What is TURP and when is it applied?
Transurethral resection of the prostate (TURP) is a minimally invasive surgical procedure that solves the problems with urination that occur due to prostate enlargement.
Benign prostatic hyperplasia is a condition that occurs when the prostate enlarges, which occurs during aging as a physiological (normal) process. Although some men may not have symptoms, an enlarged prostate in others creates difficulty urinating. The first symptoms usually appear after the age of 50 and can worsen further. They are most common in the form of frequent urination, especially at night, as well as a slow and intermittent or weak stream of urine. A small percentage of men may have urinary retention, which means that a man cannot empty his bladder. The risks of urinary retention are frequent urinary tract infections, urosepsis, impaired kidney function, and even kidney failure. The risk of urinary retention increases with age, symptoms and prostate enlargement.
It is important to know that similar symptoms can exist in the case of prostate cancer and bladder cancer. Transurethral resection of the prostate is intended for men who have difficulty urinating due to an enlarged prostate and it is the best way to increase urine flow. The goal of the intervention is to remove the prostatic tissue that leads to obstruction, which enables normal urine flow. Most men who undergo this treatment have a difficulty urinating, and have already tried another type of treatment or have a urinary catheter placed due to a complete blockage of urination. Men with more severe symptoms should be treated with surgery, while those with less severe symptoms should first be treated with medication.
Urology specialists Dr. Nikola Lukac and Dr. Uros Babic perform all types of urological interventions and operations in the Atlas General Hospital.
If you have a problem with the prostate, now is the right time to call and schedule your examination and prostate surgery at a promotional price of 170,000 – 200,000 dinars, including the price of anesthesia.
Problems solved by transurethral resection of the prostate
TURP is used for problems that occur as a result of benign enlargement (hyperplasia) of the prostate, which can be: difficulty starting to urinate, frequent urges to urinate, slow (prolonged) urination, frequent urination at night, constant onset and interruption of urination, feeling that you cannot completely empty the bladder, urinary tract infection. Transurethral resection of the prostate can be done in order to prevent complications that occur as a consequence of blocking the flow of urine. Complications that can occur due to blockage of urine flow are frequent infections, damage to the kidneys or bladder, inability to control urination or inability to urinate, the presence of stones in the bladder, the presence of blood in the urine.
How is prostate surgery performed?
After appropriate anesthesia, a resectoscope is placed through the urethra, which allows the intervention to be performed without any incision or subsequent scarring. The prostate tissue is resected with an electric knife until the central part of the gland is removed. This formation is called an adenoma, benign or non-cancerous growth. A special fluid is placed through a resectoscope and the bladder is rinsed so that the surgeon has a clear insight into the flow through the urethra. Each piece of excised prostate tissue is placed in the bladder, from which it is removed with an endoscope at the end of the operation, and then sent for pathohistological examination. After the intervention, a catheter is placed and the bladder is rinsed. This helps to take care of the bleeding that normally occurs.
Prostate surgery TURP lasts from 60 to 90 minutes. This does not include the time required for anesthesia. The patient usually leaves the hospital after 2-3 days, although some patients may leave the hospital the day after the operation. It is necessary to wear a urinary catheter after the operation. The urinary catheter is usually worn for 24 to 48 hours (and longer if necessary), until the swelling subsides and the possibility of self-urination returns to normal.
Anesthesia during prostate surgery
Spinal or general anesthesia may be used. The spinal anesthetic anesthetizes the lower half of the body after injection into the back. This allows you to start eating earlier after anesthesia, because medications that cause nausea are avoided. There is also less chance of bleeding.
After the operation, the presence of blood in the urine can occur up to two weeks after the intervention, tingling during the first urination, much stronger urine flow, retrograde ejaculation.
Tips for patients before and after prostate surgery
- Quit smoking cigarettes – a seven-day cessation of smoking reduces the possibility of pneumonia and coagulum in the veins of the legs.
- Do light exercises – the better the patient is, the faster he will recover.
- A diet rich in fruits and vegetables – to improve the body’s immunity to infection and to speed up recovery.
- After the operation, it is advisable to drink a larger amount of fluid – this will facilitate the flow of urine.
- Avoid a diet that leads to constipation, do not spend time lying down.
After surgery, the patient still has a prostate, which can grow back and cause the same or similar symptoms. Prostate cancer can also occur, and therefore the patient should be monitored regularly by digital rectal examination and determination of PSA in the blood every two years.
Possible complications during transurethral resection of the prostate (TURP)
- Inability to urinate (urine retention) – This can happen if bladder function is impaired due to obstruction before surgery. The process is difficult to predict preoperatively.
- Bleeding – Occurs to some extent in all patients. This condition can be made worse by the use of certain medications, such as aspirin.
- Infection
- Impotence
- Retrograde ejaculation – This means that during orgasm a man does not ejaculate outwards. Although normal ejaculation is present, semen goes into the bladder without any change in feelings during ejaculation. This happens in almost all patients.
- Urethral structures
- Incontinence – Refers to loss of control of voluntary urination. It can occur in two forms. It usually happens that the desire to urinate does not give the patient enough time to go to the toilet, which occurs mainly after the operation and is lost over time. The second type of incontinence refers to swelling of the urine when coughing or sneezing and is not common. It can be a consequence of a weak urethral sphincter, abnormal bladder or sphincter damage during surgery.
- TURP syndrome – This is a rare but potentially dangerous problem. Absorption of fluid used to flush the bladder during surgery is somewhat normal. If the operation lasts longer than an hour or is difficult to perform on its own, then excess absorbed fluid can cause problems.
- Visual disturbance – blurred vision
- Burning of arms, legs and around the mouth
Cena transuretralne resekcije prostate (TURP) iznosi 170.000 – 200.000 dinara u opštoj ili spinalnoj anesteziji.
THE BEST PRICE FOR PROSTATE SURGERY – TURP 170.000- 200.000 RSD
Preoperative preparation + Surgery + Anesthesia
