What Is a

The TURP (or, transurethral resection of the prostate) is a procedure that surgically removes prostate tissue to relieve the urethra and make it easier for someone to urinate whose BPH is causing lower urinary tract symptoms. The TURP has long been the gold standard for the treatment of symptomatic BPH, and it continues to be the most reliable option for relieving symptoms; however, TURPS also have risks, some long-term, that are not associated with less intense procedures and medication.
In this video, medical oncologist, Mark Scholz, MD, explains the pros and cons of TURPs, and other treatments for BPH.
0:08 What is a TURP? How does it treat urinary symptoms caused by an enlarged prostate?
1:48 How severe is the side effect of retrograde ejaculation?
2:24 Is the formation of scar tissue a common side effect of a TURP?
3:25 Who performs TURPS and other procedures to treat BPH?
4:10 What is the percent change of success of relieving urinary symptoms with a TURP?
5:02 Can TURP interfere with other prostate cancer treatments?
6:04 How commonly does erectile dysfunction occur as a side effect of a TURP?
6:47 Are anti-biotics usually prescribed after a TURP?
7:20 Could a TURP potentially affect a prostate cancer diagnosis?
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Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.
The information on the Prostate Cancer Research Institute's KZbin channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
#ProstateCancer #MarkScholzMD #PCRI

[@cwcw4805]

Hi I had a TURP operation 16 months ago, 83 gram prostate reduced by 23 gram, the removed tissue went for biopsy,all tested clear, I had the spinal anasthetic,without any sedation,so I was fully awake during the procedure,I could speak with the theatre staff & listen to my radio during the operation,after the operation,I had my dinner,then the next day I was out of the hospital,now all good & back to 100%, I have had 3 PSA Tests during that time, PSA now down to 2.3, brilliant consultant

[@agordonforme6797]

Really interesting. I had an enlarged prostate for a number of years. On finesteride and tamsolosin with no real effect. Diagnosed with prostate cancer in 2020. Radiotherapy and hormone treatment followed. TURP 2 months after radiotherapy finished. Six months to get over it. PSA is down to 0.0026 at present. Hopefully there will be no further complications..

[@MrGuitar1458]

Great information as always, thank you both! 😊

[@cococo7coco780]

My father had this turp procedure done last year but not for treating his urinary problems it was for confirmation for prostate cancer they didnt find anything it was all clear but his psa still high then he went to singapore the doctors did 12 needle biopsy and surprisingly 7/12 sample have cancer the doctor in singapore explained that the turp procedure only has impact in the transitional zone while the suspected area that have cancer was in peripheral zone

[@nvan78]

Timely video, as I am scheduled for this procedure later this month. My urologist has been watching me for some 4-5 yrs. PSA still elevated at 14.5 even with Flomax and Avodart taken together and have had several bouts of acute urinary retention that needed to be addressed as well.

[@nvan78]

Three weeks post-Turp now with no major issues. Glad to be off the pills and somehow my urologist has preserved the ability to ejaculate. One area where there seems to be conflicting info. is in regards to exercise post-Turp. I was a very active senior before the operation (running 3 times per week, resistance training, basketball); seems to be differing info. on what constitutes strenuous exercise and when realistically one can return to their former exercise routine. I'm giving it 5-6 weeks to be safe, although currently walking several km a day, no concerns walking up and down stairs, shooting hoops at the bball court, and limiting how much I lift. Had no problems whatsoever while shopping at grocery stores either. For the record, I convinced discharge to allow me to walk home from the hospital (without a catheter) as I lived close by to the hospital. lol

[@rancancookcanoy9768]

Another good and informative video. I appreciate the work you are doing to help people become more knowledgeable about prostate cancer and issues that are related to the prostate, Thank you,

[@Giovan_Nino]

Many thanks for the comprehensive cover of this procedure.. I thought there was a new more straightforward procedure that has been approved for use in the UK?

[@Allessio777]

If Alfusozin does not work, is there any other med I should try before doing one of these procedures?

[@jim7060]

What state are you in Dr.

[@kiwifruitnz]

I do regret having the turps treatment, as I believe in retrospect that I could and should have tried other avenues first. It is strange not to be able to ejaculate, but mostly I am now impotent. I understand that it is irreversible. My advice would be not to rush into it. I still urinate quite frequently and often hsve to get up at least twice during the night.

[@jerseyjim9092]

So what did the procedure fix? Did you have complete blockage.

[@kiwifruitnz]

I'm not sure what you meant about complete blockage. My symptoms were more than just frequent urination, but a need to urinate desperately and barely being able to hold it in before getting to the bathroom in time.

[@user-bq6ek7lz7h]

I will never do this procedure for that reason.

[@kendavis1198]

WHAT ABOUT THE GREEN LIGHT LASER PROCEDURE??? Anyone have any Information on that Process???

[@ctzoomie]

Check out PAE. Less invasive. Urologist won't tell you anything about it.

[@kendavis1198]

Interesting????? And ya you're correct My Urologist did not mention this procedure, Nor did I know of it so I could ask him. I'am located in San Jose California very Close to ALL the BIG NAME Hospitals, "IE" Stanford, UCSF, and a FEW Others that are within 50/60 Miles from my location. Don't know if any Doctors around here have done a FEW HUNDRED of these procedures??? I'll Have to Start checking around "AGAIN" I'am 70 Years Old and have BPH for certain. 🤷‍♂😬...

[@soto8135]

That woman is beautiful

[@ctzoomie]

Check out PAE first !!

[@Augusto88359]

Who does turp these days? Barbaric!! No reason in the world to have retrograde ejac. With new tech.

[@VictorDeLaCruz536]

I just got my MRI results and need help understanding Narrative & Impression INDICATION: prostate cancer Additional history obtained from electronic medical record/by technologist: None. TECHNIQUE: Multiplanar multisequence MRI of the prostate was performed before and after intravenous injection of Dotarem contrast. Postprocessing requested by ordering provider for anticipated MR fusion prostate biopsy. CAD MR postprocessing of the prostate was performed by myself on an independent workstation utilizing Dynacad software, which included prostate contour volume rendering and localization of focal prostate lesion/lesions. COMPARISON: None. FINDINGS: Size: 4 x 3 x 4 cm with prostate volume of 25 mL. Status post TURP. Hemorrhage: Small areas of hemorrhage along the anterior and lateral aspects of the bilateral mid peripheral zone makes evaluation somewhat suboptimal. Peripheral zone: Heterogeneous diffuse low T2 signal. Approximately 2 cm mild to moderate T2 hypointense lesion involving left medial, lateral and anterior apex peripheral zone extending into the right medial apex peripheral zone with moderate restricted diffusion (series 5 image 21). No extraprostatic extension. 6 mm moderate T2 hypointense lesion involving the right lateral apex peripheral zone with moderate restricted diffusion. No extraprostatic extension (series 5 image 21). Transition zone: Status post TURP. Extra-prostatic extension: None. Neurovascular bundles: Not involved. Seminal vesicles: Normal. Lymph nodes: No enlarged pelvic lymph nodes. Other pelvic organs: Small fat-containing right inguinal hernia. Moderate hamstring origin tendinosis. Mild to moderate gluteus medius and minimus tendinosis with partial stripping and associated myoedema extending into the greater trochanteric bursa. Susceptibility from posterior lumbar spinal fusion. IMPRESSION: IMPRESSION: 1. Approximately 2 cm, PI-RADS 5 lesion, left medial, lateral and anterior apex peripheral zone extending into the right medial apex peripheral zone. No extraprostatic extension. 2. 6 mm, PI-RADS 4 lesion, right lateral apex peripheral zone. No extraprostatic extension. 3. No evidence of metastases within the pelvis. PI-RADS v2.1 assessment categories PIRADS 1 - Very low (clinically significant cancer is highly unlikely to be present) PIRADS 2 - Low (clinically significant cancer is unlikely to be present) PIRADS 3 - Intermediate (the presence of clinically significant cancer is equivocal) PIRADS 4 - High (clinically significant cancer likely present) PIRADS 5 - Very high (clinically significant cancer is highly likely to be present