In the treatment of benign prostatic hyperplasia (BPH) transurethral resection of the prostate (TURP), often inelegantly referred to as the "Roto-Rooter" technique, is an incision-free surgical procedure that cuts away excess prostate tissue with an electrical loop.
What is the “Roto-Rooter” prostate procedure?
The TURP “roto-rooter” prostate procedure is an effective treatment for urinary retention and enlarged prostate symptoms . There are many other variations of the “roto-rooter” procedure, including bipolar TURP, Greenlight Laser, HOLEP prostate enucleation, and Rezum therapy for enlarged prostate .
What is TURP surgery for BPH?
TURP surgery, commonly called "roto rooter", is a no-incision treatment to alleviate slow urinary flow for BPH enlarged prostate. TURP surgery, commonly called "roto rooter", is a no-incision treatment to alleviate slow urinary flow for BPH enlarged prostate.
What is the best treatment for enlarged prostate in men?
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.
What is transurethral resection of prostate?
Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate. ... Traditionally, TURP has been considered the most effective treatment for an enlarged prostate.
How long does it take to recover from a TURP procedure?
It usually takes between 3 and 4 weeks to fully recover from a TURP. Your surgeon or GP will advise you about when it's safe to return to your normal activities.
How long does Roto Rooter surgery take?
The TURP procedure takes about 60 to 90 minutes to perform. Before surgery you'll be given either general anesthesia — which means you'll be unconscious during the procedure — or spinal anesthesia, which means you'll remain conscious. You might also be given a dose of antibiotics to prevent infection.
How long does the Rezum treatment last?
The procedure itself is quick and simple, taking only a single one- to two-hour office visit. Depending on the size of the prostate, the procedure consists of two to seven injections, each nine seconds long.
What is the success rate of a TURP procedure?
Transurethral resection of the prostate (TURP), on the other hand, is still considered the gold standard surgical treatment strategy for BPH and has been for decades. It improves obstructive voiding symptoms and urinary flow rate, with success rates ranging from 85 to 90% [6].
What is the latest treatment for enlarged prostate 2021?
Water ablation is a new treatment for prostate enlargement. There are 2 types of water ablation procedure. In the first, water is injected into the prostate using a probe passed up the urethra. The pressure of the water is then used to destroy some of the prostate tissue, making it smaller.
Which is better TURP or Rezum?
Rezum has many advantages over medical treatment or TURP, including lower rates of sexual dysfunction or bleeding. Rezum water vapor thermal therapy is approved for treating LUTS in patients with BPH, particularly in prostates less than 80cc. It has the advantage of preserving sexual function, compared to TURP.
How painful is Rezum procedure?
There is no pain from the procedure, either immediately afterwards or in the days that followed. I wore a catheter for seven days and that is the aspect you have to be prepared for.
Who is not a good candidate for Rezum?
Candidates for Rezum BPH Treatment Men over the age of 50 years with a prostate between the size of ≥ 30cm3 and ≤80cm3 are good candidates for the Rezum treatment. Those with urinary retention, kidney function problems, urinary sphincter implant, or a penile prosthesis are not candidates for Rezum.
What are the side effects of Rezum?
Potential risks associated with Rezūm Water Vapor Therapy include, but are not limited to:painful or frequent urination.blood in the urine or semen.decrease in ejaculatory volume.urinary tract infection (UTI)inability to urinate or completely empty the bladder.urgent need to urinate.inability to ejaculate.More items...
Is TURP a high risk surgery?
TURP carries a very small risk of causing death. The risk of dying as a result of the procedure is now estimated to be less than 1 in 1,000. The risk usually arises from complications involving the heart or a serious postoperative infection.
Which is better TURP or laser?
There was no difference between the two procedures in terms of hospital stay or complications. However, men in the TURP group achieved a faster urinary flow rate (they could pass higher volumes of urine more quickly). TURP was also slightly more cost-effective and faster to perform than the laser procedure.
Who is a good candidate for TURP?
TURP can be performed on men with urinary outflow obstruction caused by an enlarged prostate/BPH. It can be done on men with chronic medical conditions, and of advanced age, as an alternative to more invasive robotic or open BPH surgeries. It is particularly indicated in men with prostates up to 120 cc.
What is the orange in the prostate?
As one ages, the prostate (orange) grows and squeezes the urethra (straw) that goes down the middle of it. When medicines can no longer relax the prostate to allow urine to pass freely, surgery (TURP) can easily remove much of the blocking/obstructing prostate tissue (pulp of the orange) to allow for a much better urinary flow.
How long does it take for urine to clear up after a TURP?
Definitely rest up for a day or two after a TURP. Drink at least 6-8 glasses of water to wash out your system. Within a day or two, your urine will begin to clear up and look normal.
How long does it take to get a turp?
Please plan to arrive two hours prior to your treatment. The TURP usually takes approximately 1 hour, and Dr. Shaw will come and speak to your family afterwards. Upon waking from the procedure, you will have a catheter draining your bladder.
How long does it take for a foley bag to drain after surgery?
It is not unusual to have a sensation of wanting to urinate, or to have bladder spasms after surgery. This usually goes away within 1-2 days.
Why do men need re-treatment after a turp?
Need for re-treatment. Some men require follow-up treatment after TURP because symptoms don't improve or they return over time. Sometimes, re-treatment is needed because TURP causes narrowing (stricture) of the urethra or the bladder neck.
What is a TURP?
Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems that are caused by an enlarged prostate. An instrument called a resectoscope is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The resectoscope helps your doctor see and trim away excess prostate ...
What is BPH in men?
Benign prostatic hyperplasia (BPH) Benign prostatic hyperplasia (BPH) As men age, the prostate gland can grow larger, a condition known as benign prostatic hyperplasia (BPH). This can lead to uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. Bladder, urinary tract or kidney problems also can result from BPH. ...
How long do you stay in the hospital for prostate surgery?
An electrical loop cuts away excess prostate tissue to improve urine flow. You'll likely stay in the hospital for one to two days.
How long does it take to get a turp?
The TURP procedure takes about 60 to 90 minutes to perform. Before surgery you'll be given either general anesthesia — which means you'll be unconscious during the procedure — or spinal anesthesia, which means you'll remain conscious. You might also be given a dose of antibiotics to prevent infection.
How to stop bowel movement?
Drink plenty of water to flush out the bladder. Eat high-fiber foods, to avoid constipation and straining during a bowel movement. Your doctor also might recommend a stool softener. Wait to resume taking any blood-thinning medications until your doctor says it's OK.
Can you pee on your own after prostate surgery?
Until you can urinate on your own, you will need to have a tube (catheter) inserted into your penis to carry urine out of your bladder. Urinary tract infection. This type of infection is a possible complication after any prostate procedure.
Nomenclature
- There are many names for this procedure, the correct one is TURP, or Trans-Urethral Resection of Prostate. Some however, may joke that their grandfather had a roto-rooter! Regardless, this is the same procedure that has been done for decades, however the technology and outcomes have markedly improved.
Technology
- No incisions! Thats the good part. The entire procedure is done under general anesthesia (asleep) via the urethra (penis). We now utilize state-of-the-art high definition cameras to visualize the prostate. We then use either plasma-vaporization or lasers to basically remove the obstructing tissue of the prostate that squeezes the urethra as it passes through the bladder.
Pathophysiology
- The best way to think of the prostate is an orange, that sits under the bladder. The urethra passes like a straw, right down the middle of the prostate (orange) into the urethra. When younger, the prostate is responsible for secretion of ejaculate. It has nothing, however to do with sexual desire, erections, testosterone, or sperm (from testicles). As one ages, the prostate (orange) grows, an…
Treatment
- TURP is usually performed in the hospital or outpatient surgical center, and takes approximately 1 hour. Definitely rest up for a day or two after a TURP. Drink at least 6-8 glasses of water to wash out your system. Within a day or two, your urine will begin to clear up and look normal. For pain, Advil®, Motrin® or prescription Toradol® work great depend upon your doctors advice. Never ta…
Quotes
- Common, but difficult to answer, as different folks will grow their prostate at different rates, just like the hair on our head. Literature supports that most people will have at least 7+ years of benefit, at which point 15% of people may need a repeat procedure. Looking at it another way, for 85% of people, this will be the only procedure needed.
Results
- Usually, Dr. Shaw will have you finish up your current prostate medications, and then stop them (dont refill!). This is the great thing about the surgery you can stop one or more medications for your prostate! Not only that, but most people state that their urination is vastly improved with medications alone. After the procedure, patients may have a variety of minor issues. Although m…
Preparation
- The night before your procedure, you may eat and drink as usual. However, do not take anything by mouth after 12:00 midnight the night before. Wear comfortable, loose-fitting clothing like a jogging suit on the day of your procedure. Bring a list of all the prescription and nonprescription medications that you take regularly with you on the day of the procedure. You will need a cathet…
Administration
- You will be given full instructions from our nurse on how to manage, and drain the foley catheter bag when it gets full.
Symptoms
- It is not unusual to have a sensation of wanting to urinate, or to have bladder spasms after surgery. This usually goes away within 1-2 days. You may occasionally notice a small amount of urine leak around the catheter, and this is normal.
Prevention
- Do not strain when having a bowel movement. Expect irregular bowel habits until fully recovered. Increase fiber in your diet. You may need a stool softener or laxative.
Overview
Why It's Done
- TURPhelps reduce urinary symptoms caused by benign prostatic hyperplasia (BPH), including: 1. Frequent, urgent need to urinate 2. Difficulty starting urination 3. Slow (prolonged) urination 4. Increased frequency of urination at night 5. Stopping and starting again while urinating 6. The feeling you can't completely empty your bladder 7. Urinary tract infections TURPmight also be do…
Risks
- Risks of TURPcan include: 1. Temporary difficulty urinating.You might have trouble urinating for a few days after the procedure. Until you can urinate on your own, you will need to have a tube (catheter) inserted into your penis to carry urine out of your bladder. 2. Urinary tract infection. This type of infection is a possible complication after any prostate procedure. An infection is increasi…
How You Prepare
- Several days before surgery, your doctor might recommend that you stop taking medications that increase your risk of bleeding, including: 1. Blood thinners such as warfarin (Coumadin, Jantoven) or clopidogrel (Plavix) 2. Nonprescription pain relievers such as aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) Your doctor may prescribe an antibiotic to prevent ur…
What You Can Expect
- The TURPprocedure takes about 60 to 90 minutes to perform. Before surgery you'll be given either general anesthesia — which means you'll be unconscious during the procedure — or spinal anesthesia, which means you'll remain conscious. You might also be given a dose of antibiotics to prevent infection.
Results
- TURPtypically relieves symptoms quickly. Most men experience a significantly stronger urine flow within a few days. Follow-up treatment to ease symptoms is sometimes needed, particularly after several years have passed.