Overview

Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate.

A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The prostate surrounds the urethra. Using the resectoscope, your doctor trims away excess prostate tissue that's blocking urine flow.

TURP is generally considered an option for men with moderate to severe urinary problems that haven't responded to medication. Traditionally, TURP has been considered the most effective treatment for an enlarged prostate.

However, a number of other, minimally invasive procedures are becoming more effective, due to improved techniques and surgical tools. These minimally invasive procedures generally cause fewer complications and have a quicker recovery period than TURP. The risk of bleeding is generally higher with TURP, so it might not be the best option for certain men who take blood-thinning medications.

July 21, 2016
References
  1. Cunningham GR, et al. Transurethral procedures for treating benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed May 11, 2016.
  2. Wein AJ, et al., eds. Minimally invasive and endoscopic management of benign prostatic hyperplasia. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed May 11, 2016.
  3. Benign prostatic hyperplasia. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
  4. Abdul-Muhsin H, et al. Analysis of benign prostatic hyperplasia patients' perspective through a third-party administered survey. Urology. 2016;88:155.
  5. Care following transurethral resection of the prostate (TURP). Mayo Foundation for Medical Education and Research; 2012.
  6. Strope SA, et al. Use of medical therapy and success of laser surgery and transurethral resection of the prostate for benign prostatic hyperplasia. Urology. 2015;86:1115.
  7. Mamoulakis C, et al. Prostatic diseases and male voiding function. Urology. 2015;85:1143.

Transurethral resection of the prostate (TURP)