You will be given medicine before surgery so you don't feel pain. You may get general anesthesia in which you are asleep and pain-free or spinal anesthesia in which you are awake, but relaxed and pain-free.
The surgeon will insert a scope through the tube that carries urine from your bladder out of the penis. This tube is called the urethra. A special cutting tool is placed through the scope. It is used to remove the inside part of your prostate gland using electricity.
Why the Procedure Is Performed
Your doctor may recommend this surgery if you have benign prostatic hyperplasia (BPH). The prostate gland often grows larger as men get older. The larger prostate play causes problems with urinating. Removing part of the prostate gland can often make these symptoms better.
Before you have surgery, your health care provider will suggest you make changes in how you eat or drink. You may also be asked to try taking medicine. Your prostate may need to be removed if these steps do not help. Transurethral resection of the prostate (TURP) is one of the most common types of prostate surgery. Other procedures are also available.
Your doctor will consider the following when deciding on the type of surgery:
If you are a smoker, you should stop several weeks before the surgery. Your provider can give you tips on how to do this.
Always tell your provider what drugs, vitamins, and other supplements you are taking, even ones you bought without a prescription.
During the weeks before your surgery:
You may be asked to stop taking medicines that can thin your blood, such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), and others.
Ask your doctor which drugs you should still take on the day of your surgery.
On the day of your surgery:
DO NOT eat or drink anything after midnight the night before your surgery.
Take the drugs you have been told you to take with a small sip of water.
You will be told when to arrive at the hospital.
After the Procedure
You will stay in the hospital for 1 to 3 days.
After surgery, you will have a small tube, called a Foley catheter, in your bladder to remove urine. Your bladder may be flushed with fluids (irrigated) to keep it clear of clots. The urine will look bloody at first. In most cases, the blood goes away within a few days. Blood can also seep around the catheter. A special solution may be used to flush out the catheter and keep it from getting clogged with blood. The catheter will be removed within 1 to 3 days for most people.
You will be able to go back to eating a normal diet right away.
You will need to stay in bed until the next morning. You will be asked to move around as much as possible after that point.
Your health care team will:
Help you change positions in bed.
Teach you exercises to keep blood flowing.
Teach you how to perform coughing and deep breathing techniques. You should do these every 3 to 4 hours.
Roehrborn CG. Male lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH). Med Clin North Am. 2011;95(1):87-100. PMID: 21095413 www.ncbi.nlm.nih.gov/pubmed/ 21095413.
Jennifer Sobol, DO, urologist at the Michigan Institute of Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.