A small gland in men’s pelvis located between the penis and bladder and surrounds the urethra is known as prostate. When prostate becomes enlarged, it put pressure on the bladder and urethra which can cause problems in urination. Problems related to prostate enlargement that haven’t responded well to medication can be treated with the help of most effective TURP procedure.
Prostate Green Light Treatment – this procedure is used to treat the obstruction in the bladder outflow or urination in people with enlarged prostate. While TURP is considered as the best treatment option for prostate problem, some people prefer prostate green light treatment as it is less invasive and can be done under lighter anesthesia. It also requires short hospital stay and faster recovery than other treatment process. During the surgery, laser probe is inserted in the prostate and the overgrown tissue is vaporized with the laser energy. This laser treatment is effective in stopping any tissue from bleeding. It also has fewer side effects as compared to those of TURP that may include:
• Less bleeding
• Less invasive
• Short hospital stay
• Faster recovery
Some patients may experience mild discomfort such as slight burning while urinating for a few weeks for which he/she will be given pain and anti-inflammatory medication. This procedure may provide rapid relief of symptoms and a improvement in urine flow typically within 24 hours of the surgery. Most patients can resume normal routine within a couple of days. They should avoid any strenuous activity at least for 2 weeks.
• Photoselective vaporization of the prostate (PVP) – during the PVP surgery, a cystoscope (a thin tube with an imaging system) is inserted into the penis through which laser is passed to burn away or vaporize excess tissue which is blocking the urine flow through the prostate. This procedure avoids incisions or scraping tissue due to which there is less blood loss. This makes this procedure a good option for men who have blood clotting conditions or who take blood thinners. This is minimally invasive procedure that offers faster recovery and relief as compared with traditional prostate surgery.
• Holmium laser enucleation of the prostate (HOLEP) – is an alternative treatment to the standard Transurethral resection of the prostate (TURP) procedure for bladder outflow obstruction due to benign prostate hyperplasia (BPH). This procedure is performed under anesthesia and requires short hospital stay. The excess tissue which is blocking the urethra will be cut and remove with the help of laser. Another instrument called morcellator is then required to cut the prostate tissue into small pieces that can be easily removed. A catheter is also required for 2-3 days until the urine clears. Patient will be advised to avoid any strenuous work or heavy lifting for at least a month. It is normal to have some blood in the urine after this operation, so it is advisable to drink plenty of water for a few days while it clears. Clots are sometimes passed 10-14 days afterwards; again, this is part of the healing process.
• Holium laser ablation of the prostate (HOLAP) – This procedure uses holmium laser to ablate, destroy or evaporate the prostate tissue which is obstructing urinary flow. This surgery is similar to PVP procedure but in this different type of laser is sued to melt away the excess prostate tissue. HoLAP is a safe and has a precise control over the delivered energy to the prostate tissue.
• A transurethral resection of the prostate –commonly known as TURP is a surgical treatment which involves removing a section/part of the prostate. TURP is the best treatment option for a person suffering from some troublesome problems caused due to prostate enlargement that have not improved with home remedies and medicines. This procedure is also done to treat complications due to blocked urine flow such as kidney/ bladder damage, bladder stones, blood in urine and also reduce the other urinary symptoms caused by prostate enlargement that includes:
• Frequent need to urinate
• Difficulty in urinating
• Prolonged urination
• Interrupted urination
• Increased urination at night
• Uncontrollable bladder
• Urinary infections
• Unable to empty bladder fully
Before the surgery, patient may require undergoing some tests such as blood tests, electrocardiogram (ECG) and physical exam and should inform doctor if they are taking any medications to prevent blood clots or any blood thinner which could cause heavy bleeding during the surgery. Patient should also give up smoking few weeks before the surgery as this may help in reducing the possible risks of serious complications like chest infection, blood clots etc.
TURP is performed under the influence of anesthesia to relax the patient and prevent any pain during the surgery. This procedure is carried out using a device called a resectoscope, a thin metal tube equipped with a light, camera and loop of wire that is inserted into the urethra until it reaches the prostate. This doesn’t require any incisions in the skin. An electric current will heat the loop of wire to be used to cut away a section of the diseased prostate. A catheter (a thin tube) will be inserted into the urethra to pump fluid into the bladder and flush away the removed pieces of prostate. This catheter will be left in place for few days until swelling declines and patient is able to urinate normally. TURP procedure can take about an hour depending on the how much of the prostate needs to be removed.
After the surgery, patient will be shifted to hospital room and may need to stay in the hospital for 2-3 days. He/she also may be advised not to do any strenuous activity, should not drive, avoid lifting heavy things or having sex after the surgery and need to take things easy for four to eight weeks. It is also normal for patient to feel pain while urinating or frequent need to urinate, or may see some blood streaks in the urine which generally improves in few weeks. Doctor will recommend drinking plenty of water to flush out the bladder, eat high fiber foods that helps in avoiding constipation and straining during a bowel movement, may suggest some pain medications or stool softener. Patient should inform doctor if he/she is not able to urinate normally even after few weeks, notice dark blood or increased blood clots, or may develop high fever.
TURP is usually a safe procedure but still can have few risks involved:
• Lose ability to ejaculate or masturbate
• Difficulty in urination
• Urinary tract infection (UTI)
• Erectile dysfunction
• Heavy bleeding
• Unable to control bladder