Frequently Asked Questions About Transurethral Resection of the Prostate (TURP)

What does TUR-P mean?

TUR-P is a prostate shaving surgery for benign prostate enlargement. TUR-P is a well-known, safe, and effective method for treating the symptoms associated with benign prostate enlargement.

What symptoms are associated with benign prostate enlargement?

• The urine stream may be weaker, and it can be difficult to start urinating.
• Emptying the bladder may require effort.
• The bladder may not feel fully emptied after urination.
• The urine stream may stop one or more times during urination.
• The need to urinate may occur more frequently.
• Urine may leak when there is a sudden urge to urinate.

What information should be gathered before visiting the doctor?

Before your visit, you will need to fill out a questionnaire and measure the amount of urine you pass as well as your fluid intake over two days. Sometimes, we may ask you to measure how fast you urinate the first deciliter of urine. Your PSA level will be checked if you haven’t recently had a blood test; make an appointment for a PSA test at SF-Clinic's laboratory.

How is enlarged prostate investigated?

The doctor will examine the prostate through the rectum. If surgery or specific medication is being considered, an ultrasound of the prostate via the rectum is needed to measure its size. A bladder ultrasound is also necessary. In rare cases, a cystoscopy may be needed to examine the urethra and bladder.

How can benign prostate enlargement be treated?

Benign prostate enlargement can be treated in several ways. The treatment options may vary, and the best treatment is chosen individually:

• Medications may be an option.
• Surgery may be necessary.
• Treatment with microwave or other heat therapies.
• A catheter may be placed in the bladder.

How is the TUR-P surgery performed?

The surgery is performed through the urethra. Typically, part of the prostate is removed to make it smaller. The surgery lasts 30-60 minutes. The patient lies on their back in a gynecological position. The doctor inserts a thin instrument through the urethra into the prostate. At the tip of the instrument, there is a small electrical device that the doctor uses to gradually remove tissue until the urethra regains its normal shape. After the surgery, a catheter is usually placed in the urethra. The catheter is removed on the same day or the following day. In some cases, the catheter may need to stay longer and can be removed at a health center.

Do I need sick leave after TUR-P surgery?

You will need to be on sick leave for two to four weeks.

Are there any side effects from the surgery?

It is unusual for erectile dysfunction to develop after TUR-P surgery. However, it is common for semen to flow into the bladder instead of coming out of the penis during ejaculation. This does not affect the ability to orgasm, and for most, the sensation and experience are nearly the same.