Transurethral resection of the prostate (TURP) is surgery to remove the inside part of the prostate gland in order to treat an enlarged prostate. An enlarged prostate may also be known as benign prostatic hyperplasia. This is considered the most effective treatment for BPH.
What is Prostate Gland?
The prostate gland surrounds the neck of the male bladder and the urethra. It is about the size of a walnut and partly glandular and partly muscular. It is made up of three lobes- a central lobe with one lobe on each side.
Candidate for the Procedure
- A bladder that never feels empty
- Frequent urinary tract infections (UTIs)
- Bleeding from the prostate
- Increased need to urinate at night
- Bladder stones
- Slow urination
- Kidney damage
- Problems with getting a urine stream started
- Having to urinate more frequently at night
- Having an urgent need to urinate
- Dribbling after you finish urinating
A combined visual and surgical instrument called as resectoscope is inserted into the tip of the penis and extended through the urethra and into the prostate area. By accessing the prostate through the penis, the doctor won’t need to make any cuts (incisions) on the outside of the body. The resectoscope has a light, valves for controlling irrigating fluid, and an electrical loop to cut tissue and seal blood vessels.
The doctor will use the resectoscope to trim tissue from the inside of the prostate gland, one small piece at a time. As small pieces of tissue are cut from inside the prostate, irrigating fluid carries them into the bladder. They are removed at the end of the operation.
The two most widely practices minimally invasive laser techniques are:-
- Green Light Laser PVP
- No incisions are made on the abdomen and the obstructive prostate tissue is vaporized by a direct laser beam.
- Can be done under general or spinal anesthesia.
- Virtually bloodless & fast procedure with very short hospital stay.
- Holmium Laser: Also called HOLEP (holmium laser enucleation of the prostate) is a superior treatment as compared to TURP. It minimized the need for future treatment because it allows complete resection of all adenomatous tissue.
- You should no longer need to strain to urinate
- You should be able to go about thenormal activities without having to worry about being near a toilet
- You should be more in control of holding theurine in
- You may not need to get up in the night to urinate as much as you used to
- You should also notice you have a stronger stream of urine
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