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Frequently Asked Questions

1. Which doctor should I consult for TURP?

You should consult an urologist for TURP.

2. What are the non-surgical treatments available for BPH?

Medications are available for the treatment of BPH, which have reduced the need for TURP. Medications that are commonly used include the alpha blockers like terazosin, alfuzosin, tamsulosin, doxazosin and silodosin, and the 5-alpha reductase inhibitors like finasteride and dutasteride.

3. What is the difference between monopolar and bipolar TURP?

Saline cannot be used with monopolar cautery due to its electrical conducting properties. It can however be used with bipolar cautery. Bipolar cautery also causes lesser tissue damage, lesser chances of TURP syndrome, reduced duration when the patient will require a catheter, and sometimes faster discharge from the hospital.

4. Which are the other procedures that can be done for the treatment of BPH?

Prostate enlargement can be tackled through various surgical procedures besides TURP and these include -
  • Transurethral needle ablation: In this procedure, needles that transmit radio frequency energy and destroy prostatic tissue are introduced through a cystoscope.
  • Transurethral microwave thermotherapy: In this procedure, an antenna is introduced through a catheter which sends microwaves and heats and destroys the prostate tissue.
  • High-intensity focused ultrasound: A special ultrasound probe is introduced into the rectum, which destroys some of the prostate tissue
  • Water-induced thermotherapy: In this procedure, heated water is introduced into a treatment balloon through a catheter, which destroys the prostate tissue through heat
  • Prostate-stent insertion: In this procedure, a stent is inserted into the prostatic urethra so that it widens the opening and makes it easy for the urine to flow
  • Holmium Laser Enucleation of the Prostate (HoLEP): In this procedure, laser is used to cut off pieces of the prostate. The pieces are then sucked out from the bladder and sent for pathological examination.
  • Vaporization of the prostate tissue can be brought about with the help of an electric current (Transurethral Electroevaporation of The Prostate (TUVP)) or through laser Photoselective Vaporization (PVP)
  • Transurethral incision of the prostate (TUIP): In this procedure, small cuts are made in the prostate and bladder neck using laser or an instrument producing electric current introduced through a cystoscope
  • Open prostatectomy: Open prostatectomy is an open surgery on the prostate. Depending on the site of the incision, open prostatectomy may be retropubic prostatectomy, suprapubic prostatectomy, and perineal prostatectomy

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plal68 

I had turp 10 days back,I am feeling lot of pain while initiating urination and the flow is nod adequate,Nocturnal urinatio is frequent,can some body who has undergone this proceedure guide me,Thanks, P.Lal

MANOHAR74 

I am 74 yrs age. I had TURP procedure 10 days back. There is pain at the time of start of urinating just at the penis tip . It reduces immediately after few seconds , Is it normal ? Also taking up plane or train journey after three weeks is it OK ?
MANOHAR

Jon62 

I had a TURP biopsy on May 3, 2012 and I was able to remove the catheter two days after the surgery. After my surgery I could urinate a little better and over a few days the bleeding began to cease. Problems:

Bladder spasms with pain so great that I could feel the pain move up my torso, into my arms and go deeply into my hands....which would literally throb. Taking Oxybutynin with minor relief.

Swollen prostate. Taking Avodart and it seems to be working.

Urinary urgency and Incontinence: Frequent and happens without warning. Good days and bad days. Doctor may have split my urethrea because urine sprays and dribbles from an apparent tear in the glans. No better than prior to the surgery.

Sex: May be partially psychological but no desire and no erections.

Would I do it again: NO

thgopalrao_5 

I was operated for TURP on 18 th Jan2012.Even after somany days I am having pain during passing urine and the frequeny also has not subsided.Tell me the reasons and how long should I have to bear this pain.

PeteL 

Does retrograde ejaculation cause urine flow problems/

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