BPH surgery: Transurethral resection

The surgical tool is inserted through the urethra.
The operational procedures to the doctor several options are available, with the most common TURP (transurethral resection of prostate) is. It is among the most frequently performed operations in general, and usually leads to good results. It is a resection using a snare introduced into the urethra at a long, rigid rod, the surgeon can follow his steps through an optical system, the excised tissue remnants, called Resektionsspäne be removed by rinsing. Here, the prostate tissue is removed, the capsule, however, in which it resides, is left standing. The best way to think of this surgical technique with the undermining of an orange, in which the pulp is removed through a small hole gradually, with the orange peel is left intact. Preserved because the capsule may be maintained, even patients who have a TURP behind you, take after surgery on the screening for early detection of prostate cancer to complete.


There can be complications.
The risks of this surgical technique is divided into an early and late complications. In the early postoperative bleeding complications observed, epididymitis (epididymitis) and pulmonary embolism. Late complications include urinary incontinence (due to the lack of prostate), adhesions (stricture) of the urethra or chronic urinary tract infections.


The TUR syndrome is a serious complication.
In connection with the TURP operation, a TUR syndrome arise: this is the case when the irrigation fluid flows through vessels opened into the bloodstream. This leads to a change in the electrolyte situation and a load of the circuit. This can lead to shock or pulmonary edema.


Stakeholders can also continue to have an erection and orgasm.
Very often, it comes after TURP in a so-called retrograde (backward) ejaculation. This means that semen in the bladder and excreted. Of those affected, but that is not bothersome. Remain the libido, erectile and orgasmic capacity retained. About 10 percent of surgical patients require years after resection.


TURP is the "gold standard" for BPH.
Largely because of the redesigned and improved techniques of reducing the rate of complications, there are currently no other method that can replace TURP as the standard method.