The prostate gland which is only found in males, sits under the bladder and wraps around the urethra. The urethra is the tube that carries urine out of the body. The prostate helps produce semen.
A transurethral resection of the prostate (TURP) is surgery to remove parts of the prostate gland through the penis. No cuts (incisions) are needed.
Dr. Mario Delgadillo reaches the prostate by putting a tool (resectoscope) into the end of the penis and through the urethra. This tool is about 12 inches long and a half inch in diameter. It has a lighted camera and valves that control irrigating fluid. It also contains an electrical wire loop that cuts tissue and seals blood vessels. Dr. Mario Delgadillo then guides the wire loop to remove the tissue blocking the urethra one piece at a time. The pieces of tissue are carried by the irrigating fluid into the bladder. They are flushed out at the end of the procedure.
Is TURP – Transurethral Resection of the Prostate right for me?
TURP is most often done to ease symptoms caused by an enlarged prostate. This is often due to benign prostate hyperplasia (BPH). BPH is not cancer. It is a common part of aging. When the prostate gland is enlarged, it can press against the urethra and interfere with or block the passage of urine out of the body.
Sometimes a TURP is done to treat symptoms only, not to cure the disease. For example, you may be unable to urinate because of prostate cancer, but surgery to remove the prostate isn’t an option. Then you may need a TURP.
Are there any risks associated with TURP?
All procedures have risks. Some possible risks of this procedure include:
Blood in the urine after surgery
Loss of erections
Painful or difficult urination
Semen that is ejaculated goes into the bladder and not out the penis (retrograde ejaculation), or there may be loss of ejaculation
There may be other risks depending on your condition. Any concerns should be discussed with Dr. Mario Delgadillo.
What happens during a TURP procedure?
TURP often requires a hospital stay. Procedures may vary depending on your condition.
Generally, a TURP follows this process:
You will be given anesthesia to put you to sleep for the procedure. Sometimes medication is used to numb your body from the waist down, so you can still be awake (spinal anesthesia). Your legs will be placed in stirrups.
Your heart rate, blood pressure, breathing, and blood oxygen level will be closely watched during the surgery.
Once you’re sedated, a breathing tube may be put through your throat into your lungs and you will be connected to a ventilator. This will breathe for you during the surgery. A breathing tube will not be used if you have spinal anesthesia.
Dr. Mario Delgadillo may first inspect the urethra and bladder with a thin tube (cystoscope). This has a light and a camera on one end. This e-tube is passed through the tip of the penis, then into the urethra and bladder. This lets the healthcare provider check these areas for any tumors or stones in the bladder.
Next, the resectoscope is passed into the urethra. It is used to cut away the pieces of prostate tissue that are bulging or blocking the urethra. Electricity will be applied through the resectoscope to stop any bleeding. The pieces are flushed into the bladder. Then they are drained out through the urethra.
Once The resectoscope is removed, Dr. Mario Delgadillo will then introduce a soft, flexible tube into your bladder to drain the urine.
Recovering from TURP procedure
The catheter will stay in place for 1 to 3 days. This is to help urine drain while your prostate gland heals. You will likely have blood in your urine after surgery. A bag of solution may be attached to the catheter to flush the blood and possible clots out of your bladder and the catheter. The bleeding will slowly decrease. Then the catheter will be removed.
Arrangements will be made for a follow-up visit with Dr. Mario Delgadillo. He may give you other instructions after the procedure, depending on your situation.