TURP
Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate. A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The prostate surrounds the urethra. Using the resectoscope, your doctor trims away excess prostate tissue that's blocking urine flow. TURP is generally considered an option for men with moderate to severe urinary problems that haven't responded to medication. Traditionally, TURP has been considered the most effective treatment for an enlarged prostate. However, a number of other, minimally invasive procedures are becoming more effective, due to improved techniques and surgical tools. These minimally invasive procedures generally cause fewer complications and have a quicker recovery period than TURP. The risk of bleeding is generally higher with TURP, so it might not be the best option for certain men who take blood-thinning medications.
Why it's done TURP helps reduce urinary symptoms caused by benign prostatic hyperplasia (BPH), including- Frequent, urgent need to urinate
- Difficulty starting urination
- Slow (prolonged) urination
- Increased frequency of urination at night
- Stopping and starting again while urinating
- The feeling you can't completely empty your bladder
- Urinary tract infections
- Kidney or bladder damage
- Inability to control urination or an inability to urinate at all
- Bladder stones
- Blood in your urine
Causes:
Prostate glandIt's not clear what causes prostate cancer. Doctors know that prostate cancer begins when some cells in your prostate become abnormal. Mutations in the abnormal cells' DNA cause the cells to grow and divide more rapidly than normal cells do. The abnormal cells continue living, when other cells would die. The accumulating abnormal cells form a tumor that can grow to invade nearby tissue. Some abnormal cells can also break off and spread (metastasize) to other parts of the body.
TUIP
Transurethral incision of the prostate (TUIP) is a procedure to treat urinary symptoms caused by an enlarged prostate. It's generally used for men with small- to moderated-sized prostates. A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis into the tube that carries urine from your bladder (urethra). The prostate surrounds the urethra. The doctor cuts one or two small grooves in the area where the prostate and the bladder are connected (bladder neck) to open the urinary channel and allow urine to pass through more easily. TUIP is one of several minimally invasive treatment options for an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). To determine the right treatment choice for you, your doctor will consider how severe your symptoms are, what other health problems you have, and the size and shape of your prostate.
Why it's done?TUIP helps reduce urinary symptoms caused by BPH, including
- Frequent, urgent need to urinate
- Difficulty starting urination
- Slow (prolonged) urination
- Increased frequency of urination at night
- Stopping and starting again while urinating
- The feeling that you can't completely empty your bladder
- Urinary tract infections
TUIP might also be done to treat or prevent complications due to blocked urine flow, such as:
- Recurring urinary tract infections
- Kidney or bladder damage
- Bladder stones
- Blood in your urine
TUIP can offer several advantages over other methods of treating BPH, such as transurethral resection of the prostate (TURP) and open prostatectomy. The advantages can include:
Lower risk of bleeding.TUIP can be a good option for men who take medication to thin their blood or who have a bleeding disorder that doesn't allow their blood to clot normally.
Holmium laser prostate surgery
Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate (H)LEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate. A separate instrument is then used to cut the prostate tissue into easily removable fragments.
HoLEP is similar to open prostate surgery but requires no incisions. HOLEP removes the entire portion of the prostate that can block urine flow. It can be an option to treat a severely enlarged prostate.
The treatment provides a lasting solution for an enlarged prostate — a condition known as benign prostatic hyperplasia (BPH). H0LEP also preserves removed tissue so that it can be examined in the laboratory for other conditions, including prostate cancer.
As with other types of prostate laser surgery, HOLEP can offer faster recovery and symptom relief compared with traditional prostate surgery. Rarely, re-treatment with HOLEP may be needed for urinary symptoms.