Ghatkopar (East), Mumbai)
TURP Surgery in Mumbai - Prostate Treatment for Urinary Blockage
Gold Standard BPH Surgery | Immediate Flow Improvement | 24/7 Urology Care
For millions of men over 50, an enlarged prostate quietly takes over life - forcing trips to the bathroom through the night, creating a stop-start urinary stream, and leaving a persistent, uncomfortable sensation that the bladder never fully empties. TURP surgery in Mumbai at Shree Hospitals gives these men their lives back.
Transurethral resection of the prostate is the most extensively proven surgical treatment for benign prostatic hyperplasia in the world - removing the obstructing prostate tissue from within through a natural passage, without a single external cut. Most patients urinate freely from the morning after their procedure. When medication is no longer enough, TURP is the clear next step.
Don't Ignore Urinary Symptoms. Get Timely Urology Care Today.
Quick facts
Type & Duration: Transurethral resection of the prostate (TURP); 60 to 90 minutes
Hospital Stay: 2 to 3 days
Recovery Time: Return to light activity in 1 to 2 weeks; full recovery in 4 to 6 weeks
Type of Anaesthesia: Spinal or general anaesthesia
Type of Surgery: Endoscopic - no external incision; access through the urethra
Type of Assistance: Pre-operative prostate assessment, prostate resection under resectoscope, catheter management, post-operative urine flow monitoring, uroflowmetry follow-up
What is TURP (Transurethral Resection of the Prostate)?
The prostate gland surrounds the urethra at its exit from the bladder. As men age, benign prostatic hyperplasia - non-cancerous prostate enlargement - causes the gland to grow inward, compressing the urethral channel like a clamp on a hose.
The result is urinary obstruction: a stream that has weakened and hesitates to start, incomplete bladder emptying, urgency that arrives without warning, and the exhausting pattern of waking 2, 3, or 4 times each night to urinate.
Transurethral resection of the prostate addresses this directly. A resectoscope - a thin, illuminated instrument - is introduced through the urethra to the level of the prostate under direct camera vision.
Using an electrosurgical loop, the surgeon systematically removes the obstructing prostate tissue from the inside, widening the urethral channel. No incision is required. The resected tissue passes out in the irrigation fluid and is sent for histopathology to exclude unexpected cancer.
BPH treatment has several surgical options - TURP, laser prostatectomy (HoLEP), and open prostatectomy - and TURP remains the benchmark against which all other approaches are measured.
Decades of data confirm durable symptom relief, significant improvement in urine flow rate, and low long-term reoperation rates. At Shree Hospitals, TURP is our most commonly performed prostate resection procedure, with consistent outcomes reflected in post-operative uroflowmetry and symptom score improvements.
Symptoms That Signal You May Need TURP
- Weak or intermittent urinary stream despite pushing
- Waking 3 or more times per night to urinate (nocturia)
- Sensation of incomplete bladder emptying after voiding
- Sudden strong urge to urinate that is difficult to defer
- Urinary retention - complete inability to pass urine (emergency)
- Recurrent urinary tract infections caused by incomplete emptying
When Is TURP the Right Surgical Choice?
- Benign prostatic hyperplasia confirmed on ultrasound or MRI
- Moderate to severe symptoms unresponsive to 6 to 12 months of medication
- Prostate volume between 30 and 80ml - optimal TURP range
- Urinary retention requiring catheter - medical failure
- Recurrent haematuria, bladder stones, or upper tract dilatation caused by obstruction
- Patient preference for the most extensively proven surgical option
How TURP Compares to Other BPH Options?
- More effective than medication alone for severe urinary obstruction
- Equivalent long-term outcomes to laser surgery (HoLEP) for most prostate sizes
- Open prostatectomy reserved for very large prostates above 80 to 100ml
- Transurethral resection has the longest evidence base - 50+ years of outcome data
- Day 1 post-op catheter trial often successful - faster to flow than laser for moderate glands
- Less expensive than robotic approaches; widely available at centres with experienced urologists
Getting up three times a night is not normal ageing. It is obstruction - and it is fixable.
TURP at Shree Hospitals is a morning procedure with a meaningful change in quality of life by the time you go home.
24×7 Emergency Care
Our Approach to TURP Surgery
Every man who presents with BPH treatment needs is assessed individually - symptom severity, prostate size, bladder function, medical comorbidities, and medication history all shape the surgical plan.
Our approach to TURP is thorough, personalised, and focused on durable relief.
24×7 Emergency Care
Complete Pre-Operative Prostate Assessment
Before recommending TURP, every patient undergoes a full assessment: International Prostate Symptom Score (IPSS), uroflowmetry to measure peak urine flow rate, post-void residual ultrasound, prostate-specific antigen (PSA) to screen for cancer, and transrectal ultrasound to measure prostate volume. This baseline data quantifies the severity of urinary obstruction and allows post-operative outcomes to be objectively measured.
Bipolar TURP for Safer Resection
Our operating theatres use bipolar resectoscopes for transurethral resection - allowing saline irrigation rather than glycine. Bipolar TURP eliminates the risk of TURP syndrome (dilutional hyponatraemia from glycine absorption) - the most serious historical complication of the procedure. Patients with cardiac comorbidities and those requiring longer resection times benefit significantly from this technology upgrade.
Systematic Resection With Haemostasis
Our surgeons perform prostate resection systematically - removing tissue in anatomical zones to maximise channel widening and minimise bleeding. Thorough haemostasis at procedure end reduces post-operative catheter duration and the risk of clot retention. The prostate capsule is identified and preserved to define the resection boundary and protect the external sphincter - critical for maintaining urinary continence.
Post-Operative Catheter Management and Discharge Planning
A urethral catheter is left in place for 24 to 48 hours post-TURP to allow the resection cavity to seal. The catheter is removed as soon as irrigation fluid is clear. Most patients pass urine independently within hours of catheter removal and are discharged within 48 to 72 hours. Discharge advice covers fluid intake, activity restrictions, and the expected course of symptoms - including the transient urgency and frequency that resolve over 4 to 6 weeks as the prostatic cavity heals.
Top TURP Surgeons in Mumbai
Our urology team at Shree Hospitals manages the full spectrum of benign prostatic hyperplasia surgery - from first-line medical management to complex high-volume TURP and laser prostatectomy.
Men who have lived with obstructive symptoms for years find that our team delivers what medication never could: a clear, confident urinary stream and uninterrupted sleep.
24×7 Emergency Care
Dr. Shyam Mohan
Robotic Urological Surgery, Uro-Oncology
Dr. Alap Mehendale
Urologist, Andrologist, Kidney Transplant Surgeon
Related Prostate Treatments at Shree Hospitals
TURP is the most established BPH treatment - but the right surgical approach depends on prostate size and patient factors. Our programme covers all options
Laser Prostate Surgery (HoLEP)
Holmium laser enucleation for all prostate sizes; no bleeding risk, suitable for patients on anticoagulants.
Robotic Urology Surgery
Robot-assisted prostatectomy for prostate cancer; different indication from TURP.
Ureteroscopy (URS)
For bladder stones that develop secondary to chronic urinary obstruction from BPH.
Reconstructive Urology
For urethral stricture - a separate cause of urinary obstruction requiring different treatment.
Step by Step Process of TURP Surgery
Step 1 - Assessment, Prostate Mapping & Pre-Op Preparation
Your urologist completes IPSS scoring, uroflowmetry, post-void residual measurement, PSA, and transrectal ultrasound to confirm diagnosis and prostate volume. Benign prostatic hyperplasia is confirmed and surgical indication is established. Anticoagulant medication is reviewed and adjusted. You fast from midnight before surgery. Anaesthetic assessment is completed and spinal anaesthesia planned in most cases.
Step 2 - Anaesthesia & Resectoscope Placement
Spinal or general anaesthesia is administered. You are positioned in the lithotomy position. The bipolar resectoscope is introduced through the urethra under direct vision to the prostatic urethra - the section of the urethra surrounded by the prostate. Saline irrigation is started. The obstructing lateral and median lobes of the prostate are identified and the resection planned.
Step 3 - Systematic Prostate Resection
The electrosurgical loop of the resectoscope cuts and coagulates simultaneously - removing chips of prostate tissue with each pass. Transurethral resection proceeds systematically through each prostatic lobe. Resected chips are flushed continuously through the sheath by irrigation flow. Haemostasis is secured at each zone before moving to the next. The resection concludes when the prostatic cavity is fully widened and haemostasis is confirmed. Total operative time is typically 60 to 90 minutes.
Step 4 - Catheter Placement, Recovery & Discharge
A 3-way urethral catheter is placed for continuous bladder irrigation overnight. You are monitored for bleeding and vital signs in the recovery ward. Irrigation is stopped when drainage clears - typically by the following morning. The catheter is removed at 24 to 48 hours. Most patients void freely within 1 to 2 hours of catheter removal. Discharge follows with written advice on activity, fluid intake, and outpatient uroflowmetry at 4 to 6 weeks.
Patient Questions About TURP Surgery
Will TURP affect my sexual function?
This is the question most men ask - and deserve a direct, honest answer. Transurethral resection of the prostate commonly causes retrograde ejaculation - where semen travels backward into the bladder during orgasm rather than being expelled externally. This occurs in 60 to 90% of patients and is a predictable consequence of removing the internal urethral sphincter tissue that normally prevents retrograde flow. It does not affect the sensation of orgasm or erectile function. Erectile dysfunction following TURP is uncommon (5 to 10%) and is generally not caused by the resection itself but may reflect pre-existing vascular disease. Patients for whom fertility is a concern should discuss sperm banking and timing before surgery.
How long do the results of TURP last?
TURP provides durable relief in the majority of patients - long-term studies show 75 to 80% of patients remain symptom-free at 10 to 15 years. However, the prostate continues to grow after prostate resection - a small proportion of patients (5 to 15%) will require a repeat TURP or alternative BPH treatment over a 10-year period. Factors influencing durability include the completeness of the initial resection, patient age, and prostate growth rate. Regular annual review with PSA and uroflowmetry allows early identification of recurrence before symptoms return fully.
Is TURP safe for older men with heart conditions?
Spinal anaesthesia - the preferred technique for TURP - avoids general anaesthetic risks and is generally well tolerated in older men with cardiovascular comorbidities. Bipolar transurethral resection using saline irrigation eliminates TURP syndrome - the most serious historical cardiac risk of the procedure. Your urologist and anaesthetist will review your cardiac history, current medications (particularly anticoagulants and antiplatelet agents), and optimise your medical condition before surgery. TURP can be safely performed in men in their 70s and 80s with appropriate pre-operative preparation.
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