Prostate trouble is caused by the growth of the prostate gland. It is normal for the prostate gland to get bigger with age. However, if the gland tightens around the urethra it can interrupt the flow of urine from the bladder (see figure 1).
What are the benefits of surgery?
The benefits of surgery are a better flow of urine, improved bladder emptying and less need to get up at night.
Are there any alternatives to surgery?
For most men an operation is not essential. There are medications available to treat the condition but this is rarely a permanent solution.
What does the operation involve?
A TURP is performed under a general or spinal anaesthetic. The operation usually takes less than half an hour.
Your surgeon will insert a resectoscope (a small operating telescope) into the urethra and remove enough prostate tissue to relieve the pressure on your urethra.
What complications can happen?
1. General complications of any operation
Pain
Bleeding
Infection
Blood clots
2. Specific complications of this operation
Impotence
Retention of urine
Incontinence
Reduction in fertility
Narrowing of the urethra
How soon will I recover?
You should be able to go home after three to four days.
For the first few times you pass urine, you will feel a stinging pain.
You should be able to return to work after four to six weeks.
Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of the healthcare team or your GP for advice. Most men make a good recovery, with a big improvement in their symptoms. Occasionally the prostate gland grows bigger again.
Summary
Prostate trouble is common. If your medication does not help or symptoms are severe, prostate surgery should relieve your symptoms.
Paying for your operation
Trans-urethral resection of the prostate (TURP) costs are covered by most medical insurance policies, but please check with your insurer first. If you are paying for your own treatment the cost of the operation will be explained and confirmed in writing when you book the operation. Ask the hospital for a quote beforehand, and ensure that this includes the surgeon’s fee, the anaesthetist’s fee and the hospital charge for your procedure.
The information should not replace advice that your relevant health professional would give you.
