Transurethral Resection of the Prostate (TURP)
What is TURP ?
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Why do you need TURP?
TURP is indicated for:
- Benign prostatic hyperplasia (BPH):
- Moderate to severe urinary symptoms: Weak stream, urgency, frequent urination (day/night), or incomplete emptying.
- Complications: Recurrent UTIs, bladder stones, hematuria, or urinary retention (10–20% of untreated BPH cases).
- Prevalence in India: 50–60% of men over 60 years; 80% over 80 years.
- Contraindications:
- Very large prostate (>80–100 grams; may need open prostatectomy, as in your prostatectomy query).
- Active UTI (must be treated first) or severe comorbidities (e.g., uncontrolled bleeding disorders).
- Associated treatments:
- Pre-op: Alpha-blockers (e.g., tamsulosin) or 5-alpha reductase inhibitors (e.g., finasteride) often tried first.
- Post-op: Catheter for 1–3 days to drain urine; bladder irrigation to prevent clots.
- Timing:
- Performed in older adults (average age 60–80 years); elective unless complications like retention occur.
The procedure aims to relieve urinary obstruction, improve quality of life, and prevent complications like kidney damage or infections, with a high success rate for symptom relief.
Why Do TURP Costs Vary in Philippines?
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TURP Procedure
- Before Surgery Evaluation:
- Assessment:
- Symptom score: International Prostate Symptom Score (IPSS) to quantify severity (moderate: 8–19; severe: 20–35).
- Uroflowmetry: Measures urine flow rate (<10 mL/s indicates obstruction).
- Ultrasound: Assesses prostate size (usually 30–80 grams for TURP), post-void residual urine.
- Blood tests: PSA (to rule out cancer), kidney function (creatinine), blood sugar, clotting profile.
- Urine test: Checks for infection (UTI treated pre-op).
- Preparation: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe; antibiotics pre-op.
- Consent: Risks, including retrograde ejaculation, are explained.
- Assessment:
- Surgical Technique:
- TURP:
- Performed under spinal or general anesthesia, lasting 60–90 minutes.
- Process:
- Resectoscope (thin tube with camera, light, and cutting loop) inserted through urethra (no external incision).
- Prostate tissue obstructing urethra (transition zone) removed in small pieces using electrocautery (cuts and coagulates).
- Tissue chips flushed out with irrigation fluid (glycine or saline); sent for pathology to rule out cancer.
- Hemostasis ensured; catheter placed with continuous bladder irrigation to prevent clot formation.
- Types:
- Monopolar TURP: Traditional; uses glycine irrigation (risk of TUR syndrome).
- Bipolar TURP: Newer; uses saline irrigation (safer, lower risk of TUR syndrome).
- Intraoperative Tools:
- Resectoscope: Visualizes and resects prostate tissue.
- Electrocautery loop: Cuts tissue and controls bleeding.
- Irrigation system: Clears debris and prevents clots.
- TURP:
- After Surgery:
- Hospital stay: 2–3 days.
- Care: Catheter removed in 1–3 days; irrigation stopped once urine clears (1–2 days); hydrate well.
- Pain management: Mild discomfort (urethral irritation) for 3–5 days; managed with painkillers (e.g., paracetamol).
- Instructions: Avoid strenuous activity for 4–6 weeks; expect temporary urinary urgency or leakage.
Recovery After TURP
- Hospital Stay: 2–3 days.
- Post-Surgery Care:
- Discomfort: Mild burning or urgency during urination for 1–2 weeks; resolves in 4–6 weeks.
- Urine: Blood-tinged urine for 1–2 weeks; clears with hydration; small clots normal initially.
- Activity: Avoid strenuous activity for 4–6 weeks; light activities in 3–5 days.
- Catheter: Removed in 1–3 days; temporary leakage or urgency common for 2–4 weeks.
- Sexual function: Retrograde ejaculation (70–90% of cases); erectile function usually unchanged.
- Follow-Up:
- Visits at 1 week (check healing), 1 month, and 3 months (assess symptoms).
- Uroflowmetry: At 1–3 months to confirm improved flow (typically >15 mL/s post-TURP).
Most resume normal activities in 2–3 weeks; full symptom relief takes 6–12 weeks. Success rate: 85–90% experience significant symptom improvement; 10–15% may need re-treatment within 5–10 years.
Risks and Complications
- Surgical Risks:
- Bleeding (2–5%): Clots in bladder; may need irrigation or reoperation (<1%).
- Infection (2–5%): UTI; treated with antibiotics.
- Anesthesia risks (<1%): Reaction to anesthesia; rare in healthy patients.
- Post-Surgery:
- Retrograde ejaculation (70–90%): Semen enters bladder (dry orgasm); not harmful but affects fertility.
- Urinary incontinence (1–5%): Temporary leakage; resolves in 3–6 months; permanent in <1%.
- TUR syndrome (1–2%, monopolar): Fluid absorption causing hyponatremia; rare with bipolar TURP.
- Urethral stricture (2–5%): Narrowing; may need dilation.
- Long-Term:
- Recurrence of symptoms (10–15%): Prostate regrowth over 5–10 years; may need repeat TURP.
- Erectile dysfunction (5–10%): Rare; usually pre-existing or psychological.
Report fever, heavy bleeding, inability to urinate, or severe pain promptly.
Frequently Asked Questions (FAQs)
What causes the need for TURP?
BPH causing moderate to severe urinary symptoms, retention, or complications (e.g., UTIs, stones).
Can I avoid TURP?
Yes, if mild: Medications (e.g., tamsulosin, finasteride) or minimally invasive options (e.g., UroLift); TURP needed for severe cases or complications.
Is TURP painful?
Mild discomfort for 1–2 weeks (urethral irritation); managed with medication; resolves in 4–6 weeks.
How soon can I resume normal activities?
Light activities: 3–5 days; full recovery: 6–12 weeks; avoid strenuous activity for 4–6 weeks.
Is TURP covered by insurance in India?
Often covered (medical necessity); confirm with your provider; Ayushman Bharat often subsidizes.
Signs of complications?
Fever, heavy bleeding, inability to urinate, or severe pain.
Will TURP affect my sexual function?
Retrograde ejaculation in 70–90% (dry orgasm); erectile function usually unchanged; fertility impacted.
Lifestyle changes post-surgery?
Hydrate well, avoid straining during urination, monitor for recurrence, and attend follow-ups.
Conclusion
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Looking for Best Hospitals for TURP
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
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Angeles City |
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Antipolo |
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Bacolod |
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Bacoor |
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Baguio |
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Butuan |
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Cagayan de Oro |
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Caloocan |
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Cebu City |
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Dasmariñas |
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Davao City |
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General Santos |
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General Trias |
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Iligan |
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Iloilo City |
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Las Piñas |
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Makati |
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Malolos |
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Manila |
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Muntinlupa |
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Parañaque |
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Pasay |
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Pasig |
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Puerto Princesa |
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Quezon City |
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San Fernando |
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San Jose del Monte |
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Taguig |
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Valenzuela |
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Zamboanga City |
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Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.