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Endoscopic Prostate Surgery

Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems that are caused by an enlarged prostate.

An instrument called a resectoscope is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The resectoscope helps your doctor see and trim away excess prostate tissue that's blocking urine flow.

TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective. These procedures generally cause fewer complications and have a quicker recovery period than TURP.

Why it's done?

TURP helps reduce urinary symptoms caused by benign prostatic hyperplasia (BPH), including:

Frequent, urgent need to urinate
Difficulty starting urination
Slow (prolonged) urination
Increased frequency of urination at night
Stopping and starting again while urinating
The feeling you can't completely empty your bladder
Urinary tract infections

TURP might also be done to treat or prevent complications due to blocked urine flow, such as:

Recurring urinary tract infections
Kidney or bladder damage
Inability to control urination or an inability to urinate at all
Bladder stones
Blood in your urine
Risks

Risks of TURP can include:

Temporary difficulty urinating. You might have trouble urinating for a few days after the procedure. Until you can urinate on your own, you will need to have a tube (catheter) inserted into your penis to carry urine out of your bladder.
Urinary tract infection. This type of infection is a possible complication after any prostate procedure. An infection is increasingly likely to occur the longer you have a catheter in place. Some men who have TURP have recurring urinary tract infections.
Dry orgasm. A common and long-term effect of any type of prostate surgery is the release of semen during ejaculation into the bladder rather than out of the penis. Also known as retrograde ejaculation, dry orgasm isn't harmful and generally doesn't affect sexual pleasure. But it can interfere with your ability to father a child.
Erectile dysfunction. The risk is very small, but erectile dysfunction can occur after prostate treatments.
Heavy bleeding. Very rarely, men lose enough blood during TURP to require a blood transfusion. Men with larger prostates appear to be at higher risk of significant blood loss.
Difficulty holding urine. Rarely, loss of bladder control (incontinence) is a long-term complication of TURP.
Low sodium in the blood. Rarely, the body absorbs too much of the fluid used to wash the surgery area during TURP. This condition, known as TURP syndrome or transurethral resection (TUR) syndrome, can be life-threatening if untreated. A technique called bipolar TURP eliminates the risk of this condition.
Need for re-treatment. Some men require follow-up treatment after TURP because symptoms don't improve or they return over time. Sometimes, re-treatment is needed because TURP causes narrowing (stricture) of the urethra or the bladder neck.

How you prepare?

Several days before surgery, your doctor might recommend that you stop taking medications that increase your risk of bleeding, including:

Blood thinners such as warfarin (Coumadin, Jantoven) or clopidogrel (Plavix)
Nonprescription pain relievers such as aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others)
Your doctor may prescribe an antibiotic to prevent urinary tract infection.
Arrange transportation because you won't be able to drive yourself home after the procedure that day or generally if you have a catheter in your bladder.
You might not be able to work or do strenuous activity for up to six weeks after surgery. Ask your doctor how much recovery time you might need.

What you can expect?

The TURP procedure takes about 60 to 90 minutes to perform. Before surgery you'll be given either general anesthesia — which means you'll be unconscious during the procedure — or spinal anesthesia, which means you'll remain conscious. You might also be given a dose of antibiotics to prevent infection.

During the procedure

The resectoscope is inserted into the tip of your penis and extended through your urethra and into the prostate area. Your doctor won't need to make any cuts (incisions) on the outside of your body.

Your doctor will use the resectoscope to trim tissue from the inside of your prostate gland, one small piece at a time. As small pieces of tissue are cut from inside your prostate, irrigating fluid carries them into your bladder. They're removed at the end of the operation.

After the procedure

You'll likely stay in the hospital for one to two days.

You'll have a urinary catheter in place because of swelling that blocks urine flow. The catheter is generally left in place for at least 24 to 48 hours, until swelling decreases and you're able to urinate on your own.

You might also notice:

Blood in your urine. It's normal to see blood right after surgery. Contact your doctor if the blood in your urine is thick like ketchup, bleeding appears to be worsening or your urine flow is blocked. Blood clots can block urine flow.

Irritating urinary symptoms. Urination might be painful, or you might have a sense of urgency or frequent need to urinate. Painful urination generally improves in six to eight weeks.

Your doctor is likely to recommend that you:

Drink plenty of water to flush out the bladder.
Eat high-fiber foods, to avoid constipation and straining during a bowel movement. Your doctor also might recommend a stool softener.
Wait to resume taking any blood-thinning medications until your doctor says it's OK.
Avoid strenuous activity, such as heavy lifting, for four to six weeks or until your doctor says it's OK.
Hold off on sex for four to six weeks.
Avoid driving until your catheter is removed and you're no longer taking prescription pain medications.

Contact your doctor if you:

Are unable to urinate
Notice bright red blood or an increase in clots in your urine
Notice that your urine isn't becoming more clear after drinking more fluid and resting for 24 hours
Develop a fever above 100.4 degrees F (38C)

Results

TURP typically relieves symptoms quickly. Most men experience a significantly stronger urine flow within a few days. Follow-up treatment to ease symptoms is sometimes needed, particularly after several years have passed.

What You say?

“ My father is facing bladder cancer problem then dr kaushal goyal suggest me a surgery for my father and i believed on dr kaushal goyal and he has successful done operation and my father is back to normal life in 5 to 7 days .thanks dr kaushal goyal a good surgeon in india. ”

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“ Best urologist & surgeon in Jaipur, I referred my uncle to him 6 months back for surgery of kidney stone case and he did it successfully without a hole or surgery mark and now he is highly satisfied with his operation. He is very cooperative and taking follow-up after surgery very politely. ”

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“ He is an expert in his field. He's one of the most genuine doctor in jaipur. He listens to his patients patiently and never prescribes costly tests. I was suffering from the urine infection for a long time. I got treatment medically. Right now I am absolutely fine. And I was very lucky to find such a genuine doctor. ”

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“ My wife had complain of persistent left flank pain, I went to dr kaushal goyal for opinion, he told for surgery by laparoscopic means. She got it done by him by laparoscopically and he discharged her very next day. Now she is doing very well with no complaints. now after a month, can say the operation procedure was perfect and recovery was also satisfactory. It couldn't have been better. Apart from his surgical and medical excellence his affectionate and caring attitude will be my good memories. ”

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“ My father is feeling well and satisfied after getting treatment from dr K. Goyal......highly skilled professional...... ”

- Pramod khinchi

“ Dr. kaushal goyal is of amazing calibre, repute and so caring. My health issue brought me there and the advice and guidance he gave me made me so reassuring and confident. Medicines and medical tests doctors advised were so appropriate and invaluable. All the procedures done related to my kidney stones were smooth and painless. I am going very happy cured and with advice of healthy living. Our deep respect and warm appreciation ”

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“ He is excellent doctor. I was facing problem in Urine passing, I was consult too many recognised urologist in Jaipur. All told that it required operation. When I was consult Dr Kaushal . He briefed me every things and ask me don't worry it would be treated with medicine. He simple right two medicine and that medicine I have taking since last 4 year and I have good relief.he is best human being and intelegent Dr. God blessed him for his bright future. ”

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“ Dr. kaushal is undoubtedly one of the best in all of India. My son had problems related to urination. He treated him very well. He not only explains everything very well but also gives a plethora of treatment options. His expertise in the field is unmatched and makes his patients feel very comfortable. If you’re ever considering surgery or feel like you might have symptoms of a urological disorder. Do not hesitate to go to him. I can assure you the best possible treatment for your condition. ”

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“ Good diagnosis and treatment ,at a very reasonable cost and better post operative recovery I must say very good doctor ”

- Dprasad

“ HE IS BEST UROLOGISTS DOCTOR, HE TREATED MY FATHER FOR THE PROSTATE GLAND, WHEN MANY DOCTORS HANDS UP TO OPERATE THAT MUCH BIG PROSTAT. AND HE OPERATED MY FATHER'S PROSTATE GLAND , VERY EASILY. HE IS LIKE THE GOD FOR ME AND MY FAMILY. I PLEASED YOU ALL READERS TO CONSIDERED HIM FOR THE PROSTATE. ”

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“ Highly efficient soft spoken knowledgeble sincere and hardworking Dr. Who has the capability and patience to cure the patient even on life threatening stage. I visited u at the last moment for my husband in case of massive bleeding in urine but the way u handled the situation and saved his life is beyond words and expectation for that v thank u in tons and wish u a very long life to serve the society and needy the best as u r already doing. ”

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“ Doctor Kaushal Goyal is one of the best and experienced urologist.I suffer with testis pain and prostate problem, Many doctors recommended operation of prostate glands I request doctor kaushal goyal to operate my prostate gland . He said no operation at present, I will heal you by medicine first and on medicine if problem arises then to operate, thanks doctor Kaushal to fully solve problem by medicine only, I work normal again thanks doctor kaushal goyal. ”

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“ Very nice doctor explain everything in detail Have done good surgery for kidney stone ”

- Mamta

“ I got my treatment for kidney stone from Dr. Kaushal Goyal. He is very professional, I got the best treatment and care. I am very satisfied with follow ups and will definitely recommend my friends and family. He asks about illness and rest, as if it were a family member. ”

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JEEVAN REKHA HOSPITAL

S24, Central Spine, Mahal Yojana, Jagatpura, Jaipur, Rajasthan 302025

+91 901-555-3810

dockaushalurologist@gmail.com

10:00 AM-02:00 PM

EKANSHI UROLOGY CLINIC

30,Surya Nagar,Taron Ki Koot,Tonk Road,Jaipur-302018

+91 901-555-3810

dockaushalurologist@gmail.com

Timing (Only By Appointment)

Monday - Saturday

8:30 AM to 9:30 PM

6:00 PM to 8:00 PM