In transurethral resection of the prostate (TURP), prostate tissue that narrows the urethra is removed through the urethra. No skin incision is needed. The aim is for urine to flow better again.
When is it performed?
For benign prostatic enlargement, when medication is not enough or not tolerated and the symptoms are troublesome (see Benign prostatic hyperplasia).
Procedure
The procedure is done under anaesthesia. The tissue is removed layer by layer with an electric loop. A bladder catheter is then needed for a few days.
Effects and risks
Afterwards the ejaculate often passes into the bladder instead of out (retrograde ejaculation); erectile function is usually preserved. Possible risks are secondary bleeding, urinary tract infections, urethral strictures and, rarely, incontinence. We discuss everything with you in detail before the procedure.