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TURP (Transurethral Resection of the Prostate)

Endoscopic removal of obstructing prostate tissue through the urethra in benign prostatic hyperplasia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is TURP (Transurethral Resection of the Prostate)?

TURP (Transurethral Resection of the Prostate) endoscopically resects prostatic adenoma through the urethra in patients with benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS) unresponsive to medical therapy.

Prostate tissue is cut in chips using monopolar or bipolar electrosurgery and flushed out through the bladder. Bipolar TURP uses isotonic irrigation and eliminates the risk of TUR syndrome (dilutional hyponatraemia).

It remains the gold standard for prostates of 30–80 mL. Larger glands are better managed by holmium laser enucleation (HoLEP) or open prostatectomy.

Symptoms

BPH symptoms refractory to medical therapy
Urinary retention (catheter dependence)
Recurrent urinary tract infection
Recurrent BPH-related haematuria
Bladder stones secondary to BPH

Risk Factors

Retrograde ejaculation (60–90%, most common long-term effect)
Bleeding (intra- and post-operative)
Urethral stricture (5–7%)
Urinary incontinence (1–3%, usually transient)
TUR syndrome (monopolar technique, <1% with bipolar)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When lower urinary tract symptoms affect daily life
  • If acute urinary retention develops (urgent)
  • For prolonged bleeding or clot retention after surgery
  • For persistent fever or voiding difficulty after surgery

Treatment Methods

01
Bipolar TURP (standard endoscopic resection)
02
HoLEP (holmium laser enucleation, larger prostates)
03
GreenLight laser photo-selective vaporisation (PVP)
04
UroLift (mechanical prostatic retraction, selected patients)
05
Post-operative bladder irrigation and catheter care

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.