During a transurethral resection of the prostate, a surgeon inserts a resectoscope through the tip of the penis and into the urethra, according to Mayo Clinic. Using the resectoscope, the surgeon removes excess prostate tissue, which helps relieve the urinary symptoms linked to benign prostatic hyperplasia, or BPH. BPH is the medical term for an enlarged prostate gland, explains WebMD.
Before the TURP procedure begins, an anesthesiologist administers general anesthesia or spinal anesthesia, reports Mayo Clinic. If spinal anesthesia is used, the patient remains awake but does not feel any discomfort during the procedure. General anesthesia puts the patient to sleep, leaving him unaware of what is happening during the TURP.
Once the resectoscope is in place, the surgeon trims tissue from the prostate gland, states Mayo Clinic. The trimmed tissue collects in the bladder, where it is removed after the surgeon completes the TURP. After undergoing the TURP procedure, a patient usually has to stay in the hospital for a day or two. A catheter is left in place for approximately one week or until the patient is able to urinate on his own. In the days following a TURP, the patient may also experience discomfort during urination or notice blood in his urine.
To reduce the risk of complications, a post-TURP patient should avoid driving, taking blood thinners or engaging in strenuous activities until a doctor says it is fine to do so, recommends Mayo Clinic. Patients should also abstain from sexual intercourse for approximately four to six weeks.