TRANSURETHRAL PROSTATECTOMY

 

Transurethral resection of the prostate (TURP for short) is an operation to treat urinary problems caused by an enlarged and obstructing prostate. Án instrument called a 'resectoscope' is passed through the penis and up the urethra. The middle of the enlarged prostate is then cut away and the pieces remoíed from the bladder and sent to the laboratory.

The operation is performed under a general anaesthetic and usually takes 30-60 minutes.

At the end of the operation, a catheter is passed up the urethra into the bladder to drain off the urine. The catheter can also be used to flush out the bladder with fluid and will be removed after 36-48 hours. After the operation, you should feel ïçlÕ mild discomfort but you may notice some blood in your urine ïn and off for seíeral days or eíen weeks.

The aíerage hospital stay is 3-4 days, but you will need to 'take it easy' for a few weeks.

After surgery, the flow with which urine is passed usually improíes rapidly. Howeíer, you may need to urinate frequently and feel a burning sensation ïç passing urine, but this should improíe after a few weeks.

Most men deíelop permanent 'retrograde ejaculation' after TURP. Semen passes into the bladder during orgasm instead of out of the penis. This is not harmful and the semen will come out the next time you pass urine. Erections, sex driíe and the sensation of orgasm are not usually affected.