India's success in urological procedures, including TURP, is attributed to its advanced medical infrastructure, skilled urologists, and cost-effective healthcare services. Renowned hospitals across the country boast modern facilities and adhere to international standards, ensuring optimal outcomes for patients seeking relief from prostate-related issues.

What is Transurethral Resection of the Prostate (TURP)?

Transurethral resection of the prostate (TURP) is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH). During TURP, a small surgical instrument called a resectoscope is inserted into the urethra to remove excess prostate tissue that is obstructing urine flow. This procedure helps alleviate symptoms associated with BPH, such as urinary retention, frequent urination, and weak urine stream.

Why is it done?

TURP is performed to relieve urinary symptoms caused by BPH, a non-cancerous enlargement of the prostate gland commonly found in aging men. As the prostate gland enlarges, it can compress the urethra, leading to urinary obstruction and associated symptoms. TURP aims to alleviate these symptoms, improve urine flow, and enhance quality of life for affected individuals.

Symptoms, Cause, and Diagnosis

Symptoms of BPH include frequent urination, urgency, nocturia (nighttime urination), weak urine stream, incomplete bladder emptying, and urinary retention. BPH is primarily caused by age-related changes in hormone levels, particularly dihydrotestosterone (DHT), which stimulates prostate tissue growth. Diagnosis of BPH involves a thorough medical history review, physical examination, and diagnostic tests such as urine flow studies, prostate-specific antigen (PSA) test, and transrectal ultrasound (TRUS).

Preparation and Procedures

Preparation for TURP involves consultation with a urologist to assess the severity of BPH symptoms and determine the appropriateness of the procedure. Pre-operative evaluations may include blood tests, urine tests, electrocardiography (ECG), and imaging studies to assess prostate size and shape. Patients are typically instructed to discontinue blood-thinning medications and refrain from eating or drinking for a specified period before surgery.

During the TURP procedure, the patient is placed under general or spinal anesthesia to ensure comfort and pain relief. The urologist inserts a resectoscope through the urethra and advances it to the prostate gland. Using the resectoscope, the surgeon trims away excess prostate tissue, creating a wider channel for urine flow. The procedure may take approximately one to two hours, depending on the size of the prostate and complexity of the case.

Different Types of Treatment

In addition to TURP, other treatment options for BPH include medications (such as alpha-blockers, 5-alpha reductase inhibitors, and combination therapy), minimally invasive procedures (such as laser therapy, transurethral microwave therapy, and prostatic urethral lift), and surgical interventions (such as open prostatectomy and robotic-assisted prostatectomy). The choice of treatment depends on factors such as the severity of symptoms, prostate size, patient preference, and underlying health conditions.

Best Hospitals in India

• BLK Super Speciality Hospital, Delhi
• Fortis Memorial Research Institute (FMRI), Delhi
• Indraprastha Apollo Hospital, Delhi
• Max Super Speciality Hospital, Saket, Delhi
• Apollo Hospitals, Greams Road, Chennai
• Gleneagles Global Hospital, Perumbakkam, Chennai
• Aster MIMS, Calicut

Best Doctors for the Surgery

• Dr Vikram Barua Kaushik
• Dr Ravikumar Karunakaran
• Dr R.C.M Kaza
• Dr. Vikram Sharma
• Prof. Anant Kumar
• Ashish Sabharwal
• Deepak Dubey
• Deepak Bolbandi
• Rajesh Ahlawat
• Ashish Sabharwal

Top Nations in the Surgery

While India stands out as a prominent destination for TURP and urological procedures, other countries such as the United States, Germany, Japan, Thailand and South Korea also excel in this field. These nations offer advanced technologies, innovative techniques, and experienced specialists catering to the diverse needs of patients with prostate-related issues.

Cost Comparison

India               – USD 610

Turkey             – USD 2000

USA                 – USD 2600

Germany         – USD 10000

FAQ

1. Is TURP surgery painful?

   TURP surgery is performed under anesthesia, ensuring that patients do not experience pain during the procedure. However, some discomfort may be expected during the recovery period, which can be managed with pain medications prescribed by the urologist.

2. How long does TURP surgery take?

   The duration of TURP surgery typically ranges from one to two hours, depending on the size of the prostate and complexity of the case. Patients may spend additional time in the recovery room before being discharged home.

3. Will TURP surgery affect sexual function?

   TURP surgery may cause temporary changes in sexual function, including retrograde ejaculation (ejaculation into the bladder) and erectile dysfunction. However, these effects are usually temporary and improve over time as the body heals.

4. Are there any risks associated with TURP surgery?

   Like any surgical procedure, TURP surgery carries certain risks and potential complications, including bleeding, infection, urinary incontinence, erectile dysfunction, retrograde ejaculation, and urethral stricture. Your urologist will discuss these risks and how to minimize them based on your individual circumstances.

5. How soon can I resume normal activities after TURP surgery?

   Recovery time varies for each individual, but most patients can expect to resume normal activities within a few weeks after TURP surgery. It's essential to follow your urologist's post-operative instructions regarding activity restrictions and gradual return to normal activities.

6. Will I need a catheter after TURP surgery?

   In some cases, a catheter may be temporarily placed to drain urine from the bladder after TURP surgery. The duration of catheterization depends on factors such as the extent of surgery and the individual's recovery progress. Your urologist will provide guidance on catheter care and removal.

7. Can TURP surgery cure prostate cancer?

   TURP surgery is primarily used to treat benign prostatic hyperplasia (BPH) and is not intended for the treatment of prostate cancer. However, TURP may be performed as part of the diagnostic process for prostate cancer or to relieve symptoms in patients with both BPH and prostate cancer.

8. What are the alternatives to TURP surgery for treating BPH?

   Alternatives to TURP surgery for treating BPH include medications such as alpha-blockers, 5-alpha reductase inhibitors, and minimally invasive procedures such as laser therapy, transurethral microwave therapy, and prostatic urethral lift. Your urologist will discuss the available options and help determine the most suitable treatment for your condition.

9. How effective is TURP surgery in relieving BPH symptoms?

   TURP surgery is highly effective in relieving urinary symptoms caused by BPH, with significant improvements in urine flow, frequency, and quality of life reported by many patients. However, the effectiveness of TURP may vary depending on factors such as the size of the prostate and the severity of symptoms.

10. Is TURP surgery covered by insurance?

    In many cases, TURP surgery for the treatment of BPH is covered by health insurance plans. However, coverage policies may vary depending on the specific insurance provider and policy terms. It's advisable to check with your insurance company regarding coverage for TURP surgery and any associated costs or requirements.