TURP (Transurethral Resection of the Prostate)

Types of Urology Transurethral Resection Of Prostate Treatment India

Some of the types of procedures of Transurethral Resection of the prostate are described below:

• Standard TURP (Transurethral Resection of the Prostate)
• Bipolar TURP (Transurethral Resection of the Prostate)
• Laser TURP (Transurethral Resection of the Prostate)

Standard TURP (Transurethral Resection of the Prostate)

Standard TURP is the traditional method of performing the procedure of transurethral resection of the prostate. In this surgical method, an electrified wire loop is used to remove enlarged tissues of the prostate gland. It is effective in relieving urinary symptoms. Standard TURP usually requires a longer period for complete recovery and has more chances of complications after surgery.

Bipolar TURP

Bipolar TURP is another type of Transurethral resection of the prostate procedure. In this surgical procedure, bipolar electric current technology is used to cut the enlarged prostate instead of using a single electrified wire loop. Bipolar TURP has the advantage of less chances of bleeding and shorter recovery time as compared to standard TURP.

Laser TURP

In Laser TURP, laser energy is used to destroy the enlarged tissue of the prostate gland which is causing the urinary symptoms. It is considered minimally invasive and has quicker recovery times and fewer chances of postoperative complications. In this procedure, some specific types of laser are used to perform the procedure of TURP.

The procedure of Transurethral Resection of the prostate (TURP)

The overview of the TURP procedure is described in the steps below:

• Anesthesia: The anesthesia is given before the surgery to make the patient unconscious to reduce the effect of irritation and pain during the surgery.
• Insertion of Cystoscope: A cystoscope is a thin, flexible tube with a camera that is inserted into the urethra and then guided into the bladder. This process is done to inspect the bladder and prostate gland.Tissue Resection: A specialized instrument is used for tissue resection and it consists of a wire loop or laser fiber. This wire loop is passed through the cystoscope to remove the enlarged prostate tissue.
• Tissue Resection: A specialized instrument is used for tissue resection and it consists of a wire loop or laser fiber. This wire loop is passed through the cystoscope to remove the enlarged prostate tissue.
• Irrigation: During the procedure, a fluid is used that is continuously circulated into the bladder to wash away the resected tissue. It is important to provide a clear view for the surgeon.
• Removal of Resected Tissue: Once the procedure is complete, the specialized instrument is removed along with any resected tissue present in the bladder.
• Catheter Placement: A urinary catheter is inserted at the end of the surgery that helps to drain the urine after surgery. It allows the resected area to heal properly.
• Recovery: Every patient has a unique recovery period and may need some support and care during the procedure. Some medications are used to reduce the chances of post-operative complications.

Cost of Transurethral resection of the prostate (TURP) in India

The cost of transurethral resection of the prostate in India ranges from 650 USD to 1100 USD. The cost can differ in some hospitals due to the facilities and protocol. The cost can also be different for patients with more complex diseases.

Transurethral Resection of the Prostate (TURP) - 620 USD - 1020 USD (In India)

Symptoms and Risk factors

Some of the conditions that can be treated with the surgical procedure of TURP are as follows:

• Benign Prostatic Hyperplasia (BPH)
• Symptoms of Lower Urinary Tract
• Urinary Retention
• Prostate Enlargement
• Prostate Obstruction
• Blood present in urine
• Recurrent Urinary Tract Infections
• Prostate-Related Bladder Stones
• Prostate-Related Kidney Damage
• Chronic Prostatitis
• Urethral Stricture
• Difficulty in Urination
• Weak Urine Stream
• Incomplete Emptying of the Bladder
• Frequent Urination
• Frequent Nighttime Urination
• Prostate-Related Urinary Incontinence

Risk Factors of Transurethral resection of the prostate (TURP)

Some of the risk factors of transurethral resection of the prostate are described below:

Bleeding

TURP can cause the complication of bleeding during or after the procedure. In some cases, blood transfusion treatment is required to manage the disease.

Infection

There is a risk of urinary tract infection after the procedure of transurethral resection of the prostate. Treatment of medications may be required to manage the risk.

Erectile Dysfunction

In some cases, the transurethral resection of the prostate may lead to the development of erectile dysfunction in men which can further create problems with fertility.

Retrograde Ejaculation

A major type of complication after prostate surgery is the abnormality of the release of semen. TURP can cause semen to flow backward into the bladder instead of out through the urethra during ejaculation. 

Urinary Incontinence

Some patients experience the symptoms of urinary incontinence which affect the quality of life of the patient.

Stricture

There is also a risk of narrowing of the urethra due to scarring after the procedure of Transurethral Resection of the Prostate.

Bladder Neck Contracture

Scar tissue can form at the neck of the urinary bladder which can further cause the complication of difficulty during the process of urination.

Fluid Imbalance

There is a risk of fluid imbalance after the surgical procedure.

Residual Tissue

Sometimes due to incomplete removal of prostate tissue, the urinary symptoms reappear which may require revision surgery.

Irritative Symptoms

Some men may experience irritative symptoms such as urgency and increased frequency of urination after the procedure.

Transurethral Syndrome

In rare cases, the level of sodium in the blood decreases due to excess absorption of irrigation fluid which is a condition known as transurethral syndrome.