Transurethral resection of the prostate (TURP)
The abbreviation „TURP“ stands for „Transurethral Resection of the Prostate“. Doctors have been using this method for many decades in men with an enlarged prostate – benign prostatic hyperplasia (BPH). TURP is still considered the standard treatment for an enlarged prostate.
In this procedure, they remove the excess prostate tissue that causes problems with urination using a wire loop and high-frequency current. TURP is considered a minimally invasive procedure, which doctors perform via the urethra („trans“ = across, „urethra“ = urethra). Such procedures are also known as „keyhole surgery.“ Therefore, a large abdominal incision, as is necessary for other operations, is not required.
Minimally invasive procedures generally have the advantage of fewer complications, faster healing, and a quicker return to everyday life and work. The procedure must be carried out as an inpatient in a hospital.
Important information:
Proven standard for BPH
Transurethral Resection of the Prostate (TURP) has been the standard for treating benign prostatic hyperplasia (BPH) for decades. Excess prostate tissue that obstructs urine flow is removed using an electric loop via the urethra – a minimally invasive procedure without an abdominal incision.
This is how the procedure works
Under spinal or general anaesthesia, the surgeon inserts a resectoscope through the urethra to the prostate. Tissue is gradually resected and flushed out with irrigation fluid; bleeding can be cauterised simultaneously. The operating time is typically around 90 minutes.
Effect and outlook
The TURP generally provides significant and long-lasting relief from urinary symptoms. Around three-quarters of men report only mild or no further complaints nine months after the procedure.
Possible side effects
A „dry orgasm“ (retrograde ejaculation), which does not diminish the orgasm but can limit fertility, is common. Temporary urinary urgency, blood in the urine, urinary tract infections, or rarely, a narrowing of the urethra are possible; TUR syndrome is very rare.
After the op & knowing the alternatives
Following TURP, patients wear a urinary catheter for a few days and should take several weeks of physical rest (no competitive sports, no saunas; drink plenty of fluids, eat a fibre-rich diet). Depending on the findings, alternatives may also be sensible, such as laser procedures (e.g., HoLEP, PVP).
The decision for TURP or alternative treatments will always be made individually, in consultation with your treating physician, based on the severity of your symptoms, prostate volume, and any pre-existing conditions.
Frequently Asked Questions
Frequently asked questions in connection with TURP.
How safe is TURP and what are the success rates?
TURP has been regarded as the established standard of care for benign prostatic hyperplasia for many years. Studies show that around 75 out of 100 men experience only mild symptoms, or none at all, nine months after the procedure; serious complications are rare. A rare but treatable risk is what is known as TUR syndrome (occurring in approximately 2–3 % of cases in studies).
Overall, the method is very effective and usually does not lead to permanent problems.
What happens after the operation – will I be back on my feet quickly?
Directly after a TURP, you will have a bladder catheter for a few days. Most patients leave the hospital after two to three days.
In the first few weeks, rest is recommended:
- no heavy loads
- No competitive sport
- No cycling at first
- Drink plenty and eat a diet rich in fibre
- Please avoid saunas and full baths temporarily
You should refrain from sexual intercourse for two to three weeks. These measures support healing and help you return to your daily routine quickly.
Does TURP affect sexuality or fertility?
A „dry orgasm“ (retrograde ejaculation) occurs frequently: orgasm still happens, but the seminal fluid enters the bladder and is later expelled with urine – this can reduce fertility but not the sensation of pleasure. Temporary erectile dysfunction is possible, but is rare overall and usually not permanent. Be sure to discuss your wishes (family planning, sexual function) during the consultation.
Are there alternatives – and for whom are they useful?
Yes. Laser procedures (e.g. HoLEP, PVP/„Greenlight“) are also minimally invasive and can – depending on prostate size and findings – be a good option; one advantage is that the rare TUR syndrome does not occur with laser operations. Another gentle option is steam therapy (Rezum): This is particularly suitable for mild to moderate complaints and prostate volumes of approximately 30–80 cm³; many side effects are mild and temporary, and sexual function is generally reported to be preserved. Which method is suitable depends on your symptoms, prostate size, pre-existing conditions and your preferences – your urologist will advise you individually.
Good to know: Whatever you decide upon, the goal is a noticeable relief when urinating and a better quality of life. Careful consultation will help you find the right, safe, and effective solution for you.
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