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Transurethral Resection of the Prostate (TURP)

Transurethral Resection of the Prostate (TURP) is a proven surgical procedure designed to alleviate symptoms associated with an enlarged prostate, a condition medically known as Benign Prostatic Hyperplasia (BPH). By carefully removing excess prostate tissue that blocks urine flow, TURP effectively restores normal urinary function. This technique is minimally invasive, accessing the prostate through the urethra, thus eliminating the need for external incisions.

Also known as: prostatectomy, prostatic resection

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Everything You Need to Know

TURP stands as a cornerstone treatment for BPH, offering relief from symptoms like frequent urination, difficulty starting urination, weak urine stream, and the inability to completely empty the bladder. The procedure involves the use of a resectoscope, a specialised instrument inserted through the urethra to remove the obstructing prostate tissue. This targeted approach ensures a high degree of precision, significantly reducing the risk of complications and promoting a faster recovery compared to traditional surgical methods.

The effectiveness of TURP lies in its dual benefit of immediately improving urinary flow and reducing BPH symptoms, thereby enhancing the quality of life. It is a versatile treatment suitable for men experiencing moderate to severe urinary problems that have not responded to medication. TURP is a testament to the advances in urological surgery, prioritising patient comfort, safety, and outcomes.

Before Surgery

Preparing for TURP surgery involves several important steps to ensure your safety and the success of the procedure. Initially, your doctor will conduct a thorough evaluation, including a review of your medical history and various tests to assess your prostate’s condition. These tests may include blood tests, urine tests, and imaging studies such as an ultrasound or MRI. It’s crucial to discuss all medications you’re currently taking with your doctor, as some may need to be adjusted or stopped temporarily before surgery.

Diet and lifestyle adjustments may also be recommended to facilitate a smoother recovery. Patients are generally advised to stop smoking, as smoking can delay wound healing and increase the risk of complications. Additionally, you’ll be instructed to fast for a certain period before your surgery, typically from midnight the day before.

On the day of your surgery, wear loose, comfortable clothing and bring any personal items you may need during your hospital stay. Before the procedure, you’ll undergo a final assessment to ensure you’re fit for surgery, including a review of your vital signs and any last-minute questions you might have.

During Surgery

TURP is performed under general or spinal anaesthesia, ensuring you’re comfortable and pain-free throughout the procedure. The surgeon will insert a resectoscope through the urethra to access the prostate. Using this instrument, precise amounts of prostate tissue are removed to relieve urinary blockage. The entire process is carefully monitored to minimise the risk of affecting surrounding tissues and to ensure the best possible outcome.

The duration of the surgery varies depending on the size of the prostate and the amount of tissue to be removed but typically lasts between 60 to 90 minutes. After the procedure, a catheter is placed to allow urine to drain from the bladder as the healing process begins.

After Surgery

Recovery from TURP is a critical phase where your body heals and adjusts to the changes. Immediately after the surgery, you’ll be taken to a recovery area where your medical team will monitor your vital signs and ensure your comfort. The catheter will remain in place for a few days to assist in urination while the swelling decreases.

Most patients can expect to stay in the hospital on average 2 days following TURP. During this time, it’s important to follow your healthcare provider’s instructions, including any medication regimens for pain management and to prevent infection. Recovery at home involves resting, gradually increasing physical activity, and attending follow-up appointments to monitor your progress.

Your doctor will provide specific guidelines on when to resume normal activities, but most men can return to light, daily routines within a few weeks. It’s important to avoid strenuous activities, including heavy lifting, for at least 4 to 6 weeks after surgery.

Medically reviewed by Mr Leye Ajayi - MBBS MD FRCS FRCS (Urol) on 18/04/2024

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The price shown includes all costs associated with your treatment, from admission to discharge.

Doesn’t include surgeon or anaesthetist fee.

Our hospital fee is guaranteed at the price quoted and valid for one month from the date issued, subject to pre-assessment.

How to pay for your treatment

If you’re… paying for yourself

Did you know you don’t need private medical insurance to come to St John & St Elizabeth Hospital? As a self-pay patient, you can access safe, outstanding quality health care at times to suit you.

For scans and tests, as well as to see most consultants, you’ll still need to be referred by a medical professional like your GP, but as a self-pay patient, the process is more straightforward. You won’t need authorisation from an insurance provider, and you’ll have greater choice of consultant and appointment times.

If you’re… insured

St John & St Elizabeth Hospital is approved by all major medical insurance companies. If you have a personal private health insurance policy, or your company provide it for you, you can use it to pay for your care from your initial consultation through to treatment, surgery and aftercare such as physiotherapy. Not all private health insurance plans cover the same things. It’s very important to check exactly what you are covered for with your insurance provider.



Your journey to improving your urinary health begins with an initial consultation with a urologist specialised in the treatment of BPH and urinary disorders. During this appointment, your doctor will discuss your symptoms, medical history, and any previous treatments you’ve undergone. This comprehensive evaluation may include a physical examination, diagnostic tests such as blood tests, urine tests, and imaging studies to assess your prostate’s condition and determine the severity of your symptoms.


Treatment Plan

Based on the results of your evaluation, your urologist will collaborate with you to develop a personalised treatment plan. If TURP is recommended as the best course of action, you will be thoroughly briefed on the procedure, its benefits, and potential risks. This discussion ensures that you’re well-informed and comfortable with your treatment decision. Your doctor will also outline what you can expect during the recovery process and how to prepare for surgery to ensure the best possible outcomes.

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