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Medical Health Encyclopedia
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Prostate removal

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Male reproductive anatomy
Male reproductive anatomy
Prostate gland
Prostate gland
Prostatectomy  - series
Prostatectomy - series
TURP  - series
TURP - series


Prostate removal

Definition:

The prostate gland is an organ at the base of the bladder in men. The tissues in the gland may need to be surgically removed or destroyed as a way to treat prostate enlargement (benign prostatic hypertrophy) or prostate cancer.

Alternative Names:
Prostatectomy; TURP; Suprapubic prostatectomy; Transurethral resection of the prostate; TUIP; Open prostatectomy

Text Continues Below



Description:

The symptoms of an enlarged prostate include:

  • Frequent urination with small amounts of urine
  • Need to urinate at night
  • Difficulty starting a stream of urine
  • Slow stream of urine
  • Urine dripping out of urethra after urination (dribbling)
  • Feeling that bladder is never empty
  • Urinary tract infection

These symptoms can often be relieved by removing all or part of the prostate gland. This can be performed in a number of different ways, depending on the size of the prostate and the cause of the prostate enlargement.

The three most common procedures for surgically removing the prostate to treat non-cancerous enlargement are transurethral resection of the prostate (TURP), transurethral incision of the prostate (TUIP), and open prostatectomy.

The decision regarding the type of prostatectomy to perform depends on the size of your prostate gland. Generally, for prostates less than 30 grams, TUIP is recommended.

For glands bigger than 30 grams and less than 80 grams (this number depends on the experience of the surgeon), TURP is performed. If the prostate is bigger than 80 grams, open prostatectomy is recommended.

TURP

Transurethral resection of the prostate is the gold standard treatment and most common surgical procedure for benign prostatic hyperplasia (BPH). TURP is performed using spinal or general anesthesia. A special kind of cystoscope (tubelike instrument) is inserted into the penis through the urethra to reach the prostate gland.

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