Categories
Enlarged Prostate

Weighing the Pros and Cons of Each Procedure

When it comes to seeking treatment for benign prostatic hyperplasia, it’s important to consider the pros and cons of each treatment approach, as well as the benefits and risks.

Being aware of the benefits, as well as the potential risks and complications of each treatment or procedure, can be of great help when working with your doctor to determine which is best for you. Taking into account not only the benefits and risks but also looking at how each procedure fits with your individual lifestyle and prostate condition.

Today we will start by looking at the treatment method that for most of the 20th century, roughly from 1909 until the late 1990s, has been the premier treatment for symptomatic benign prostatic hyperplasia. That treatment method is transurethral resection of the prostate (TURP).

TURP became famous among the treatment methods for BPH when it became the first successful, minimally invasive surgical procedure of the modern era. And, to this day, it remains a standard therapy for obstructive prostatic hypertrophy and is often the surgical treatment of choice when other methods fail.

However, as more medications and non-invasive non-surgical procedures have become available, such as prostate artery embolization, the need for a surgical intervention like TURP has been reduced substantially.

That being said, TURP continues to be performed due to its effectiveness in treating and relieving the symptoms of an enlarged prostate. But as with all surgeries, it does come with its own set of possible risks and unwanted side effects that should be taken into consideration.

So let’s take a look at what those are.

A successful TURP procedure involves removing prostate tissue through the urethra, thus allowing urine and other bodily fluids to pass through more easily.

TURP is a serious surgery that involved anesthesia and the use of a catheter during and post-operation, as well as a recovery that includes a hospital stay.

The most common side effects experienced by men after the TURP procedures are:

Swelling in the urethra, penis, and lower abdominal area.

This swelling can cause these areas to be tender, red, and swollen for several weeks after the surgery, and can cause problems with urination.

Another common side effect is feeling weak and tired easily. This side effect can last for several weeks as the body recovers from the operation.

Other common side effects of TURP surgeries include but are not limited to:

  • bleeding after the operation – this usually reduces over time and should stop after four weeks
  • difficulty completely emptying the bladder
  • urinary incontinence or leakage
  • urinary urgency or the sudden urge to urinate
  • discomfort during urination
  • small dribbles or clots of blood in the urine, for up to 6 weeks

Another potential side effect of the TURP procedure is something called retrograde ejaculation, which is the result of semen flowing backward into the bladder during ejaculation.

Though retrograde ejaculation isn’t necessarily harmful, it can cause potential complications such as male infertility and can make the male orgasm less pleasurable.

In our next article, we will take a look at some of the rare, but possible risks associated with the TURP procedure, and then we will move on to looking at the benefits and risks of other popular procedures to treat a symptomatic enlarged prostate.

In the meantime, if you are interested in learning more about a state-of-the-art non-invasive treatment that could be an option for you, please contact our office today to set up a consultation and learn more about Prostate Artery Embolization.

 

Categories
Enlarged Prostate

TURP: Side Effects and Recovery Period

Prostate surgery, specifically the transurethral resection of the prostate (TURP) is an effective and sometimes long-lasting procedure for men with benign prostatic hyperplasia. However, it does come with its own set of side effects, as well as a much longer recovery period than a non-invasive procedure such as prostate artery embolization.

Transurethral resection of the prostate (TURP) is a surgical procedure that involves cutting away a section of the prostate.

The procedure is performed by using a device called a resectoscope, which is a thin metal tube containing a light, a camera, and a loop of wire.

During the procedure, which requires the use of general or spinal anesthesia to prevent any pain, the resectoscope is entered into the penis and passes along the urethra until it reaches the prostate.

Once the instrument has reached the prostate, the loop of wire on it is then heated with an electric current and is used to cut away the section of the prostate that is causing BPH symptoms.

Following this, a thin tube called a catheter is then inserted into the urethra to pump fluid into the bladder and flush away pieces of the prostate that have been removed.

The TURP procedure usually necessitates a hospital stay for one to three days following the operation.

During this time the catheter used during the operation will be left in place throughout the duration of the hospital stay because post-op the urethra will be swollen which can hinder the ability to urinate normally.

Following the procedure, many men experience difficulties urinating, as well as blood in their urine. They also report feeling tired and under the weather for at least a week or two after the procedure. However, for some men, these issues can last upwards of 4 to 8 weeks.

During the 4 to 8 weeks, most patients are advised to stay off work and avoid lifting heavy objects, doing strenuous exercise, driving, and having sex during this time.

The most common side effect following the TURP procedure is inflammation in the urethra and surrounding area.

This swelling and inflammation can cause difficulty urinating, which sometimes requires the catheter to stay in longer.

This, however, can also be problematic since the catheter can not only be uncomfortable and cause bladder cramping- but it can also come with its own health risks such as an increased risk for urinary tract infections and other infections as well.

Some of the other common side effects of TURP surgeries include, but are not limited to:

  • difficulty completely emptying the bladder
  • urinary incontinence or leakage
  • urinary urgency or the sudden urge to urinate
  • discomfort during urination
  • small dribbles or clots of blood in the urine, for up to 6 weeks
  • erectile difficulty
  • decreases in semen produced during ejaculation

These common side effects usually go away with rest and time, as the urethra and prostate tissues become less inflamed, usually within a few weeks. However, in some cases, they might not.

In fact, as with all surgeries, TURP does come with its own set of serious risks and complications.

In our next article, we will take a look at some of the serious risks and complications associated with transurethral resection of the prostate, and look at some of the alternative procedures that are available such as Prostate Artery Embolization.