TURP (Prostate Surgery)

Expert TURP (transurethral resection of prostate) at Maiya Hospital Bangalore. Minimally invasive BPH surgery, improved urine flow, experienced urologists. Book consultation today.

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About TURP (Prostate Surgery)

Transurethral Resection of the Prostate (TURP) is the gold-standard minimally invasive surgical procedure for Benign Prostatic Hyperplasia (BPH) — an enlarged prostate gland that obstructs normal urinary flow. Using a resectoscope passed through the urethra, the obstructing prostate tissue is carefully removed without any external incision. TURP provides effective, long-lasting relief of urinary obstruction symptoms including weak stream, frequency, nocturia, urgency, and incomplete bladder emptying.

Weak or slow urine stream

Straining to initiate urination

Incomplete bladder emptying and post-void dribbling

Urinary frequency — waking multiple times at night (nocturia)

Urinary urgency — sudden strong urge to urinate

Acute urinary retention — complete inability to urinate (urological emergency)

Challenges And Treatments

Challenges Encountered

TUR syndrome (hyponatraemia) from irrigation fluid absorption — minimised with bipolar TURP technique which uses saline irrigation

Retrograde ejaculation post-TURP — common expected outcome, explained to all patients pre-operatively

Urethral stricture as a late complication — monitored at follow-up with urinary flow studies

Treatment Methods

Monopolar TURP — standard technique using glycine irrigation

Bipolar TURP — preferred safer technique using saline irrigation, reducing TUR syndrome risk

Holmium Laser Enucleation of Prostate (HoLEP) — for very large glands

Post-TURP catheterisation and bladder irrigation for 24–48 hours

Surgical Procedure

Under spinal anaesthesia, a resectoscope (a specialised endoscopic instrument with a loop electrode) is passed through the urethra into the bladder. The obstructing prostate tissue is carefully resected in chips using electrocautery until a clear urinary channel is created. Continuous bladder irrigation keeps the field clear. A urinary catheter is left in place for 24–48 hours post-operatively. The resected tissue is sent for histopathological examination. The procedure takes 1–1.5 hours.

Significant improvement in urinary flow rate — typically >50% increase post-TURP

Relief from nocturia, urgency, and urinary retention within days of surgery

Minimally invasive — no abdominal incision — discharge within 2–3 days

Long-lasting symptom relief — most patients symptom-free for 10–15+ years

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