TURP Surgery in Singapore: 5 Things to Know About This BPH Treatment

Transurethral resection of the prostate (TURP) is a surgical procedure primarily performed to alleviate urinary problems caused by an enlarged prostate gland, a condition medically known as benign prostatic hyperplasia (BPH). This procedure involves trimming away excess prostate tissue through the urethra to help relieve pressure on the urinary tract and improve urine flow.

For men considering TURP as a treatment option, here are several important aspects to understand first about the procedure and its implications.

1. TURP is generally considered the gold standard for BPH surgery

For decades, TURP has generally been the preferred surgical treatment of BPH, thanks to its proven efficacy and long-term results. Urologists widely perform this procedure to alleviate symptoms like difficulty urinating, frequent urination, or a weak urine stream. TURP offers a reliable solution for men with large and highly obstructing prostates that have not responded to medications.

2. The procedure is minimally invasive and performed via the urethra

Unlike traditional open surgery, TURP is minimally invasive, resulting in reduced bodily trauma. This technique is typically performed using a thin instrument (resectoscope) inserted through the tip of the penis and into the urethra, thereby eliminating the need for external incisions.

Key Benefits of TURP:

• Reduced Hospital Stay: With its less invasive nature, TURP often requires a shorter hospital stay, sometimes lasting only one to three days.
• Effective Symptom Relief: TURP improves urinary symptoms, such as difficulty starting urination and frequent nighttime urination.
• Tissue Sampling for Diagnosis: During TURP, removed prostate tissue can be analysed for abnormalities, such as early signs of prostate cancer, providing an added diagnostic benefit.
• Minimal Scarring: As a transurethral procedure, TURP leaves no visible scars, making it aesthetically favourable and reducing recovery time compared to open surgery.

3. TURP surgery is performed under anaesthesia

TURP operation is performed under anaesthesia to ensure that patients are comfortable during the procedure. The type of anaesthesia used will depend on the patient’s condition and preferences; as well as the doctor’s advice.

4. Recovery is swift but requires careful monitoring

Most patients resume work and routine activities within a few weeks after the TURP procedure. However, a full recovery may take up to six weeks. While in the hospital, a urinary catheter will be inserted into the urethra to facilitate urine drainage while the prostate gland heals. A follow-up visit will be arranged to track recovery and address any concerns.

5. Potential side effects are usually temporary

While TURP is generally safe, it may carry potential side effects, such as blood in the urine, urinary tract infections (UTIs), temporary urinary incontinence, and retrograde ejaculation (where semen flows into the bladder instead of out of the penis). These side effects are usually temporary and tend to improve over time. However, if they continue to persist, it is advisable to contact a doctor as soon as possible.

Why Choose Dr Jonathan Teo for TURP in Singapore

Dr Jonathan Teo is a fellowship-trained consultant urologist in Singapore with 19 years of medical experience, including minimally invasive treatments for BPH like TURP. He was formerly a Consultant Urologist and Director of Andrology at Singapore General Hospital and an elected EXCO member of the Society of Men’s Health Singapore.

His patient-focused approach, combined with his expertise in advanced techniques, ensures tailored, evidence-based urological care for all patients at his clinic in Mount Elizabeth Medical Centre. Contact us today to schedule a consultation with our urologist.

Helpful Links

For more information on BPH and TURP, browse these resources below:

• Teo JS, Lee YM, Ho HSS. An update on transurethral surgery for benign prostatic obstruction. Asian Journal of Urology. 2017 Jul;4(3):195-198. https://pubmed.ncbi.nlm.nih.gov/29264231/
• Tan YG, Teo JS, Kuo TLC, Guo L, Shi L, Shutchaidat V, Aslim EJ, Ng LG, Ho HSS, Foo KT. A Systemic Review and Meta-analysis of Transabdominal Intravesical Prostatic Protrusion Assessment in Determining Bladder Outlet Obstruction and Unsuccessful Trial Without Catheter. European Urology Focus. 2022 Jul;8(4):1003-1014. https://pubmed.ncbi.nlm.nih.gov/34561198/
• Singapore General Hospital. (n.d.) Preparing for Transurethral Resection of Prostate (TURP). https://www.sgh.com.sg/our-specialties/urology/preparing-for-transurethral-resection-of-prostate-turp