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Transurethral resection of the prostate
ICD-10 code:
ICD-9 code: 60.29
Other codes:

Transurethral resection of the prostate (also known as TURP, plural TURPs and as a transurethral prostatic resection, TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. This is considered the most effective treatment for BPH. This procedure is done with spinal or general anesthetic. A large triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. Outcome is considered excellent for 80-90% of BPH patients.



Because of bleeding risks associated with the surgery, TURP is not considered safe for many patients with cardiac problems.

Postoperative complications include

  1. Bleeding (most common)
  2. Clot retention and clot colick
  3. Bladder wall injury such as perforation (rare)
  4. Hyponatremia and water intoxication (symptoms resembling brain stroke in an elderly presenting patient)which can be prevented by using isotonic 1.5% Glycine as bladder irrigation fluid instead of 0.9% sodium chloride solution
  5. Bladder neck stenosis
  6. Urinary incontinence due to injury of external sphincter system which may be prevented by taking the Verumontanum of the prostate as a distal limiting boundary during TURP
  7. Retrograde ejaculation due to injury of preprostatic (internal) sphincter system,

Additionally, transurethral resection of the prostate is associated with low but important morbidity and mortality.[1]

See also

External links


  1. ^ Jensen KM-E. Clinical evaluation of routine urodynamic investigations in prostatism. Neurology and Urodynamics 1989;8:545-78.


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