Removes the part of an enlarged prostate that blocks the flow of urine, working through the urethra with no cut on the skin, so you can pass urine freely again.
Getting up three or four times a night to pass urine. Standing at the toilet waiting for the stream to start, then watching it trickle. Planning bus trips and weddings around where the washrooms are. For many men over 50, these changes creep in so slowly that they're accepted as part of ageing, until one day the bladder won't empty at all.
The usual cause is benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate, the walnut-sized gland that wraps around the urethra (the tube carrying urine out of the bladder). As it grows, it squeezes the urethra. In a TURP (transurethral resection of the prostate), the urologist passes a thin telescope called a resectoscope up the urethra and uses an electrically heated wire loop to shave away the obstructing tissue from the inside, piece by piece. The chips are washed out, bleeding points are sealed, and a catheter is left in for a day or two. There is no cut on the skin.
TURP has been the standard operation for BPH for decades, and it works well. Most men notice a stronger stream and fewer night-time trips within a few weeks. The most common lasting change is that semen goes backwards into the bladder at orgasm instead of out (retrograde ejaculation). It's harmless, but it matters if you still want children.
Our urology department performs TURP for benign prostate enlargement. Before recommending it, your urologist checks your prostate with PSA testing, ultrasound and uroflowmetry (a test that measures the strength of your stream), and we don't push surgery while medicines are still working for you. Laser prostate surgery is also available for some men.
Mild symptoms are usually treated with tablets first. Surgery comes in when medicines stop helping, cause side effects you can't live with, or when the blockage starts to cause damage.
Older (monopolar) TURP uses a special water-based fluid to wash the bladder. Rarely, too much of it is absorbed, causing low sodium and confusion (TUR syndrome). Bipolar TURP works in normal saline, which almost removes that problem and lets larger glands be treated more safely. The improvement in flow is similar with both.
Lasers can remove or vaporise prostate tissue with less bleeding. Holmium laser enucleation (HoLEP) can handle very large glands, and laser surgery is often preferred for men on blood thinners. Your urologist will explain which method suits your prostate size and health.
For a small prostate, a couple of cuts through the prostate and bladder neck (TUIP) may be enough, with less effect on ejaculation. Newer methods, such as implants that hold the prostate open or steam treatment, are offered at some centres for selected men.
Most men have spinal anaesthesia, which numbs the lower body while you stay awake or lightly sedated. General anaesthesia is an option. A dose of antibiotics goes in at the start.
You lie on your back with your legs in supports. The resectoscope is passed through the tip of the penis into the urethra, and the urologist inspects the urethra, prostate and bladder on a screen.
The wire loop, carrying an electric current, shaves away the obstructing prostate tissue in small strips while fluid runs continuously to keep the view clear. The outer shell of the prostate is left in place.
The chips are washed out of the bladder and bleeding points are sealed with the same loop. The tissue goes to the lab.
A catheter is placed into the bladder, often with fluid running through it for a day to wash out blood. The operation takes about 45 to 90 minutes.
The inside of the prostate heals like a graze over the next few weeks, and that explains most of what you'll notice.
Fluid runs through the catheter to stop clots forming, and the urine is pink or red at first. You walk around the ward and drink plenty.
The catheter comes out and you're watched passing urine. The stream is usually strong straight away, though burning, urgency and frequent trips are common at first. Most men go home once they're passing urine well.
Drink 2 to 3 litres a day. Blood in the urine can come and go, and often increases around days 10 to 14 as scabs separate. Extra fluids usually settle it. Avoid straining on the toilet, heavy lifting and long two-wheeler rides.
Most men are back to normal activities, including sex. Urgency and frequency keep improving for up to three months. Your urologist checks your flow and goes over the lab report on the tissue.
Call us on +91-8826000033 or come straight to our 24/7 emergency department.
Alpha blockers such as tamsulosin, alfuzosin or silodosin relax the prostate and bladder neck and work within days. 5-alpha reductase inhibitors such as finasteride or dutasteride shrink a larger gland over 6 to 12 months. Many men do well on tablets for years.
Cutting down on tea, coffee and alcohol in the evening, spreading fluids through the day, and double voiding (passing urine, waiting a minute and trying again) ease mild symptoms.
For men too frail for any operation, a catheter changed regularly, or passing a thin catheter yourself a few times a day, can manage retention.
Talk to our Urology team
Ask about your options, the cost and your insurance before you decide. See the insurance and TPA panels we work with.
This page explains TURP (Transurethral Resection of the Prostate) in general terms. Your own plan depends on your health, your test results and your doctor's advice. Please read our medical disclaimer.
TURP (Transurethral Resection of the Prostate) is led by our Urology team, with other departments stepping in at each stage of your care.
At Prakash Hospital, our Urology Department specializes in diagnosing and treating conditions related to the urinary tract and male reproductive system, offering expert care with advanced surgical and non-surgical solutions.
What the department treats
Laser Lithotripsy
Laparoscopic Urology
Prostate Care
Male Infertility Treatment
Urinary Incontinence Management
Endourology
Procedures often considered alongside TURP (Transurethral Resection of the Prostate), or that treat related conditions.
A camera test that looks inside the bladder and urethra to find the cause of bleeding, infections or blockage.
Medicines, shock waves, laser ureteroscopy or PCNL, chosen by the size and position of your stone.
Pushes the bulge back and reinforces the weak abdominal wall with mesh, by keyhole or open surgery.
Other procedures our Urology team performs.
We offer expert care across key specialties, including Medicine, Cardiology, Orthopaedics, ENT, Gynaecology, and more—delivering trusted treatment under one roof.
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