TURP Treatment and Care

Urology: Urinary & Reproductive Disease Diagnosis & Treatment

TURP treatment at Liv Hospital uses advanced minimally invasive techniques to relieve prostate obstruction, restore urinary flow, and support long-term recovery.

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TURP Treatment and Care

How Is TURP Performed at Liv Hospital?

At Liv Hospital, the execution of a Transurethral Resection of the Prostate (TURP) represents a masterclass in minimally invasive, endoscopic surgery. Once conservative options like alpha-blockers or 5-alpha-reductase inhibitors fail to clear the urinary pathway, a structural intervention becomes essential. The primary goal of a TURP is to safely and rapidly hollow out the core of the blocking prostate tissue, transforming a tight, restricted bottleneck into a wide, open channel. Every procedure is performed inside our advanced, state-of-the-art operating theaters by senior urologists who prioritize absolute precision, rapid recovery, and the total protection of your surrounding pelvic anatomy.

What Is Bipolar TURP and How Does It Improve Safety?

Historically, traditional prostate surgeries utilized a monopolar system that required non-conducting fluids, which carried a small risk of fluid imbalances. At Liv Hospital, we have completely modernized this approach by using advanced Bipolar Resection Technology:

The Saline Solution Advantage: The bipolar loop carries the high-frequency electrical current entirely within its own tip. This allows our surgeons to use completely safe, sterile saline (salt water) to continuously wash out the area during surgery.
Eliminating Side Effects: Using saline removes any risk of fluid absorption issues, allowing our teams to operate with an unparalleled level of safety, even when managing exceptionally large prostate glands.
Plasma Kinetic Clearing: The high-frequency energy creates a localized plasma field around the wire loop. This field cleanly vaporizes and shaves away the blocking prostate tissue with minimal friction, supporting a smooth and uniform clearing of the channel.

Step-by-Step Endoscopic Execution

The TURP procedure is a highly organized, careful surgical intervention performed under general or spinal anesthesia to guarantee complete comfort:

Endoscopic Path Identification: Once anesthesia is active, the surgeon gently guides the slim resectoscope through the natural opening of the urethra. A high-definition camera projects a clear, magnified view of the internal anatomy onto a surgical screen.
Shaving the Transitional Zone: The urologist positions the loop at the bladder neck and works outward, shaving away thin, ribbon-like slices of the swollen internal prostate tissue that is choking the channel.
Instant Thermal Hemostasis: As each slice is removed, the electrical current delivers localized thermal energy (cauterization) straight to the underlying tissues. This instantly seals local blood vessels, keeping blood loss to an absolute minimum and keeping the surgical area crystal clear.
Tissue Evacuation: The continuous washing fluid pushes the shaved tissue ribbons backward into the bladder. At the end of the procedure, a gentle suction device clears all the pieces out cleanly, and they are sent to our laboratories for microscopic analysis to verify the benign nature of the growth.

Post-Operative Management: Three-Way Continuous Saline Irrigation

Immediately following the completion of the resection, a specialized three-way urinary catheter is placed to support the area as it begins to heal:

The Continuous Wash System: This specialized catheter features three separate internal channels. One channel inflates a small holding balloon at the base of the bladder, the second channel drains urine outward, and the third channel allows a continuous flow of sterile saline to flush into the bladder.
Preventing Clot Formation: This steady, automated flushing system washes out any minor post-operative oozing or small blood clots from the surgical bed, keeping the urinary tract clear, clean, and comfortable during your first night of recovery.

Anesthesia Management and Pelvic Comfort

To support a rapid return to daily movement and ensure a comfortable awakening, our anesthesia teams use a tailored care model:

Targeted Spinal Anesthesia: For many patients, spinal anesthesia is selected. This approach numbs the body completely from the waist down while keeping you awake or lightly relaxed, which helps lower post-operative grogginess.
Intraoperative Muscle Relaxation: The blocks provide excellent relaxation of the pelvic muscles, allowing the surgeon to operate smoothly and with minimal pressure on the surrounding delicate tissues.

Protecting Long-Term Continence and Sphincter Integrity

A primary concern for many men considering prostate surgery is how the procedure will affect their long-term voluntary control. Our surgeons map your anatomy with extreme care to protect these functions:

Preserving the External Sphincter: The voluntary muscle responsible for controlling your urine flow (the external urinary sphincter) sits directly underneath the lower border of the prostate. Our surgeons identify and preserve this boundary completely during the resection.
Maintaining Control: By leaving this muscle entirely untouched, your natural, voluntary bladder control remains perfectly intact once the swelling from surgery subsides.

Safeguarding Erectile Function and Local Nerve Networks

The delicate nerve pathways responsible for driving erections (the cavernous nerves) run along the very outside of the prostate capsule:

Staying Within the Boundaries: A TURP procedure is carefully designed to target only the central, blocking core of the prostate gland. The outer shell or capsule is left completely intact.
Protecting Intimate Health: Because our instruments remain strictly inside the central boundaries of the gland, the external nerve networks are never disturbed or exposed to heat. This precision ensures your natural erections and intimate health are safely preserved.

Understanding Retrograde Ejaculation

While erections and sensation remain completely unchanged, patients should understand a common anatomical shift that occurs after a successful TURP:

The Dry Climax Phenomenon: Shaving away the blocking tissue naturally widens the area around the bladder neck. During a sexual climax, reproductive fluid will follow the path of least resistance and flow backward into the bladder rather than outward through the penis.
A Harmless Shift: This condition, known as retrograde ejaculation, occurs in a majority of men after surgery. It is completely harmless, does not affect your physical sensation or pleasure during intimacy, and the fluid simply washes away naturally during your next bathroom visit.

Immediate Pre-Surgical Preparation and Safety

To prepare your body for a completely safe procedure, our teams follow a strict pre-operative protocol:

Anticoagulant Management: If you take blood thinners (like Aspirin, Clopidogrel, or Warfarin), our physicians coordinate a safe timeline to temporarily pause these medications before surgery to minimize any risk of bleeding.
Proactive Antibiotic Protection: A dose of broad-spectrum antibiotics is administered intravenously just before the procedure begins, ensuring your system is fully protected against any bacterial risks during your care.

Why Choose Liv Hospital for TURP Treatment and Care?

The Department of Advanced Urology at Liv Hospital represents the true global pinnacle of master-level endoscopic surgery. We recognize that experiencing a progressive urinary blockage can be deeply disruptive to your daily life, sleep, and confidence. That is why we have built an elite team where premier surgical masters utilize the safest, most precise bipolar plasma systems available today. We reject standardized, impersonal treatments in favor of customized care roadmaps that focus on a complete opening of your urinary channel while fiercely protecting your continence and intimate function. At Liv Hospital, we combine this surgical mastery with an environment of complete luxury, comfort, and absolute medical discretion, helping you move past physical blockages and step into a vibrant, unrestricted future.

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FREQUENTLY ASKED QUESTIONS

What is the main advantage of choosing a bipolar TURP over the older monopolar method?

Bipolar TURP allows the surgeon to use safe, sterile saline solution to continuously flush the area, which completely eliminates the historical risk of fluid absorption imbalances (TUR Syndrome). This makes the modern procedure exceptionally safe, reduces recovery times, and allows us to treat larger prostate glands comfortably at Liv Hospital.

Will I be awake during my TURP surgery?

This depends on your preference and your medical profile. If spinal anesthesia is selected, you will be completely numb from the waist down and can choose to remain awake or receive a mild, relaxing sedative to help you nap comfortably through the brief procedure.

How long does the continuous saline washing bag stay attached after surgery?

The three-way continuous washing system typically remains in place for 12 to 24 hours after your surgery. Once the fluid draining from your bladder appears light pink and clear of any minor clots, our nursing team stops the wash system comfortably at your bedside.

Will a TURP surgery cure my erectile dysfunction?

TURP is specifically designed to clear a physical urinary blockage, not to treat erectile function. However, because the surgery does not touch the external nerves responsible for erections, your intimate function will remain unchanged. Many men report a significant improvement in their overall confidence and sleep after their urinary symptoms are resolved at Liv Hospital.

hat is retrograde ejaculation, and should I be worried about it?

Retrograde ejaculation means that reproductive fluid passes backward into the bladder during climax because the urinary channel has been widely opened. It is a very common, expected outcome of a successful TURP. It is completely harmless, does not reduce your physical pleasure or sensation, and does not require any medical treatment.