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Transurethral resection of the prostate (TURP)


About TURP 

A transurethral resection of the prostate (TURP) is an operation to remove part of your prostate gland. Your prostate helps your body to produce semen. It lies beneath your bladder and surrounds your urethra (the tube that carries urine from your bladder and out through your penis).

If you have an enlarged prostate, it can obstruct the flow of urine from your bladder and make it difficult to pass urine. TURP can treat this.

How can I prepare for my TURP?

Your surgeon will explain how to prepare and what will happen when you have prostate surgery. Your hospital may ask you not to eat or drink anything for a set time before your procedure.

When you go for prostate surgery, take a list of any medicines you are currently taking.

What happens during my TURP?

Before the procedure, your surgeon will talk you through the process and ask you to sign a consent form.

TURP is often performed under general anaesthesia. This means you will be asleep during the procedure. However, you may be able to have it under a local anaesthetic. This will numb the area and completely block any pain.

Your surgeon will pass a thin telescope with a light and video camera at the end through your urethra. He or she will then pass a small electrically-heated wire loop through the tube and will use it to remove small pieces of your prostate tissue. At the end of the procedure, your surgeon will insert a catheter, which will drain urine from your bladder into a bag.

TURP usually takes around an hour and you will need to stay in hospital for around two days. 

Are there any complications or risks of my TURP?

As with every procedure, there are complications associated with TURP. Speak to your surgeon for more information.

Complications of TURP include an infection and passing urine more often or urgently. You might leak urine when you cough or sneeze. Some men find their flow of urine slows down. There is also a possibility that your bladder can be damaged in prostate surgery.

You can potentially have problems with sex after TURP. For example you might not pass semen when you orgasm. The semen can go into your bladder instead and you will pass it out when you urinate. You might also have difficulty getting or keeping an erection.

Recovering from TURP

After the operation you may have some discomfort. You might have some bleeding in your urine for a couple of weeks. 

You may have some initial problems when you urinate. Your hospital will advise you about pelvic floor exercises to help with this.

You will probably feel tired for a week or two after TURP. You can have sex again after three to four weeks. Most people go back to work after around three weeks. However, this will depend on the type of job you have and how strenuous it is.

How much does TURP cost?

For a guide to what you could pay for your treatment, click here.

What to do next

Once you have decided that you would like to be treated at an HCA hospital, or would like further information, here's what to do next:

  1. Call one of our advisors on +44 (0) 20 3627 9910 or complete our web enquiry form.
  2. Check with your insurance company that your policy covers your treatment, and obtain authorisation.
  3. Visit or call your GP to obtain a referral letter and then call us to make an appointment to visit your chosen consultant and hospital at a time to suit you.
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