TURP Prostate Surgery in South Delhi: When It's Needed, and How It Compares with HoLEP

saurabhthedoc

4 hours ago

3 min read

Transurethral resection of the prostate (TURP) is a long-established operation for an enlarged prostate (benign prostatic hyperplasia, BPH). It removes the part of the prostate that blocks urine flow, through the urinary passage, with no cut on the skin. At THE CLINICS, TURP is done at THE CLINICS MISC, Hauz Khas, and planned by Dr Bipul Agarwal, urologist (DMC Reg. No. 81020), after examination and tests.

This guide focuses on TURP: who it suits, what happens on the day, the catheter, hospital stay, recovery, follow-up and what affects the cost. A shorter section compares it with HoLEP, a laser option.

Who is TURP suitable for?

TURP is considered for men with BPH whose symptoms (weak stream, straining, frequent urination, getting up at night) continue despite medicines, or who have urinary retention needing a catheter, repeated urine infections, bladder stones, bleeding from the prostate, or effects on the bladder or kidneys. It is commonly used for small and medium-sized prostates, roughly up to 80 ml on ultrasound.

What tests are done before TURP?

Usually a urine test, a urine flow test with a scan of urine left in the bladder, an ultrasound for prostate size, a PSA blood test, kidney function and routine blood tests, and a check of heart and lungs for anaesthesia. Blood thinners may need to be paused; your urologist and physician advise on this.

What happens during TURP?

TURP is done under spinal or general anaesthesia and usually takes about an hour. A thin telescope (resectoscope) is passed through the urinary passage. An electric loop trims away the obstructing prostate tissue in small pieces, and bleeding points are sealed. The pieces are washed out and sent for examination under a microscope.

How long is the hospital stay?

Most men stay 1–2 nights. Fluid is run through the catheter at first to keep the bladder clear of clots.

How long is the catheter kept?

A urinary catheter is usually kept for 1–3 days after TURP. It is removed once the urine is clear, and you go home after passing urine well on your own.

What is recovery like after TURP?

Burning, urgency and some blood in the urine are common for 2–4 weeks as the area heals. Drink plenty of water, avoid constipation and straining, and avoid heavy lifting, cycling and sex for about 3–4 weeks. Many men return to desk work in about 1–2 weeks.

What are the possible side effects of TURP?

Your urologist discusses these before surgery. They include bleeding, urine infection, temporary leakage of urine, and retrograde ejaculation (semen goes into the bladder), which is common after TURP. Narrowing of the urinary passage and the need for a repeat procedure in later years can occur in some men.

What follow-up is needed after TURP?

A review is usually arranged at about 2–6 weeks to check symptoms and the tissue report, and later a urine flow test. Tell the clinic about fever, heavy bleeding with clots, or inability to pass urine.

What affects the cost of TURP?

The estimate is given after consultation and depends on prostate size, the type of anaesthesia, monopolar or bipolar TURP, the length of stay, the room type, tests before surgery and the tissue examination. Insurance facilities available.

How does HoLEP compare with TURP?

Holmium laser enucleation of the prostate (HoLEP) also works through the urinary passage, but uses a laser to shell out the obstructing tissue. It may be preferred for larger prostates and for some men who cannot stop blood thinners, and the catheter is often removed sooner. TURP remains widely used for small and medium-sized prostates. Your urologist advises which suits you based on prostate size, health and medicines.

Book a consultation

To book, call the desk on +91 92173 81353 or +91 83683 75734. Consultation fee: ₹1,500 + ₹100 registration. Clinics: THE CLINICS MISC, H2, Hauz Khas Main Road, opposite Neeli Masjid, New Delhi 110016, and THE CLINICS Green Park, G-32, Green Park Main Market Road. All surgery is done at THE CLINICS MISC, Hauz Khas.

THE CLINICS has no emergency department. In an emergency, go to the nearest hospital or call 112.

This article was prepared with AI assistance and is for review by Dr Bipul Agarwal (DMC Reg. No. 81020). It is general information and not a substitute for medical advice.