A transurethral resection of the prostate (T.U.R.P.) is an operation for men who have problems passing urine because of an enlargement of the prostate gland. The prostate is a small but important gland of the male reproductive system. Its main job is to produce seminal fluid which protects and enriches the sperm. The prostate gland sits just below the bladder and surrounds the neck of the bladder and the beginning of the urethra (the canal from which you pass your urine).

The cause of prostate enlargement is unknown but it appears to be due to changes in the levels of male hormone in the blood in the aging male. When the prostate tissue enlarges inward it squeezes on the urethra causing some or all of the following symptoms...

• frequency, (the need to void often)
   
• urgency, (the need to void in a hurry)
   
• nocturia (the need to get up at night to void)
   
• weak stream
   
• incomplete emptying of the bladder.

The aim of the T.U.R.P. is to remove the prostate tissue which is causing the blockage, so you get relief of your symptoms.

WHY IS A T.U.R.P. NEEDED?

If your prostate gland is squeezing on the urethra and causing obstruction, your bladder may be unable to empty itself completely. Over a prolonged period, the urine build-up can overstretch the bladder and occasionally the urine can prevent the kidneys draining properly. This can lead to kidney damage and can have a large impact on your general health. Usually however, the operation is needed because of the unpleasant symptoms mentioned earlier.