Transurethral Prostate Resection (TURP)
In the surgical procedures for the treatment of benign prostate hyperplasia, different options are currently available, whereby TUR-P (transurethral prostate resection) is the most common method in Germany. It is one of the most frequently performed operations and leads to good results if the surgeon has the right indication and experience.
The surgeon can use optics to monitor the procedure and perform it safely. The enlarged and obstructive prostate tissue is removed, but the so-called prostate capsule remains. The cut out tissue parts, the so-called resection chips, are rinsed out of the bladder and sent to a pathological institute for examination. Here, the presence of malignant prostate cells can be excluded. Since the capsule remains intact, patients who have undergone TURP must also continue to take part in preventive examinations for the timely detection of prostate cancer after surgery.
Risks of this surgical technique are divided into early and late complications. In the case of early complications, postoperative haemorrhages are observed in particular, which usually stop by themselves without a new operation. In rare cases, so-called post-coagulation, i. e. hemostasis in the course of a second short operation, is required. Late complications are rarely urinary incontinence due to injury to the sphincter muscle and scarred constrictions (so-called stricture) of the urethra. TUR-P is often followed by retrograde (reverse) ejaculation. This means that the seminal fluid still produced is not expelled forward, but remains in the bladder until the next urination. As a rule, this is not perceived as disturbing by those affected, since libido, erection and orgasmic ability are maintained.
Modern surgical techniques have made the so-called TUR syndrome extremely rare, which can occur when rinsing fluid enters the circulation via opened blood vessels. This can lead to a change of the blood composition and a strong strain on the circulation. In particular, the further developed and improved techniques such as the modern bipolar resection technique (TURiS) lead to a reduction of the complication rate, which is currently the standard method in Germany for the treatment of benign prostate hyperplasia.
Latest laser technology in the WPZ
Particularly in view of the still existing bleeding risks and the occasionally associated extended hospital stay, laser therapy has been used for a number of years in addition to the classical peeling procedure. The West German Prostate Center has both the Green Light Laser and the diode laser. With the highly innovative diode laser, the excess prostate tissue can be evaporated very precisely and effectively. The procedure is also suitable for patients with a large prostate.