Transurethral resection of the prostate

Transurethral resection of the prostate (also known as TURP, plural TURPs) is a urologicaloperation. It is used to treat benign prostatic hyperplasia(BPH). As the name indicates, it is performed by visualising the prostatethrough the urethraand removing tissue by electrocauteryor sharp dissection. This is considered the most effective treatment for BPH. This procedure is done with spinal or general anesthetic. A large triple lumen catheteris inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. Outcome is considered excellent for 80-90% of BPH patients. As with all invasive procedures, the patient should first discuss medications they are taking with their doctor, most especially blood thinners or anticoagulants, such as warfarin(Coumadin), or aspirin. These may need to be discontinued prior to surgery. Postop complications include bleeding (most common), clotting and hyponatremia(due to bladder irrigation).

See also

• Transurethral needle ablation of the prostate
• Prostatectomy

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