✦ BPH Treatment

TURP (Transurethral Resection of Prostate)

Q: Will TURP affect my sexual function?

Retrograde ejaculation occurs in 70–90% of patients. Erectile function is generally preserved as the cavernous nerves lie outside the prostatic capsule and are not disturbed during transurethral resection.

Q: How long will the catheter remain after TURP?

The urethral catheter is removed at 24–48 hours once urine clears of blood. Mild irritative voiding symptoms typically persist for 4–6 weeks during prostatic bed healing.

Q: How long do the results of TURP last?

Most patients experience durable symptom relief for 10–15 years. The re-treatment rate is approximately 1–2% per year after five years, meaning the majority never require further prostate surgery.

Gold-standard endoscopic resection of the obstructing prostate adenoma — transurethral, no incision, >90% success, durable symptom relief lasting 10–15 years for most patients.

60–90 min PROCEDURE

1–2 Days HOSPITAL STAY

>90% SUCCESS RATE

2–4 Weeks RECOVERY

What is TURP (Transurethral Resection of Prostate)?

Transurethral Resection of the Prostate (TURP) is the most widely performed surgical treatment for symptomatic benign prostatic hyperplasia. A resectoscope is passed through the urethra and the obstructing prostatic adenoma is systematically resected using a wire loop electrode, creating a wide channel for urine flow. Performed under spinal or general anaesthesia, TURP provides durable improvement in urinary flow and symptoms with a well-established safety profile developed over more than five decades of worldwide surgical use. Resected chips are retrieved for histological analysis, detecting incidental prostate cancer in approximately 10–15% of specimens.

Suitable for men with moderate-to-severe lower urinary tract symptoms from BPH, urinary retention, recurrent UTIs, bladder stones, or renal impairment secondary to prostatic obstruction who have failed medical therapy.

How the Procedure Works

Scope Insertion

Resectoscope introduced transurethrally; bladder and prostate inspected; verumontanum, bladder neck, and ureteric orifices identified before resection.

Landmark Identification

Verumontanum is confirmed — the critical safety landmark marking the proximal border of the external sphincter; all resection remains proximal to this structure.

Systematic Resection

Lateral lobes and median lobe are resected from bladder neck proximally to verumontanum distally using the cutting loop under continuous direct vision.

Chip Evacuation

Resected prostatic chips are evacuated with an Ellik bulb syringe until the bladder is clear; all tissue retained and sent for histological analysis.

Haemostasis & Catheter

Bleeding vessels coagulated with diathermy ball; three-way 22 Fr catheter placed for continuous bladder irrigation overnight to prevent clot retention.

Outcomes

60–90 minDURATION

1–2 DaysHOSPITAL STAY

>90%SUCCESS RATE

2–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Men whose urinary symptoms significantly impact quality of life despite adequate trial of medical therapy.
→Those who have experienced acute urinary retention and failed a trial without catheter after treatment.
→Patients with BPH complications — recurrent UTIs, bladder stones, upper tract dilatation, or renal impairment.
→Men for whom histological detection of incidental prostate cancer in TURP specimens is clinically valuable.
→Patients with moderate prostates (30–80 g) where endoscopic resection achieves complete adenoma removal.
→Those who have failed or cannot tolerate BPH medical therapy due to side effects or contraindications.

"TURP has stood the test of time as the most reliable surgical treatment for BPH. With modern resectoscopes and bipolar technology, it is safer and more effective than ever — the benchmark all other BPH treatments must match."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Will TURP affect my sexual function?+

How long will the catheter remain after TURP?+

How long do the results of TURP last?+

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