After a person reaches the age of 40, the cells in the prostate gland can sometimes begin to multiply. This growth can lead to glandular hypertrophy, which leads to pressure on the urethra, which often interferes with urination.
This condition is known as benign prostatic hyperplasia (BPH) or benign prostatic hyperplasia (BPE). It has nothing to do with cancer and is generally harmless, although it can cause unpleasant symptoms.
The prostate is a genital gland the size of a nut responsible for producing some components of semen. The fluid is collected with sperm from the testicles when the urethra enters during ejaculation.
The most common surgery for BPH is called prostatectomy or turpectomy (TURP). During surgery, surgeons remove excess prostate tissue through the urethra.
Brief facts about BPH surgery:
Surgery is rarely the first line of treatment for BPH.
A urologist who performs most of the TURP surgeries.
TURP is a fairly safe and effective treatment for BPH.
Transurethral prostatectomy (TURP)
Transurethral prostatectomy for BPH surgery
To perform a prostatectomy through the urethra, the surgeon inserts a microscope into the urethra.
According to the Society of Urology, prostatectomy or prostatectomy is the most common type of surgical procedure used to treat BPH. Each year, doctors perform it on approximately 150,000 American men.
Surgeons perform most TURP procedures when the patient is under general and unconscious anesthesia or when sleeping.
Instead, they use spinal anesthesia, where a needle is placed in the spine to stop any sensation below the waist.
How does this procedure work?
After anesthesia, the surgeon will insert a tool called a telescope into the urethra. In some cases, a separate device will be used to expel sterile fluid through the surgical site.
Once the surgeon has identified the location of the rectoscope, it will be used to cut the abnormal tissue from the prostate and seal the broken blood vessels.
Finally, the surgeon will walk a long plastic tube called a catheter in the urethra and destroy the prostate tissue in the bladder where it is excreted in the urine.
Most TURP operations take between 1 and 2 hours and require several hours of recovery under constant supervision.
The catheter is usually held in place for 2 to 3 days after TURP surgery and removed when the bladder is completely clean.
What are the side effects?
At first, the urethra will become inflamed and the surrounding area will be difficult to urinate. The process of catheterization and the blade can also be uncomfortable and cause spasms in the bladder.
The urethra, penis, and lower abdominal area will be soft, red, and swollen for a few weeks after surgery, which may interfere with urination. Most people also feel weak and easily stressed for several weeks.
Common side effects of TURP surgery include:
It is quite difficult to empty the bladder
Urinary incontinence or leakage
Urinary urgency or sudden urge to urinate
Disturbance during urination
Small peculiarities or blood clots in the urine for up to 6 weeks
The minor side effects associated with TURP surgeries usually disappear, as the urethra and prostate tissues become less inflammatory, usually within a few weeks.
Although TURP surgery may or may not be associated with erectile dysfunction, it may reduce the volume of semen during ejaculation.
Are there complications or risks?
A surgeon with a mask and glasses
Some of the side effects of BPH surgery include excessive bleeding, retrograde ejaculation and disability.
As with any medical procedure, especially those involving anesthesia, surgery for BPH is associated with some medical complications.
The potential but rare risks associated with TURP procedures include:
Urinary tract infections
Ejaculation returns, where the semen flows back into the bladder during ejaculation
Chronic urinary problems, especially incontinence
Restores prostate growth or scarring, with approximately 10 percent of men needing more surgery within 5 years
Disability or erectile dysfunction
A stream of urine caused by narrowing of the urethra
Chronic prostatitis or prostatitis
An allergic or abnormal reaction to anesthesia
In rare cases, post-TURP syndrome occurs. This is where much of the fluid used for surgical cleaning is absorbed