resection of the prostate (TURP) is surgery to remove a section of the prostate
gland. This is done when the prostate gets too large. The prostate gland is a
walnut-sized organ in men that grows around the urethra.
The urethra is the tube that carries urine from the bladder, through the penis,
to outside the body. The prostate gland produces most of the fluid in
When the prostate gets too large, it can
press on the urethra. This can make it hard for you to urinate. You may feel
like you have to urinate often. You may have trouble starting and stopping your
urine stream. Your urine may not come out in a strong, steady stream. Or it may
feel like you cannot completely empty your bladder.
may help you have less trouble urinating. You may have better control over
starting and stopping your urine stream and feel like you get more relief when
Your doctor will give you medicine to make you sleep or feel
relaxed. You will not feel pain.
The doctor will put a thin,
lighted tube called a cystoscope, or scope, into your urethra through the
opening in your penis. Then the doctor will put small surgical tools through
the scope. The doctor will use the surgical tools to cut away the section of
the prostate that is blocking urine flow. When the surgery is finished, the
doctor will take out the scope.
probably stay in the hospital for 1 to 2 days after the surgery. You may be
able to go back to work and do many of your usual activities in 1 to 3 weeks.
But it is important to avoid heavy lifting or strenuous activities for about
You may need a urinary catheter for a short time. A urinary catheter is a flexible plastic tube used to drain urine
from your bladder when you cannot urinate on your own. If it is still in place when you go home, your doctor will
give you instructions on how to care for your catheter.
may still feel like you need to urinate often in the weeks after your surgery.
It often takes up to 6 weeks for this to get better.
still can have erections after surgery (if they were able to have them before
surgery), but they may not ejaculate when they have an orgasm. Semen may go
into the bladder instead of out through the penis. This is called retrograde
ejaculation. This does not hurt and is not harmful to your health. But it may
mean that you will not be able to father a child. If this is a concern, talk to
your doctor about saving your sperm before the surgery.
Follow-up care is a key part of your treatment and safety. Be
sure to make and go to all appointments, and call your doctor or nurse call line if you are having
problems. It's also a good idea to know your test results and keep a list of
the medicines you take.
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Current as of:
May 24, 2016
Adam Husney, MD - Family Medicine
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