Transurethral Resection of the Prostate (TURP)

1. What is TURP?
Transurethral Resection of the Prostate (TURP) is a minimally invasive procedure used to remove prostate tissue that is obstructing the urethra. A specialized instrument is passed through the urethra, so no external surgical incision is normally required.

2. When is TURP recommended?
TURP is commonly considered for men with bothersome symptoms caused by benign prostatic hyperplasia (BPH), particularly when medications are ineffective or poorly tolerated, or when complications such as recurrent urinary retention, infections, bladder stones, or kidney-related problems develop.

3. What symptoms can TURP improve?
The procedure can improve difficulty starting urination, weak or interrupted urine flow, frequent urination, urgency, nighttime urination, incomplete bladder emptying, and urinary retention caused by prostate obstruction.

4. How is TURP performed?
The patient is usually given spinal or general anesthesia. The surgeon introduces a resectoscope through the penis and urethra into the prostate and removes obstructing tissue in small pieces. The removed tissue is typically sent for pathological examination.

5. Is TURP suitable for every enlarged prostate?
No. Treatment selection depends on prostate size and anatomy, symptoms, urinary function, medications, overall health, and previous procedures. Other options such as laser prostate surgery or enucleation may be more suitable for some patients.

6. How long does TURP take?
The procedure commonly takes around 60–90 minutes, although the duration varies with prostate size and surgical complexity. A urinary catheter is usually kept temporarily after surgery, and hospital stay is commonly around 1–3 days depending on recovery.

7. What are the benefits of TURP?
TURP can improve urinary flow, reduce obstruction, decrease bothersome urinary symptoms, and help the bladder empty more effectively. Many patients experience substantial improvement after recovery.

8. What are the risks and complications?
Potential complications include bleeding, urinary infection, temporary difficulty urinating, urethral narrowing, bladder-neck narrowing, urinary incontinence, erectile or ejaculatory changes, and the need for further treatment. A condition called TUR syndrome is uncommon with modern techniques.

9. Why consider India for TURP?
India has experienced urologists and advanced urological centres offering TURP and other minimally invasive prostate procedures. Modern hospitals also provide laser-based alternatives and comprehensive diagnostic and postoperative care at comparatively competitive costs.

10. How can Medavelle help?
Medavelle can coordinate medical-record review, identify an appropriate urologist and hospital, obtain an indicative treatment plan and quotation, and assist with hospital and travel coordination for international patients.