TURP (Transurethral Resection of the Prostate)

TURP treats urinary symptoms caused by a benign enlarged prostate. Working through the urethra, the surgeon cuts away the inner part of the gland that is squeezing the urine channel, leaving the outer shell.

It gives a strong, lasting improvement in flow and bladder emptying and has decades of evidence behind it. The usual trade-off is retrograde ejaculation, where semen passes into the bladder. It is not a cancer operation, and the remaining prostate still needs normal PSA monitoring.

What TURP (Transurethral Resection of the Prostate) involves

Before surgery you have a symptom score, flow test, ultrasound measurement of the prostate and residual urine, PSA and a urine culture. Under spinal or general anaesthetic a resectoscope is passed through the penis to the prostate. Using an electrified loop, the surgeon removes the obstructing tissue chip by chip from the bladder neck down to a landmark just above the sphincter muscle, which is preserved to protect continence. Bleeding points are sealed as the work proceeds. The chips are flushed out and examined by a pathologist. A three-way catheter is inserted and the bladder is irrigated with saline until the fluid runs clear.

Who is a good candidate for TURP (Transurethral Resection of the Prostate)?

For men whose symptoms or complications persist despite medication and whose prostate is roughly 30 to 80 ml.

• Bothersome weak stream, hesitancy or night-time urination not controlled by tablets
• Urinary retention requiring a catheter
• Recurrent infections, bladder stones or bleeding due to the prostate
• Kidney strain from back pressure
• Prostate volume within the range suited to resection

Es ist normalerweise nicht die richtige Wahl, wenn:

• Very large prostates, generally over 80 to 100 ml, where enucleation such as HoLEP or simple prostatectomy works better
• Men for whom preserving ejaculation is a priority, who may prefer other options
• Those who cannot stop anticoagulants, for whom laser vaporisation is safer
• Untreated urinary infection
• Symptoms mainly due to an overactive or weak bladder rather than obstruction

Technikoptionen

• Bipolar TURP: Resection in saline. Avoids the fluid absorption syndrome seen with older equipment and is now standard in most units.
• Monopolar TURP: The classic technique using glycine irrigation; still effective, with a time limit on resection.
• Bipolar enucleation or vaporisation: Variants using the same energy to shell out or vaporise tissue, for larger glands or men at bleeding risk.
• TUIP: A simple incision rather than resection for small prostates under 30 ml, with a lower rate of ejaculation change.

Was passiert während Ihrer Behandlung

The operation takes 45 to 90 minutes. With a spinal anaesthetic you feel nothing below the waist. Afterwards the catheter and irrigation stay in for 1 to 3 days, and you usually leave hospital once you pass urine well without it, after 2 to 3 nights.

Vorbereitung auf Ihre Reise

Planen Sie 7 bis 10 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Stinging, urgency and pink urine are usual for 2 to 4 weeks, with occasional bleeding around the second week. Avoid heavy lifting, cycling, straining and sex for 3 to 4 weeks, and drink well. Flow is better straight away, while urgency settles over 6 to 12 weeks as the bladder adapts. Flying is generally reasonable a week after the catheter comes out if the urine is clear.

• Zurück zur alltäglichen Aktivität: 3 bis 4 Wochen
• When results show: Flow improves immediately; bladder settles over 6 to 12 weeks
• How long they last: 10 to 15 years or more for most men

Sicherheit, Risiken und Revisionspolitik

TURP is well established, with predictable side effects that you should weigh beforehand.

• Retrograde ejaculation in around 65 to 75 percent of men
• Bleeding needing transfusion, in about 2 percent
• Harninfektion
• Temporary urgency or leakage; lasting stress incontinence in under 1 percent
• Urethral stricture or bladder neck scarring in about 5 percent
• Erectile function is usually unchanged, but a small number report a decline
• Regrowth needing repeat surgery in roughly 1 in 10 men over ten years

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of TURP (Transurethral Resection of the Prostate) in Türkiye

Clinic-Y does not publish a single price for TURP (Transurethral Resection of the Prostate), because the honest figure depends on your case. What moves it:

• Prostate size and operating time
• Bipolar equipment and consumables
• Hospital nights and catheter care
• Pre-operative tests such as flow study and ultrasound
• Pathology of the removed tissue

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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