Transurethral Resection (TURP)

Effective treatment for prostate enlargement with the TURP method at A Life Health Group! Removal of prostate tissue through Transurethral Resection (TURP) provides a fast recovery and a comfortable process. For detailed information and appointments, visit our website.

The prostate gland is a walnut-sized organ located just below the bladder in men, surrounding the urinary tract. It plays a role in producing fluid that helps transport sperm cells. Under normal conditions, the prostate remains small and stable in healthy men. However, with aging, changes in hormone balance and cell proliferation cause growth in prostate tissue.

Benign prostatic hyperplasia (BPH) refers to the non-cancerous enlargement of the prostate gland. This growth can press on the urinary tract and make urine flow difficult. Mostly occurring after the age of 50, this condition can be seen in about half of older men.

BPH should not be confused with prostate cancer. Prostate enlargement is benign and does not pose a direct life-threatening risk; however, if left untreated, it can lead to serious complications.

The most common symptoms of prostate enlargement are:

• Difficulty Urinating: Struggling to urinate due to pressure on the urinary tract.
• Frequent Urination: The need to urinate frequently due to increased bladder pressure.
• Nocturia: The need to urinate several times at night.
• Burning Sensation When Urinating: A burning or stinging feeling caused by urinary tract inflammation.
• Difficulty Holding Urine: Straining to hold urine or experiencing incontinence.
• Weak Urine Stream: Urine flow that is weak or dribbles.

Although the exact cause of prostate enlargement is unknown, aging and changes in hormone levels may play a role. Cell growth in the prostate increases with age, which can lead to enlargement of the gland. Additionally, decreased testosterone levels may trigger prostate growth.

The diagnosis of prostate enlargement is made by evaluating the patient’s symptoms and performing the following tests:

• Physical Examination: Your doctor will examine the prostate gland through the rectum.
• Urine Test: Conducted to determine the presence of infection in the urinary tract.
• Prostate-Specific Antigen (PSA) Test: PSA is a protein produced by the prostate gland. Elevated PSA levels may indicate prostate enlargement or an increased risk of prostate cancer.
• Transrectal Ultrasound: Ultrasound is performed through the rectum to capture images of the prostate gland.
• Transrectal ultrasound is used to assess the size and shape of the prostate.

Prostate enlargement does not progress with the same severity in every man. Some experience mild symptoms, while others have symptoms that significantly restrict daily life. Therefore, the treatment plan should be personalized.

Medication Therapy
For patients with mild to moderate prostate enlargement, the first choice is usually medication. Medications are divided into two main groups:

• Alpha Blockers: Relax the muscles in the prostate and bladder neck, allowing urine to flow more easily.
• 5-Alpha Reductase Inhibitors: Reduce dihydrotestosterone levels, helping to decrease prostate volume.

Medication therapy alleviates symptoms but does not provide a permanent solution.

Lifestyle Changes
Simple measures can reduce symptoms of prostate enlargement. These include reducing caffeine and alcohol intake, limiting fluid consumption in the evenings, regular exercise, and weight management.

Minimally Invasive Interventions
When medications are insufficient, minimally invasive methods are applied as an alternative to surgery. Techniques such as microwave therapy, needle ablation, Rezum water vapor treatment, and UroLift aim to reduce prostate tissue. However, they may not be suitable for every patient.

Surgical Methods
Surgical treatment is preferred in cases of severe prostate enlargement or when complications have developed. Transurethral resection (TURP) has long been considered the “gold standard” method.

Transurethral resection (TURP) is a minimally invasive surgical procedure performed to remove part of the prostate gland. The surgery is conducted under general anesthesia. A thin tube (resectoscope) is inserted into the urethra, and the overgrown part of the prostate gland is cut and removed.

1. Preparation: Preoperative blood tests, ECG, and anesthesia assessment are performed.
2. Anesthesia: General or spinal anesthesia can be applied.
3. Placement of the Resectoscope: The surgeon advances the device through the urethra into the bladder.
4. Cutting Prostate Tissue: A loop powered by electric current cuts and removes the overgrown parts of the prostate.
5. Control of Bleeding: Blood vessels are cauterized during the procedure to minimize bleeding.
6. Catheter Placement: After surgery, a urinary catheter is placed in the bladder. This catheter is usually removed within 1–3 days.

The surgery typically lasts 60–90 minutes, and the patient is discharged on the same day or within a few days.

• Minimally Invasive: Since the surgery is performed through the urethra, it is less invasive compared to open surgery, resulting in less pain and faster recovery.
• Fast Recovery: Patients can return to normal activities more quickly after surgery.
• Short Hospital Stay: The patient’s hospital stay is shorter.
• Smaller Scars: Leaves smaller and less visible scars compared to open surgery.
• Generally Effective Treatment: Provides significant improvement in symptoms of prostate enlargement.

At A Life Health Group, if you are diagnosed for TURP surgery, our expert doctors and experienced healthcare staff will carefully listen to you and create a personalized treatment plan to determine the most suitable therapy for you.

The recovery period after TURP is generally quick, but the patient should follow certain guidelines.

• Hospital Stay: Average of 2–3 days.
• Urinary Catheter: It is normal for the catheter to remain for a few days after surgery.
• Recovery Period: Mild blood in the urine may be observed during the first 1–2 weeks; this is usually temporary.
• Return to Normal Life: Most patients resume daily activities within 2–3 weeks.
• Sexual Activity: Generally allowed 4–6 weeks after surgery.

Like any surgical procedure, TURP carries certain risks:

• Temporary urinary incontinence
• Blood in the urine
• Urinary tract infection
• Rarely, erectile or ejaculation problems
• TUR syndrome (fluid imbalance in the body)

Most of these complications are temporary and resolve with appropriate treatment.

• Expert Medical Team: We provide services through an experienced and specialized team in TURP surgery.
• Individualized Treatment Plans: We create customized treatment plans according to each patient’s needs.
• Safe and Effective Treatment Methods: We use the latest technology and safe treatment methods.
• Patient Satisfaction: The satisfaction of our patients is our priority.
• Confidentiality: The privacy of your health information is extremely important to us.

Contact Us Immediately!

If you are experiencing symptoms of prostate enlargement or have concerns about this condition, contact A Life Health Group immediately. Our expert team is here to assist you in the best possible way.

To learn more about TURP surgery and discuss treatment options, please fill out the quick form on our website.

A Life Health Group is here to take care of every aspect of your health.