Transurethral Resection of Prostate (T.U.R.P.)
Synonyms: T.U.R.-Prostate, Transurethral Prostate Surgery
Transurethral Resection of Prostate or T.U.R.-Prostate or T.U.R.P. is a treatment of choice if the enlarged prostate gland (due to non-cancerous or cancerous tumor) compresses on the urethra resulting in obstruction of urinary outflow. In the Transurethral Resection of Prostate, the glandular tissue is removed in small chips or pieces as opposed to Radical Prostatectomy where the prostate gland is removed in it's entirety. T.U.R.P. is an endoscopic procedure where the prostate gland can be visualized while it is being resected.
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Cost of procedure performed in the US: $9,500.
All prices are in US dollars and include the cost of the procedure and minimum hospital stay. Estimates and minimum hospital stay will vary depending upon individual needs and requirements.
If you have any of the urinary symptoms i.e. if you are unable to completely empty your bladder or experience pain, urgency or frequency of urination, if you have blood in the urine, if you have extremely slow stream of urine due to cancerous or non-cancerous (Benign Prostatic Hypertrophy) enlargement of the prostate gland, if you have stones in the urinary bladder, then you are and ideal candidate for Transurethral Resection of Prostate.
Routine blood and urine analysis, Prostate Specific Antigen (PSA) level, CT of abdomen and chest x-ray will be requested by your physician on your pre-oparative consult. Inform your physician about your other health conditions and medications (including all the prescription, non-prescription medications, nutritional supplements i.e. vitamins, minerals and herbal products). Refrain from taking aspirin or Ibuprofen at least 2 weeks before Transurethral Resection of Prostate. Stop smoking a few weeks before Transurethral Resection of Prostate to prevent healing problems during recovery period. Do not eat or drink anything for at least 10 hours before the Transurethral Resection of Prostate surgery. You will be instructed to be hospitalized the night before the surgery.
Transurethral Resection of Prostate is performed under general anesthesia or spinal block with sedation. A cystoscope is inserted via the urethra up into the bladder. The bladder is filled with a solution so that it's interior is easily visualized. The prostate gland is examined, a surgical loop is inserted through the cystoscope to remove the portion of the enlarged prostate. A catheter is left in the bladder to allow for urine flow for several days after the procedure.
You will spend the next couple of hours in the recovery room under observation following Transurethral Resection of Prostate. Your vital signs, circulation and respiration will be closely monitored. You will also be closely monitored for any immediate post-operative complications like excessive bleeding. A foley's catheter will be retained in your urinary bladder to drain urine which may be blood tinged or may contain clots. you will experience some pain and discomfort which can be alleviated by the use of pain medication. Keep the operation area clean, avoid heavy lifting and sexual activity for 3 - 4 weeks. You will be able to get back to your normal activities in 4 - 6 weeks time following Transurethral Resection of Prostate.
The outcome of Transurethral Resection of Prostate are quite good as it alleviates the urinary symptoms due to compression of the urethra as a result of enlarged prostate gland. Since the Transurethral Resection of Prostate does not remove the prostate gland completely, a Radical Prostatectomy is a better choice in case of prostate cancer.
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Keywords: Prostate Enlargement, Benign Prostatic Hyperplasia (BPH), Prostate Gland, Prostate Cancer, Prostate Specific Antigen (PSA), Minimally Invasive Surgery, Endoscopic Surgery, Urinary Frequency, Urinary Urgency, Erectile Dysfunction, Urinary Obstruction, Urinary Incontinence, Male Infertility, Urethral Stricture, Urethral Perforation, Brachytherapy, Radiation Therapy, Chemotherapy, Bladder Stones, Minimally Invasive Procedure