TURP (transurethral resection of the prostate)

TURP is the traditional electrosurgical operation for BPH. A resectoscope is passed through the urethra and the inner portion of the prostate is shaved out in small chips using a wire loop. It remains common internationally, but has largely been superseded by HoLEP for mid-to-large glands and for men at higher bleeding risk.

How TURP works

Under general or spinal anaesthesia, a resectoscope is passed along the urethra. A heated wire loop (monopolar or bipolar) is used to cut small chips of prostate tissue from the inside surface. Chips are flushed out of the bladder at the end of the operation. Bipolar TURP uses saline irrigation and has a lower rate of TUR syndrome than the older monopolar TURP.

Who TURP suits

  • Men with a small-to-medium prostate (typically under 80 g).
  • Men in centres where HoLEP is not available.
  • Some men who have had previous prostate surgery and need a small redo procedure.

TURP vs HoLEP

  • Bleeding. HoLEP consistently produces less bleeding and lower transfusion rates in randomised trials.9, 11
  • Hospital stay and catheter. Shorter after HoLEP.4, 9
  • Size range. TURP becomes slower and more bleeding-prone above ~80 g; HoLEP has no meaningful upper size limit.4, 5
  • Durability. HoLEP has a lower rate of reoperation at 3 years in the national registry analysis.17
  • TUR syndrome. Not a concern with HoLEP (saline irrigation). Possible but uncommon with bipolar TURP, and historically a rare but serious risk with monopolar TURP.9
Where to book TURP in Sydney. TURP is performed by Dr Kooner's wider practice as well. For procedures other than laser surgery, please visit urologynsw.com.au.
TURP - BAUS patient information turp-for-benign.pdf

Considering laser surgery for an enlarged prostate?

You can ask for a second opinion on your symptoms, flow studies and prostate size before deciding between medication, HoLEP, GreenLight, TURP, UroLift, Rezum or iTind.

Request a second opinion Call 02 8382 6980