Transurethral resection of the prostate

It is currently the gold standard and consists of the transurethral resection of the prostate, which we perform using a resectoscope.

Indications:

1. Frequent and urgent need to urinate
2. Difficulty starting urination
3. Slow and prolonged urination
4. Frequent need to urinate during the night (nocturia)
5. Intermittent urination
6. Sensation of incomplete bladder emptying
7. Inability to urinate.

This condition can have a series of consequences, for which TURP is preventive. Among these consequences are:

1. Recurrent urinary tract infections
2. Damage to the bladder and/or to the kidneys
3. Urinary incontinence
4. Bladder stones
5. Presence of blood in the urine

The procedure requires a hospital stay of 2-3 nights, and results in retrograde ejaculation, meaning that at the moment of orgasm, there is no longer external ejaculation of semen, which instead goes into the bladder.

It is quite common that, after TURP, patients complain of:

1. Pain during urination
2. Frequent and urgent need to urinate
3. Presence of blood (or rather of blood clots) in the urine. The use of bladder catheters also helps to facilitate the elimination of these traces of blood.

These disturbances are considered normal if they do not last beyond 4 weeks. Generally, improvement is gradual.

Dove opero

• • Villa Donatello (Firenze)

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