What is the purpose of prostate surgery?
Surgery related to complete or partial removal of the prostate in men is called prostatectomy. The main and common reasons for performing this procedure can be prostate cancer, prostate enlargement, or benign prostatic hyperplasia (BPH).
Prostate surgery
Types of prostatectomy methods
Open prostate surgery, for the purpose of treatment, an incision is made on the patient’s skin in order to remove the prostate gland and the extra tissues around it. This type of operation is usually used for very large prostates and prostate cancer. It requires three to five days of hospitalization and has a long recovery period.
Today, with the advancement of medical equipment, new and minimally invasive methods are gradually replacing open prostate surgery. These methods cause less pain and discomfort for the patient and reduce the recovery and hospitalization period.
Transcutaneous resection of the prostate (TURP)
TURP (Trans Urethral Resection of the prostate) is a standard surgery for treating an enlarged (benign) prostate. The purpose of this surgery is to remove the part of the prostate that is causing the symptoms. This surgical method is considered a “minimally invasive” treatment. This operation is performed by viewing the prostate and accessing it through the urethra, and during it, a part of the prostate tissue is removed by electrocautery or cutting with a surgical blade. This surgery is usually considered the most effective way to treat BPH. The result of this operation is considered excellent for 80-90% of BPH patients.
The preference of this operation is a shorter stay of patients in the hospital and a faster return to daily activities and less pain, which shortens the recovery time, especially in elderly patients.
Prostate surgery
When is TURP necessary?
In general, surgery to remove the prostate through the urethra or TURP can resolve the urinary symptoms related to the prostate. These symptoms include the following:
Frequent urination and the feeling of an urgent need to urinate
Slow and prolonged urination (decrease in urine diameter)
Interruption of urination
Difficulty starting to urinate
Frequent urination at night
Feeling of not emptying urine completely after urinating
Urinary tract infection
Removal of the prostate
Urinary obstruction can cause serious complications. In case of urinary obstruction, the kidneys and bladder are damaged first, or urinary incontinence occurs. In the long term, it causes bladder stones or blood in the urine.