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In the TURP procedure, a combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis into the urethra that carries urine from your bladder. The urethra is surrounded by the prostate. Using resectoscope, we cut out excess prostate tissue that is blocking the flow of urine and unclogs the urethra that allows you to empty your bladder.

This procedure is usually performed with spinal anesthesia (numbing from the waist) and may take 1-2 hours depending on the size of the prostate. 

You will go to your room with a urinary catheter after the procedure, as there may be bleeding after the operation and so that the urine can come out easily. 

It is recommended to eat pulpy and light foods so that you do not become constipated after the surgery. Constipation can cause bleeding. 

Your urinary catheter is withdrawn after an average of 3 days. Although there may be difficulties in your first urination, it will improve in a short time with plenty of water. 

It is recommended that you do not sit in the same position for a long time for several days after the surgery. Again, caution should be given to especially in the first month constipation and high blood pressure. Drinking plenty of water is recommended. Spicy foods and alcohol, which are thought to increase congestion and edema in the prostate, should be avoided. 

Possible Complications

Heavy bleeding.It is rare. Some men lose enough blood during TURP to require a blood transfusion. 
Temporary difficulty in urination. You may have trouble urination for a few days after the procedure. It can be catheterized until you can urinate on your own. 
Urinary tract infection.Urinary tract infection is a possible complication after any prostate procedure. 
Difficult urinating. It is rare. Loss of bladder control (incontinence) is a long-term complication of TURP.
Dry orgasm.TURP can cause retrograde ejaculation, meaning that semen released during ejaculation enters your bladder instead of exiting out. Retrograde ejaculation is not harmful and does not affect sexual pleasure. But it can affect your ability to have children. This condition occurs in about 75% of patients.
Erectile dysfunction.The inability to start or maintain an erection is a possible long-term side effect of TURP. While this is not common with TURP, it can occur.
Retreatment.Some men need follow-up treatment after TURP, either because symptoms return over time or because they never get better enough. In some cases, further treatment is required because TURP causes narrowing of the urethra or bladder neck.

Transurethral Prostate Surgery (TUR-Prostate)

transüretral prostat rezeksiyonu
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