When is a TUR-P carried out?

TUR-P is often used for what is known as a benign enlarged prostate. As men get older, the prostate grows in many cases, which can cause problems with urination, such as a weak urine stream, needing to urinate frequently, or feeling unable to empty the bladder properly. When medication is no longer enough or the symptoms become too severe, a transurethral resection of the prostate can help.

Less commonly, the procedure is also used for certain forms of prostate cancer to clear the urinary tract. In most cases, however, it is used to treat a benign enlarged prostate, which is also known as benign prostatic hyperplasia (BPH).

How does the operation work?

With TUR-P, no external cut is made. Instead, the doctor inserts a special instrument called a resectoscope through the urethra and up to the prostate. A small electric loop is then used to remove the excess tissue layer by layer, which is taken out through the urethra. The operation usually takes place under general anaesthetic or a regional anaesthetic. After the procedure, a bladder catheter is left in place for a few days so that urine and traces of blood can drain away.

Questions and concerns about the procedure

Many people wonder how risky the operation is and what to expect afterwards. TUR-P is considered a tried and trusted procedure with decades of experience behind it. Even so, it is completely understandable to have concerns about possible risks. As with any operation, complications can occur, including bleeding, infections, or in rare cases temporary incontinence. Most problems can be treated well and tend to settle after a few days or weeks.

Another topic that often comes up is the possible effects on sexual function. After a TUR-P, it can happen that during ejaculation no semen leaves the body but instead flows back into the bladder (known as "retrograde ejaculation"). This is medically harmless, but some men may find it bothersome. The ability to get an erection is generally not affected.

What happens after TUR-P?

After the operation, a short hospital stay is usually needed to monitor healing and spot any complications early. The bladder catheter is removed once the bleeding has stopped and urination is working normally again. In the first few weeks after the procedure, physical exertion should be avoided so as not to slow down healing. Mild discomfort when urinating or a burning sensation at first is normal and usually improves quickly.

Are there alternatives to this procedure?

Alongside TUR-P, there are various other treatment options, such as medication, laser treatments, or minimally invasive procedures. Which method is most suitable depends on the individual situation, the severity of the symptoms, and any other health conditions. A thorough conversation with the treating doctor helps to find the right treatment.

Different meanings of the abbreviation

In everyday medical use, TUR-P almost always refers to the transurethral resection of the prostate. In rare cases, the abbreviation may be used in other contexts, for example in technical or scientific texts. If in doubt, the context in a doctor's letter or report will always make clear what is meant. Anyone who is unsure can ask the treating practice or clinic directly.

The abbreviation TUR-P should therefore always be read in its relevant context to avoid any misunderstanding.