This Medical Video: Transurethral resection of the prostate (also known as TURP, plural
TURPs and as a transurethral prostatic resection TUPR) is a
urological operation. It is used to treat benign prostatic
hyperplasia (BPH). As the name indicates, it is performed by
visualising the prostate through the urethra and removing tissue by
electrocautery or sharp dissection. This is considered the most
effective treatment for BPH. This procedure is done with spinal or
general anesthetic. A large triple lumen catheter is inserted
through the urethra to irrigate and drain the bladder after the
surgical procedure is complete. Outcome is considered excellent for
80-90% of BPH patients. Because of bleeding risks associated with
the surgery, TURP is not considered safe for many patients with
cardiac problems. As with all invasive procedures, the patient
should first discuss medications they are taking with their doctor,
most especially blood thinners or anticoagulants, such as warfarin
(Coumadin), or aspirin. These may need to be discontinued prior to
surgery. Postop complications include bleeding (most common),
clotting and hyponatremia (due to bladder
irrigation).
Additionally, transurethral resection of the
prostate is associated with low but important morbidity and
mortality.