Transurethral Resection of the Prostate (TURP)
The Key Things to Know:
Transurethral Resection of the Prostate (TURP) is a common operation to treat urinary symptoms caused by an enlarged prostate (benign prostatic hyperplasia or BPH). It remains the traditional ‘gold standard’ procedure for moderate to large prostates, offering durable results and excellent symptom relief.
What It Is
TURP is a minimally invasive surgical procedure performed under spinal or general anaesthetic. A small telescope (resectoscope) is inserted through the penis into the bladder. Using an electric loop, small chips of prostate tissue are removed to relieve the obstruction and improve urine flow. The operation does not involve any external cuts.
When It's Needed
TURP is recommended if you have:
Difficulty passing urine or a weak stream
Frequent urination, especially at night
Incomplete bladder emptying
Recurrent urinary infections or bladder stones due to obstruction
Urinary retention (inability to pass urine)
Bleeding from the prostate (haematuria)
Surgery Diagram
Benefits
Proven long-term results with strong evidence for symptom improvement
High success rate with significant improvement in urine flow
Minimally invasive and widely available
Most men experience quick relief and improved quality of life
Risks
All operations carry some risks, including:
Temporary burning or frequency when passing urine
Blood in the urine for several days after surgery
Retrograde ejaculation (semen flows backwards into the bladder) occurs in up to 70% of men
Urinary tract infection (1-3%)
Temporary catheter after surgery (usually for 1-2 days)
Rarely, bleeding requiring return to theatre or a longer hospital stay
What to Expect After Surgery
You’ll usually stay in hospital overnight with a catheter to help the bladder drain. Irrigation fluid may run through the catheter to prevent clots. Once urine clears, the catheter is removed, usually within 1-2 days. Mild stinging, urgency, or frequency is common for a few weeks. You should avoid heavy lifting or strenuous activity for 2-3 weeks. Most men notice a marked improvement in urinary flow within days, with full recovery over 6-8 weeks.
FAQs
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Erections are usually unaffected, but ejaculation is often retrograde (dry orgasm).
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TURP provides long-term relief, although a small percentage of men may need further treatment after 10-15 years
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Most men no longer need prostate medication after surgery.
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Light activities are fine within a week; office work after 1-2 weeks. Avoid strenuous exercise or heavy lifting for 3-4 weeks.
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