Understanding TURP and Benign Prostatic Hyperplasia (BPH)
Transurethral Resection of the Prostate (TURP) is a surgical procedure performed to address urinary issues in men. This procedure involves the removal of prostate tissue through the urethra, using a specialized instrument. It is an effective treatment for prostate conditions when other management strategies are not sufficient.
The primary condition for which TURP is performed is Benign Prostatic Hyperplasia (BPH). This non-cancerous condition involves the enlargement of the prostate gland, a common occurrence as men age. The prostate gland is situated just below the bladder and surrounds the urethra, the tube that carries urine from the bladder out of the body.
As the prostate gland grows larger, it can press on and constrict the urethra, creating an obstruction to urine flow. This directly interferes with the bladder’s ability to empty efficiently. The resulting blockage can lead to a variety of urinary difficulties. TURP targets this enlarged tissue, removing the obstructing parts of the prostate to widen the urethral passage.
Relief of Specific Urinary Symptoms
The enlarged prostate often leads to a range of urinary symptoms that TURP aims to alleviate. These include a weak or slow urine stream, making urination a prolonged process. Individuals may also experience frequent urination, particularly at night, a condition known as nocturia, which can disrupt sleep patterns.
Another common symptom is urgency, a sudden and strong need to urinate. Difficulty starting urination, or hesitancy, and the sensation of incomplete bladder emptying are also frequently reported. Straining to urinate is common, and these symptoms can diminish a person’s quality of life.
When Other Approaches Fall Short
TURP is typically considered when less invasive treatments have not provided adequate relief for BPH symptoms. Initial approaches often include lifestyle adjustments, watchful waiting, or various medications designed to relax prostate muscles or shrink the gland. For some individuals, these conservative measures may not be suitable or effective.
The procedure becomes a necessary recommendation when severe complications arise from chronic urinary obstruction. Such complications can include recurrent urinary tract infections, bladder stones, significant blood in the urine, or impaired kidney function. The decision to proceed with TURP is made after a thorough evaluation, usually following the failure of conservative management strategies.