Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate.
A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The prostate surrounds the urethra. Using the resectoscope, your doctor trims away excess prostate tissue that’s blocking urine flow.
TURP is generally considered an option for men with moderate to severe urinary problems that haven’t responded to medication. Traditionally, TURP has been considered the most effective treatment for an enlarged prostate.
However, a number of other, minimally invasive procedures are becoming more effective, due to improved techniques and surgical tools. These minimally invasive procedures generally cause fewer complications and have a quicker recovery period than TURP. The risk of bleeding is generally higher with TURP, so it might not be the best option for certain men who take blood-thinning medications.
TURP helps reduce urinary symptoms caused by benign prostatic hyperplasia (BPH), including:
Frequent, urgent need to urinate
Difficulty starting urination
Slow (prolonged) urination
Increased frequency of urination at night
Stopping and starting again while urinating
The feeling you can’t completely empty your bladder
Urinary tract infections
Recurring urinary tract infections
Kidney or bladder damage
Inability to control urination or an inability to urinate at all
Blood in your urine