The surgeon will insert a scope through the tube that carries urine from your bladder out of the penis. This instrument is called the resectoscope. A special cutting tool is placed through the scope. It is used to remove the inside part of your prostate gland using electricity. Why the Procedure Is Performed Your health care provider may recommend this surgery if you have benign prostatic hyperplasia (BPH). The prostate gland often grows larger as men get older. The larger prostate may cause problems with urinating. Removing part of the prostate gland can often make these symptoms better.BPHThe prostate is a gland that produces some of the fluid that carries sperm during ejaculation. The prostate gland surrounds the urethra, the tube th...ImageRead Article Now Book Mark Article TURP may be recommended if you have:Difficulty emptying your bladder Frequent urinary tract infections Urinary tract infectionsA urinary tract infection, or UTI, is an infection of the urinary tract. The infection can occur at different points in the urinary tract, including...ImageRead Article Now Book Mark Article Bleeding from the prostate Bladder stones with prostate enlargement Bladder stonesBladder stones are hard buildups of minerals. These form in the urinary bladder.ImageRead Article Now Book Mark Article Extremely slow urination Damage to the kidneys due to an inability to urinate Getting up often at night to urinate Bladder control issues due to a large prostate Before you have surgery, your provider will suggest you make changes in how you eat or drink. You may also be asked to try taking medicine. Part of your prostate may need to be removed if these steps do not help. TURP is one of the most common types of prostate surgery. Other procedures are also available.Your provider will consider the following when deciding on the type of surgery:Size of your prostate gland Your health What type of surgery you may want The severity of your symptoms Risks Risks for any surgery are:Blood clots in the legs that may travel to the lungs Blood clotsBlood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...ImageRead Article Now Book Mark Article Breathing problems Breathing problemsBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airImageRead Article Now Book Mark Article Infection, including in the surgical wound, lungs (pneumonia), or bladder or kidney PneumoniaPneumonia is a breathing (respiratory) condition in which there is an infection of the lung. This article covers community-acquired pneumonia (CAP). ...ImageRead Article Now Book Mark Article Blood loss Blood lossBleeding is the loss of blood. Bleeding may be:Inside the body (internally) Outside the body (externally)Bleeding may occur:Inside the body when blo...ImageRead Article Now Book Mark Article Heart attack or stroke during surgery Heart attackMost heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. ...ImageRead Article Now Book Mark Article StrokeA stroke occurs when blood flow to a part of the brain stops. A stroke is sometimes called a "brain attack. " If blood flow is cut off for longer th...ImageRead Article Now Book Mark Article Reactions to medicinesAdditional risks are:Problems with urine control Loss of sperm fertility Erection problems Passing the semen into the bladder instead of out through the urethra (retrograde ejaculation) Retrograde ejaculationRetrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ...ImageRead Article Now Book Mark Article Urethral stricture (tightening of the urinary outlet from scar tissue) Urethral strictureUrethral stricture is an abnormal narrowing of the urethra. Urethra is the tube that carries urine out of the body from the bladder.ImageRead Article Now Book Mark Article Transurethral resection (TUR) syndrome (water buildup during surgery) Damage to internal organs and structures Before the Procedure You will have many visits with your provider and tests before your surgery. Your visit will include:Complete physical exam Treating and controlling diabetes, high blood pressure, heart or lung problems, and other conditions DiabetesDiabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.ImageRead Article Now Book Mark Article High blood pressureBlood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...ImageRead Article Now Book Mark Article If you are a smoker, you should stop several weeks before the surgery. Your provider can give you tips on how to do this.Always tell your provider what drugs, vitamins, and other supplements you are taking, even ones you bought without a prescription.During the weeks before your surgery:You may be asked to stop taking medicines that can thin your blood, such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), apixaban (Eliquis), and others. Ask your provider which drugs you should still take on the day of your surgery. On the day of your surgery:DO NOT eat or drink anything after midnight the night before your surgery. Take the drugs you have been told you to take with a small sip of water. You will be told when to arrive at the hospital. After the Procedure You will most often stay in the hospital for 1 to 3 days. In some cases, you may be allowed to go home the same day.After surgery, you will have a small tube, called a Foley catheter, in your bladder to remove urine. Your bladder may be flushed with fluids (irrigated) to keep it clear of clots. The urine will look bloody at first. In most cases, the blood goes away within a few days. Blood can also seep around the catheter. A special solution may be used to flush out the catheter and keep it from getting clogged with blood. The catheter will be removed within 1 to 3 days for most people.Foley catheterA urinary catheter is a tube placed in the body to drain and collect urine from the bladder.Read Article Now Book Mark Article You will be able to go back to eating a normal diet right away.Your health care team will:Help you change positions in bed. Teach you exercises to keep blood flowing. Teach you how to perform coughing and deep breathing techniques. You should do these every 3 to 4 hours. Tell you how to care for yourself after your procedure. Care for yourselfYou had transurethral resection of the prostate (TURP) surgery to treat an enlarged prostate. This article tells you how to take care of yourself at...Read Article Now Book Mark Article You may need to wear tight stockings and use a breathing device to keep your lungs clear.You may be given medicine to relieve bladder spasms. Outlook (Prognosis) TURP relieves symptoms of an enlarged prostate most of the time. You may have burning with urination, blood in your urine, frequent urination, and need to urgently urinate. This usually resolves after a little bit of time.Open ReferencesReferencesFoster HE, Dahm P, Kohler TS, et al. Surgical management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA Guideline Amendment 2019. J Urol. 2019;202(3):592-598. PMID: 31059668 pubmed.ncbi.nlm.nih.gov/31059668/.Han M, Partin AW. Simple prostatectomy: open and robotic-assisted laparoscopic approaches. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 147.Milam DF. Transurethral resection and transurethral incision of the prostate. In: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas of Urologic Surgery. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 67.Roehrborn CG, Strand DW. Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 144.AllVideoImagesTogMale reproductive anatomy - illustration The male reproductive structures include the penis, the scrotum, the testicles (testes), the epididymis, the seminal vesicles, and the prostate.Male reproductive anatomyillustrationProstate gland - illustration The prostate gland is a fibrous organ that surrounds the urinary urethra at the base of the bladder.Prostate glandillustrationProstatectomy - series - Normal anatomyPresentation Transurethral Resection of the Prostate (TURP) - SeriesPresentation Male reproductive anatomy - illustration The male reproductive structures include the penis, the scrotum, the testicles (testes), the epididymis, the seminal vesicles, and the prostate.Male reproductive anatomyillustrationProstate gland - illustration The prostate gland is a fibrous organ that surrounds the urinary urethra at the base of the bladder.Prostate glandillustration Prostatectomy - series - Normal anatomyPresentation Transurethral Resection of the Prostate (TURP) - SeriesPresentation A Closer Look Prostate cancer(Alt. Medicine)Prostate cancer(In-Depth)Benign prostatic hyperplasia(In-Depth)Related Information Enlarged prostate(Condition)Prostate cancer(Condition)Frequent or urgent urination(Symptoms)Urinating more at night(Symptoms)Urinary catheters(Special Topic)Bladder stones(Condition)Hydronephrosis of one kidney(Condition)Neurogenic bladder(Condition)Prostate resection - minimally invasive(Surgery)Simple prostatectomy(Surgery)Bathroom safety for adults(Self-Care)Surgical wound care - open(Self-Care)Preventing falls(Self-Care)Indwelling catheter care(Self-Care)Kegel exercises - self-care(Self-Care)Transurethral resection of the prostate - discharge (Discharge)Enlarged prostate - what to ask your doctor (Doctor Questions)Benign prostatic hyperplasia(In-Depth)Prostate cancer(In-Depth) Review Date: 7/26/2021 Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. 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