Prostate Surgery (TURP)

Overview

When an enlarged prostate blocks the flow of urine and medicines do not help enough, surgery can remove the part of the prostate that is causing the blockage. The most common operation is transurethral resection of the prostate (TURP), which is done through the urethra without any cuts on the skin.

Why it is done

• Troublesome urinary symptoms that do not improve with medicines
• Inability to pass urine (urinary retention)
• Repeated urine infections, bladder stones or bleeding caused by the prostate
• Kidney problems caused by blocked urine flow

Before the surgery

Tests may include urine tests, blood tests including PSA, an ultrasound scan and urine flow studies. You will have an anaesthesia assessment.

During the surgery

TURP is performed under spinal or general anaesthesia using a thin telescope passed through the urethra, and usually takes about an hour.

After the surgery

A urinary catheter is usually needed for a few days. You may see blood in the urine for a short time. Avoid heavy lifting and straining for a few weeks.

Risks

Possible risks include bleeding, infection, temporary difficulty controlling urine, semen flowing back into the bladder during ejaculation and, less commonly, narrowing of the urethra.

At KIH

KIH's urology team offers surgery for prostate conditions, including endoscopic and minimally invasive procedures.