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Transurethral resection of the prostate (TURP) syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. [ 1 ]
If medical treatment does not reduce a patient's urinary symptoms, a TURP may be considered following a careful examination of the prostate or bladder through a cystoscope. If TURP is contraindicated, a urologist may consider a simple prostatectomy, in and out catheters, or a supra-pubic catheter to help a patient void urine effectively. [3]
However, after this endoscopic surgery the ejaculations are dry in about 65% of patients, unless a novel, ejaculation preserving, altered technique of TURP is applied. [ 1 ] [ 2 ] Simple prostatectomy can also be offered to men who have large prostates (>50 grams).
If a person undergoes TURP as an outpatient procedure, which is most common, it will fall under Medicare Part B coverage. In 2025 , Part B has a monthly premium of $185 and an annual deductible of ...
Medicare covers TURP surgery for people who qualify. You may still have out-of-pocket costs such as deductibles and coinsurance. Does Medicare Cover TURP Surgery, and How Much Does It Cost?
Surgery on the bladder neck accounted for about ten percent of the cases of retrograde ejaculation or anejaculation reported in a literature review. [5] Retrograde ejaculation is a common side effect of medications, such as tamsulosin, [6] that are used to relax the muscles of the urinary tract, treating conditions such as benign prostatic ...
Preservation of normal ejaculation is possible after transurethral resection of the prostate (TURP), open or laser enucleation of adenoma and laser vaporisation of prostate. However, retrograde ejaculation is a common problem. Preservation of ejaculation is the aim of some new techniques. [18]
Robotic surgery can have a small effect on postoperative pain between right after surgery, a shorter hospital stay and a lower requirement for blood transfusions. [12] One common problem associated with this surgery is incontinence, or urinary leakage, which occurs for 6–12 months after the removal of the catheter placed during surgery.
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