Transurethral Resection of the Prostate (TURP)
Steps Involved in IVF:
Procedure Description
Transurethral Resection of the Prostate (TURP) is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH), which is the non-cancerous enlargement of the prostate gland. BPH is common in aging men and can cause symptoms like urinary retention, frequent urination, and a weak urine stream. TURP aims to remove excess prostate tissue that is causing a blockage of the urethra, thereby improving urinary flow and relieving symptoms.
The procedure is performed under spinal or general anesthesia and involves the insertion of a resectoscope through the tip of the penis into the urethra. The resectoscope is a tube-like instrument with a light, camera, and an electrical loop used to excise the overgrown tissue. The surgeon can visualize the prostate tissue directly through the camera, and the electrical loop is employed to shave away the obstructive portions of the prostate in small chips. This process clears the pathway for urine to flow more freely through the urethra.
TURP is often regarded as the "gold standard" treatment for BPH, especially for cases where medication is ineffective or inappropriate. The procedure has been widely practiced for decades and is proven to provide lasting relief from BPH symptoms. It is well-established in urological care and has evolved with improvements in surgical instruments and techniques.
Procedure Duration
The duration of a TURP procedure generally depends on the size of the prostate and the patient's overall health condition. On average, the surgery lasts between 60 to 90 minutes. Here is a breakdown of the phases of the procedure:
- Preparation and Anesthesia: Before the surgery, the patient will undergo preoperative preparation, which includes administration of anesthesia (either spinal or general). Spinal anesthesia is common as it numbs the lower half of the body while allowing the patient to remain awake. This phase typically takes 20 to 30 minutes.
- Resection Phase: Once anesthesia is in effect, the surgeon will insert the resectoscope through the urethra and begin removing the obstructive prostate tissue. The resection of the tissue is carefully done to avoid damaging nearby structures. Continuous irrigation with sterile fluids helps to keep the surgical area clear of blood and tissue debris, aiding visibility for the surgeon.
- Recovery and Postoperative Care: After the resection is complete, a catheter is inserted through the urethra to ensure that the bladder can drain urine and facilitate healing. This catheter will generally stay in place for a day or two following the surgery. Most patients can expect to stay in the hospital for one to three days post-procedure to monitor for complications and to manage any discomfort.
Recovery from TURP varies but generally takes around four to six weeks. Patients may experience some discomfort while urinating and will need to avoid strenuous activities during the healing process. The majority of patients experience significant relief from urinary symptoms within a few weeks after the procedure.
Benefits
- Symptom Relief: TURP effectively relieves BPH symptoms like urinary retention, frequent urination, weak urine stream, and bladder discomfort.
- Proven Track Record: TURP is a well-established, safe, and effective procedure with long-term outcomes and widespread use globally.
- Minimally Invasive: As a transurethral procedure, TURP does not require external incisions, minimizing recovery time and reducing scarring.
- Quick Improvement: Most patients notice improvement in symptoms almost immediately after the procedure or within a few weeks.
- Lower Risk of Complications: Compared to open surgery, TURP has fewer risks related to wound infections and hernias.
Potential Destinations
- India: Known for its affordability and highly skilled urologists, India offers TURP at significantly lower costs compared to Western countries. The use of advanced medical technology and experienced surgeons makes India a popular choice for medical tourists seeking urological care.
- Turkey: Turkey boasts a robust medical tourism industry, with its state-of-the-art hospitals and internationally accredited facilities. Patients benefit from shorter waiting times, cost savings, and comprehensive postoperative care for TURP.
- Thailand: With a reputation for exceptional hospitality and high-quality healthcare, Thailand attracts many patients for urological procedures like TURP. The medical infrastructure is top-tier, and the country has skilled surgeons specializing in minimally invasive prostate surgery.
- United Arab Emirates (UAE): The UAE, particularly Dubai and Abu Dhabi, is emerging as a medical tourism hub. The country offers world-class medical services with English-speaking doctors, modern healthcare facilities, and a seamless experience for international patients seeking TURP.
- Mexico: For North American patients, Mexico serves as a nearby, cost-effective destination for TURP. With a variety of well-equipped hospitals and board-certified urologists, Mexico offers the advantage of affordable care without compromising on quality or safety.
Risks & Considerations
- Urinary Incontinence: A potential risk post-TURP is temporary or permanent urinary incontinence due to changes in the bladder and sphincter control after surgery.
- Erectile Dysfunction: Though not common, some patients may experience erectile dysfunction following the procedure. It is essential to discuss this potential outcome with the surgeon prior to surgery.
- Retrograde Ejaculation: One of the most common side effects of TURP is retrograde ejaculation, where semen enters the bladder instead of exiting through the penis during orgasm. While not harmful, it can affect fertility.
- Bleeding and Infection: As with any surgical procedure, there is a risk of bleeding and infection. Patients should be aware of any signs of infection, such as fever or worsening pain, and seek medical attention if needed.
- Need for Re-Treatment: Although TURP is often effective in providing lasting symptom relief, there is a possibility that some patients may require re-treatment or additional procedures in the future if symptoms reoccur.
How to Choose the Right Doctor and Hospital
When selecting a medical provider for TURP, it is crucial to ensure the doctor is a board-certified urologist with specialized training and extensive experience in performing this procedure. Patients should inquire about the surgeon’s success rates, complication rates, and number of TURP procedures performed annually.
Equally important is choosing a reputable hospital or clinic that is accredited by recognized health standards organizations. The facility should offer state-of-the-art equipment and have protocols in place for patient safety and postoperative care. Additionally, seeking patient reviews and testimonials can provide insight into the quality of care and overall patient experience.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
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The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
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When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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