TURP Surgery & BPH Treatment — Prostate Resection | Charak Hospital

Restore Normal Urination —
Expert TURP Surgery in Lucknow

At Charak Hospital, our experienced urologists perform TURP surgery for benign prostatic hyperplasia with excellent outcomes. Minimally invasive, rapid symptom relief, proven safety—restore your quality of life with expert prostate surgery.

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What is TURP Surgery?

TURP (transurethral resection of prostate) is the gold standard minimally invasive surgical treatment for benign prostatic hyperplasia (BPH). An endoscopic resectoscope is advanced through the urethra to visualize and remove the prostate tissue obstructing urine flow. No external incisions are needed, allowing rapid recovery, minimal pain, and catheter-free status within 24-48 hours. TURP provides rapid, sustained symptom relief for 70-90% of patients, with significantly improved quality of life. It remains the most widely performed prostate surgery worldwide for BPH.

Who Needs TURP Surgery?

TURP indicated for symptomatic BPH with failed medical therapy.

🚽 Indications

Symptomatic BPH with LUTS: urinary frequency (>8x daily), urgency, weak stream, nocturia (>2x nightly), incomplete emptying. Failed medical therapy (5-alpha reductase inhibitors, alpha-blockers). Complications: recurrent UTI, bladder stones, upper tract dilatation, ESRD.

✅ Ideal Candidates

Prostate gland <45 grams (contraindication >45g—requires open prostatectomy or laser). PSA <10 ng/mL or compatible biopsy if elevated. Adequate renal function. No contraindications to anesthesia.

💊 When Medical Therapy Fails

Alpha-blockers (tamsulosin, alfuzosin) improve symptoms in 60-70%. 5-alpha reductase inhibitors (finasteride, dutasteride) reduce prostate size, improve IPSS 25-35%. Combination therapy. Failure to achieve acceptable symptom control or persistent side effects triggers surgical consideration.

How TURP Is Performed

Step-by-step surgical technique.

🏥 Setup & Anesthesia

Spinal or general anesthesia administered. Patient placed in lithotomy position. Foley catheter inserted for bladder decompression. Cystoscope and resectoscope components assembled under sterile conditions.

🔍 Visualization & Resection

Resectoscope (26-27 Fr caliber) advanced through urethra into bladder. Monopolar (requires non-conductive irrigant) or bipolar (allows normal saline) cutting current applied. Prostate tissue resected layer-by-layer from bladder neck distally. Large vessels cauterized to prevent bleeding.

💧 Irrigant & Hemostasis

Continuous irrigation (normal saline bipolar; glycine monopolar) flushes resected tissue. Active hemostasis with cutting/coagulation current. Resection typically 45-90 minutes. Goal: adequate channel caliber to relieve obstruction while minimizing complications.

🚑 Post-Op Care

Foley catheter left in place (20-24 Fr) for drainage. Continuous or intermittent bladder irrigation first 24 hours if significant bleeding. Catheter removal next day if drainage clear. Patient discharged 1-2 days post-operatively.

Benefits & Outcomes

Expected improvements after TURP.

  • Rapid symptom relief—urinary stream improvement within hours
  • 70-90% of patients achieve significant symptom improvement
  • IPSS score reduction 50% in majority of patients
  • No external incisions—minimal scarring
  • Shorter operative time vs. open prostatectomy
  • Lower blood loss compared to open surgery
  • Catheter-free within 24-48 hours
  • Same-day or next-day discharge
  • Rapid return to activities (2-4 weeks)
  • Excellent long-term quality of life improvement

Complications & Management

Known complications and how they're managed.

⚠️ TURP Syndrome (Rare, 1-2%)

From excess irrigant absorption into systemic circulation. Hyponatremia causes nausea, agitation, confusion, seizures, coma. Prevented by: limiting operative time <90 min, avoiding capsular perforation, using bipolar TURP with normal saline. Treatment: fluid restriction, diuretics, or hypertonic saline if symptomatic.

🔴 Bleeding (5-15%)

Minor hematuria common for 3-4 weeks. Significant bleeding requires catheter placement, continuous irrigation, possible re-TURP or transfusion. Minimize risk: proper hemostasis, coagulation normalization pre-operatively.

🔧 Urethral Stricture (5-10%)

Late complication from thermal injury or instrumentation trauma. Presents 3-12 months post-TURP as recurrent dysuria, weak stream. Managed by urethral dilation or internal urethrotomy. Minimize risk: gentle technique, proper instrument sizing.

📉 Sexual Dysfunction

Retrograde ejaculation (50-75%): semen enters bladder instead of external meatus—permanent but benign. Erectile dysfunction (5-10%): usually temporary from anesthesia/medications. Counseling pre-operatively important.

Why Choose Charak Hospital for TURP?

🏆
Expert Urologists

Fellowship-trained prostate specialists with 500+ TURP procedures and excellent outcomes.

⚡
Modern Equipment

Latest bipolar TURP systems allowing normal saline irrigation and reduced complications.

📊
Proven Results

90%+ symptom improvement rate. Rapid return to normal function.

💰
Affordable Pricing

TURP surgery ₹50,000-₹80,000. Insurance and Ayushman Bharat accepted.

🏥
Minimal Hospitalization

1-2 day hospital stay. Rapid return to home and activities.

🏅
NABH Accredited

All procedures meet highest safety and quality standards.

Recovery Timeline

What to expect after your TURP procedure.

  • Day 1: Catheter removed, discharge home
  • Days 1-2: Dysuria (urinary discomfort) common
  • Days 3-7: Hematuria gradually clears
  • Week 2: Return to light activity, office work
  • Week 4: Resume normal activities, exercise
  • Weeks 4-12: Continued symptom improvement as swelling resolves
  • 3-6 months: Maximal symptom relief achieved
  • Lifelong: Symptom relief maintained in majority (70-90%)

Frequently Asked Questions

TURP (transurethral resection of prostate) is minimally invasive endoscopic surgery for benign prostatic hyperplasia (BPH). Resectoscope inserted through urethra removes prostate tissue obstructing urine flow. No incisions, catheter-free after 24-48 hours.
Patients with symptomatic BPH: urinary frequency, urgency, weak stream, nocturia, incomplete emptying. TURP indicated when medical therapy fails or complications (UTI, stones, retention). PSA <10 ng/mL or prostate gland <45 grams ideal.
Spinal or general anesthesia. Resectoscope advanced through urethra into bladder. Monopolar or bipolar resection tool removes obstructing prostate tissue. Continuous irrigation via irrigant fluid (normal saline or glycine). Hemostasis with cautery. Catheter placed for drainage.
Rare complication (1-2%) from excess irrigant absorption into systemic circulation. Hyponatremia causes nausea, confusion, seizures, coma. Prevention: limit operative time <90 min, minimize capsular perforation. Treatment: fluid restriction, diuretics, hypertonic saline if severe.
Hospital stay: 1-2 days. Foley catheter removed next day (uncomplicated). Dysuria 1-2 weeks from irritation. Hematuria common for 3-4 weeks. Return to light activity 1-2 weeks. Full activity 4-6 weeks. Sexual dysfunction temporary.
TURP surgery: ₹50,000-₹80,000 depending on prostate size and complexity. Includes procedure, anesthesia, hospitalization. Insurance and Ayushman Bharat coverage available for most patients.

📍 Charak Hospital & Research Centre, Hardoi Road, near Safaid Masjid, Dubagga, Lucknow – 226003.
Serving patients from Lucknow, Hardoi, Sitapur, Unnao, Barabanki and across Uttar Pradesh.

Our Expert Urologists

Specialized urology care from fellowship-trained urologists with 15+ years of experience.

Dr. Kanishk Dokania

Senior Urologist & Kidney Transplant Specialist

Fellowship-trained in advanced urology and kidney transplantation. Specializes in minimally invasive stone removal, kidney transplant, and reconstructive urology.

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Dr. Shailendra Pratap Singh

Urologist & Kidney Transplant Specialist (17+ years)

Expert in kidney transplantation, dialysis management, and complex urological conditions. 17+ years of specialized experience in renal care.

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Our Institute of Urology and Kidney Transplant offers complete diagnostic and surgical care for all urological conditions.

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