In transurethral resection of the prostate, (a) the median lobe is resected
and (b) lateral adenoma tissue removed, leaving a cavity that
subsequently epithelializes over 4-6 weeks
Using a specialised telescopic instrument, the enlarged and obstructing prostate is scraped and removed through the urethra. There is no operation or scar in the abdomen. This operation is done under spinal or general anesthesia and takes about 1 hour. After the operation, a urine tube is placed into the bladder for continuous bladder irrigation. This tube is removed after a day or two and the total hospital stay is about 3 days. Urinary symptoms and urine flow improve remarkably with this surgery. Main side effect is retrograde ejaculation. However sexual function like erection and orgasm are usually not affected.
