What is Endoscopic Prostate Surgery (TUR-P)?
Benign prostatic hyperplasia is a health problem that increases in frequency with age and causes serious problems in the patient's social life. It is a condition seen in approximately half of the male population over the age of 50 and causes complaints in half of these patients. Difficulty urinating, inability to completely empty, frequent urination, and increased frequency of going to the toilet at night are the most common complaints. Patients with mild symptoms usually benefit from lifestyle changes and drug treatments. However, surgical treatment may be required for patients who do not benefit from these treatments.
Endoscopic Prostate Surgery TUR-P
In cases where patients with benign prostatic hyperplasia do not benefit from drug treatment, repeated catheterization, urinary tract infection, bleeding in urine, bladder stones, kidney failure, or if the patient prefers, surgical treatments are performed.
The TUR-P operation, based on the principle of transurethral resection (scraping the prostate from inside the urinary tract), is the most commonly used surgical technique for benign prostatic hyperplasia. Endoscopic prostate surgeries revolutionized prostate surgery towards the end of the 20th century. This technique, which reduces the need for open surgery, results in less bleeding and infection. This technique has the advantage of reducing hospital stays and having a comfortable post-operative period.
How is Endoscopic Prostate Surgery Performed?
The procedure is performed by entering the urinary tract with a camera system and scraping from the inside with the help of an instrument that provides electrical conduction and cuts. The small pieces that accumulate in the bladder during the procedure are collected and taken out with the help of a washing system at the end of the operation. These pieces are sent to the laboratory for final pathological examination. After the scraping process, the bleeding foci in the prostate area are taken under control and we follow up our patients with a probe in our service for 2-3 days.
This operation is performed in our clinic with monopolar and bipolar electrocautery devices. The bipolar cautery system has advantages in terms of reducing the development of TUR syndrome, and there is no significant difference affecting the success of the operation.
We can see an improvement in the symptoms of the patients and a significant increase in the urination rate from the first weeks after this operation.
Patient Questions and Answers
Question: Will there be any deterioration in sexual functions after this procedure?
Answer: No. It is even possible for sexual desire, sexual satisfaction and erection rates to increase. As in all prostate surgeries, after orgasm, the sperm fluid may not exit the body (retrograde ejaculation) but rather exit into the bladder.
Question: What kind of problems does sperm leaking back cause?
Answer: In this procedure, the central and transitional zones of the prostate that grow towards the urinary tract are removed. The prostate capsule remains.
Question: Is the entire prostate removed?
Answer: The effects of stem cell therapy usually begin to be seen within a few weeks. The full effect occurs after a few months.
Question: Will my prostate check-ups continue? Will I continue to use prostate medications?
Answer: You will come for routine check-ups at certain intervals, but you will not need to use prostate medications.
Question: What should be the diet after the procedure?
Answer: At least 2lt/day of water should be drunk, a juicy and vegetable-based diet should be followed. Acidic foods should not be consumed. Fibrous foods should be consumed.
Question: When can I have sexual intercourse after the procedure?
Answer: You can have sexual intercourse after a week.
Transurethral Prostate Resection (TUR-P) is a surgical procedure used in the treatment of prostate enlargement (benign prostatic hyperplasia). This surgery is performed to remove prostate tissue that blocks the flow of urine. During TUR-P, the surgeon inserts a thin instrument called a resectoscope through the urethra and cuts and removes the prostate tissue using electric current. The surgery is usually performed under spinal or general anesthesia. Recovery time varies depending on the patient's overall health, but most patients are discharged within a few days and can return to normal activities within a few weeks. TUR-P improves urine flow and relieves prostate symptoms.