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How is TURP performed?

Transurethral resection of the prostate(TURP) is performed with regional or general anesthesia and involves the placement of a working sheath in the urethra through which a hand-held device with an attached wire loop is placed. High-energy electrical cutting current is run through the loop so that the loop can be used to shave away prostatic tissue. The entire device is usually attached to a video camera to provide vision for the surgeon.

TURP

Am I a candidate for TURP?

TURP can be performed on men with urinary outflow obstruction caused by an enlarged prostate/BPH. It can be done on men with chronic medical conditions, and of advanced age, as an alternative to more invasive robotic or open BPH surgeries. It is particularly indicated in men with prostates up to 120 cc.

Advantages of TURP

  • TURP is a more permanent option than minimally invasive surgeries
  • The PSA generally drops substantially after TURP operations, reassuring many men that prostate cancer is not a potential issue

Disadvantages of TURP

  • Bleeding may occur. Transfusion is rare
  • Like any surgical technique to resect tissue and unblock an enlarged prostate, most men will have retrograde ejaculation (a dry orgasm) after the procedure. This is usually permanent, but does not affect erections, or the ability to have an orgasm. Additionally, if the urinary sphincter is damaged, urinary incontinence may result.
  • Rate of scarring/stricture is low but real(2-3%)
  • Rate of incontinence is low but real(1-2%)

Schedule an Appointment

If you feel you are a qualified candidate for TURP, request an appointment online or call our office at (703) 680-2111 today!

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