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Traitement de l'hyperplasie bénigne de la prostate pour les hommes canadiens

Transurethral Resection of the Prostate (TURP)

Transurethral resection of the prostate (TURP) is surgery to remove part of your prostate. TURP can relieve symptoms of enlarged prostate, such as difficulty urinating and frequent urination.

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How Does it Work?

Prior to the surgery, you will be administered either general or spinal anesthesia.
General anesthesia will render you unconscious, while spinal anesthesia will keep you conscious throughout the procedure. You may also be given antibiotics to prevent any possible infections.


This procedure does not require any incisions on your body

Instead, the resectoscope is inserted into the tip of your penis. It then extends through your urethra and into the prostate area.

The resectoscope is used to trim the excess prostate tissue from the inside of your prostate gland. As these small pieces of tissue are cut, irrigating fluid transports them to your bladder. They are then removed at the end of the procedure.

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A TURP procedure generally takes around 60 to 90 minutes to perform, depending on how much of your prostate needs to be removed. Once the procedure has been completed, you'll be moved back to your room to recover.


After the procedure, you will be required to remain overnight for observation. You will have a urinary catheter in place due to the swelling that blocks the flow of urine. The catheter will be kept for at least 24 to 48 hours. Once the swelling decreases and you are able to urinate on your own, the catheter will be removed.

Overall, it takes about 4 to 6 weeks to fully recover from TURP. Avoid doing any strenuous exercise or lifting heavy objects until your doctor tells you that it is okay to do so. If you are taking prescription pain medications after the procedure, do not drive a vehicle or operate any machinery. If your job does not require any physical exertion, you may return to work after 2 to 3 weeks.

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There are several risks and complications associated with TURP.
Potential risks associated with Turp include, but are not limited to:

Urinary Tract Infection

Urinary tract infections, or UTIs, are common after any prostate procedure. It has a higher chance of occuring the longer you have a catheter in place after the treatment.

Difficulty with Urination

Several days after the procedure, you may experience difficulty in urinating. A catheter will be required to transport urine out of the bladder until you are able to urinate on your own.

Heavy Bleeding

In some cases, it is possible for men to lose heavy amounts of blood from the procedure. Men with prostates of a larger size have a higher chance of significant blood loss.

Dry Orgasm

One of the most common long-term side effects of any type of prostate surgery is retrograde ejaculation, or more commonly known as a dry orgasm. This is when the semen releases into the bladder instead of out of the penis during ejaculation. While this does not cause any pain or affect your sexual pleasure, it can prevent you from fathering a child.
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Prior to the treatment, you may be required to stop taking medications that could increase your risk of bleeding. This includes non prescription pain relievers such as aspirin, ibuprofen (Advil, etc.), and naproxen sodium (Aleve, etc.), or blood thinners such as warfarin (Coumadin, Jantoven) or clopidogrel (Plavix).
TURP relieves symptoms rather quickly. It is common to experience a significantly stronger flow of urine within a few days after the procedure. However, follow-up treatment to ease symptoms may be required after several years have passed.
Common temporary side effects of the procedure include blood in your urine or irritating urinary symptoms. This can include painful urination, or a frequent need to urinate. However, if the blood in your urine is thick, the bleeding appears to be worsening, or if the painful urination does not improve in six to eight weeks, contact your doctor immediately.
In the weeks following the procedure, your doctor will most likely recommend that you drink plenty of water to flush out the bladder, eat foods with high fiber to avoid constipation, and to avoid strenuous activity, sex, and driving until your doctor says it is okay to resume these activities.
You should contact your doctor if you notice that you are unable to urinate, if you notice that your urine is bright red with clots, or if you develop a fever.


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