Why TURP Surgery is the Preferred Choice for Enlarged Prostate Treatment over HoLEP?
By Dr. Anup Ramani
An enlarged prostate, medically known as benign prostatic hyperplasia (BPH), is a common condition affecting older men. As the prostate enlarges, it obstructs the urethra and disrupts normal urine flow, leading to discomfort, frequent urination and other urinary issues. If conservative treatments are ineffective, surgery is often the recommended solution.
Among the various surgical options available, two prominent techniques are TURP (Transurethral Resection of the Prostate) and HoLEP (Holmium Laser Enucleation of the Prostate). Both procedures aim to remove prostate tissue obstructing the urethra, but TURP surgery continues to be the gold standard for most patients due to its proven track record, quicker recovery and widespread accessibility. While HoLEP has gained popularity due to its laser technology, TURP surgery remains the preferred choice for enlarged prostate surgery in India.
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TURP Surgery for Enlarged Prostate Treatment
TURP (Transurethral Resection of the Prostate) is a surgical procedure that removes excess prostate tissue causing obstruction to urine flow. It is a minimal invasive surgery, meaning no large incisions are needed. Instead, the procedure is done through the urethra using a resectoscope, which is a special tool inserted through the penis. The resectoscope has an electrical loop that trims and removes the overgrown prostate tissue, effectively improving urine flow.
The TURP surgery, with spinal anesthesia being used for pain management. Most patients are able to walk on the same day as the surgery and are typically discharged within 2-3 days. The catheter that drains the bladder post-surgery is removed after about 4 days and patients can generally return to light work within 1 week. More strenuous activities should be avoided.
Why TURP is Still the Best Option for Enlarged Prostate Treatment?
While HoLEP offers a modern alternative, TURP surgery offered by Dr. Anup Ramani, continues to be the go-to procedure for treating BPH Surgery due to several compelling reasons:
Proven Success and History
TURP surgery has been the standard of care for enlarged prostate treatment for decades, with a long history of successful outcomes. It has consistently delivered effective results for patients worldwide, making it a reliable and time-tested procedure. The established efficacy of TURP is backed by decades of research and it continues to be the procedure of choice for most men seeking bladder cancer treatment or BPH surgery.
Unlike HoLEP, which is relatively new, TURP has a track record for relieving BPH symptoms and improving urinary flow with long-term success. This extensive clinical history gives both patients and healthcare provider’s confidence in its reliability.
Faster Recovery
One of the key advantages of TURP surgery over HoLEP is the faster recovery time. With TURP, most patients can return to their routine activities much sooner. Many patients are able to resume office work within 1 week and the hospital stay is typically shorter – just 2-3 days compared to HoLEP, which can require a longer hospital stay.
The procedure is minimal invasive and patients often experience less postoperative pain. TURP surgery’s quicker recovery time is particularly beneficial for those who are keen on returning to work and maintaining their daily activities with minimal interruption.
Lower Cost
TURP surgery tends to be more cost-effective compared to HoLEP. The reason for this is that TURP uses less complex equipment and has been optimized over the years, resulting in lower overall costs. HoLEP, on the other hand, requires specialized equipment and a more complex setup, making it more expensive both for the procedure and hospital stay.
For many patients, TURP surgery in India provides an excellent balance of cost-effectiveness and high-quality care.
Widely Available and Accessible
TURP surgery is easily accessible in major medical centers across Mumbai, with many hospitals offering the procedure. Dr. Anup Ramani specializes in this procedure and has extensive experience in treating men with BPH, ensuring a smooth surgical process and fast recovery.
Since TURP is so widely practiced, it’s also easier for patients to find a healthcare provider who has significant expertise with the procedure. The broad availability of TURP makes it a go-to option for many patients.
HoLEP: The Laser Technology Alternative
HoLEP uses laser technology to remove prostate tissue, with the laser vaporizing or enucleating the tissue. While it is considered a minimal invasive procedure, it involves the use of a specialized holmium laser, which can sometimes be difficult to handle for surgeons who are not as experienced with laser technology.
Advantages of HoLEP:
- Less Bleeding: The holmium laser minimizes bleeding, making it an appealing option for patients at higher risk of bleeding.
- Good for Larger Prostates: HoLEP is sometimes recommended for patients with larger prostates that cannot be treated by TURP.
However, despite its advantages, HoLEP comes with its own set of drawbacks:
- Longer Procedure: HoLEP typically takes surgery times exceeding 1 hour.
- More Expensive: The need for specialized laser equipment and longer procedures makes HoLEP costlier.
- Longer Recovery: It may require a longer recovery time.
Why TURP Remains the Preferred Choice for Enlarged Prostate Surgery?
Given its proven success, quick recovery, lower cost and wider accessibility, TURP surgery for enlarged prostate treatment in India remains the preferred choice for most men dealing with an enlarged prostate.
TURP’s Reliability and Safety
TURP surgery is highly reliable for treating BPH and the procedure is well-understood by surgeons. The risk of complications is minimal with an experienced surgeon, who has extensive expertise in performing TURP surgery. The risk of bleeding, infection or other complications is significantly lower compared to more complex procedures like HoLEP.
TURP also offers better long-term results for many patients, especially in terms of improved urinary flow and symptom relief.
Faster Return to Normal Life
One of the standout benefits of TURP is the quick recovery. Many patients report feeling better within a few days and can return to office work within a week, unlike HoLEP, which may require a longer period before patients feel fully recovered. This quicker recovery time is an essential consideration for men who want to minimize the disruption to their personal and professional lives.
FAQs About TURP Surgery
What is TURP surgery?
TURP (Transurethral Resection of the Prostate) is a surgical procedure where excess prostate tissue is removed through the urethra using a resectoscope, which does not require any external incisions.
How long does recovery take after TURP surgery?
Most patients can return to work within a week after TURP surgery. Strenuous activities like heavy lifting or running should be avoided for about a month.
What are the advantages of TURP over HoLEP?
TURP surgery has a quicker recovery time, is more cost-effective and has a proven track record with a low complication rate compared to HoLEP.
Is TURP surgery painful?
TURP surgery is minimal invasive and performed under anesthesia, so patients typically experience minimal pain during and after the procedure.
Can TURP be performed on all men with an enlarged prostate?
Yes, TURP surgery is suitable for most men with BPH. However, men with very large prostates or those at high risk of bleeding may be considered for HoLEP or other treatment options.
Conclusion
While HoLEP may be a viable option for specific cases, TURP surgery continues to be the best treatment for enlarged prostate due to its proven success, cost-effectiveness and quick recovery. If you are considering enlarged prostate treatment in Mumbai, Dr. Anup Ramani specializes in TURP surgery offers the best combination of efficiency, safety and long-term results.
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PARTIAL PENECTOMY
- Partial penectomy is done in cases where glans and distal penis is involved with carcinoma.
- Partial penectomy is a type of organ-preserving surgery. Preservation of sexual and micturational function depends on the surgical dissection and reconstruction of residual urethra.
Kidney Stone Removal
- Patients who develop stones in the kidney or ureter, often experience severe pain.
- This condition usually needs a procedure to remove the kidney stones.
- This procedure is called ureteroscopy and is performed very commonly.
- It does not require any cuts and hence it is painless.
- The procedure is performed with an endoscope inserted through the penis under spinal anesthesia.
- The scope is inserted through the penis into the kidney and stones are dissolved with a laser.
- The procedure takes about 40-50 minutes.
- A catheter (urine pipe) is kept after the procedure to drain the bladder. A stent is kept in the kidney at the same time.
- Patient is mobile and walking in the room the same evening.
- Hospital stay is one night and patient is discharged the next day after removal of the catheter.
- Patient has to come back after six weeks to remove the stent in the kidney.
- Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
- We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
- Men with an enlarged prostate, which is a normal ageing changes, often experiencing difficulty passing urine. This condition usually needs a procedure to trim the prostate and relieve the blockage.
- This procedure is called TURP and is performed very commonly.
- It does not require any cuts and hence it is painless.
- The procedure is performed with an endoscope inserted through the penis under spinal anaesthesia.
- The overgrown prostate is dissolved with a laser bloodlessly.
- The procedure takes about 40 minutes.
- A catheter (urine pipe) is kept after the procedure to drain the bladder.
- Patient is mobile and walking in the room the same evening.
- Hospital stay is two nights and patient is discharged with the catheter, which is removed after 4 days.
- Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
- We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
ROBOTIC ADRENALECTOMY FOR ADRENAL GLAND TUMOUR
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Robotic adrenalectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.
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Once the anesthesia is done, and patient positioned, three micro cuts (3mm each) are made in the patient’s abdomen.
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The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
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Dr. Ramani then sits in the controlling console to perform the surgery.
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On an average, a robotic adrenalectomy takes one hour.
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The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
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A urine catheter and bag to drain the bladder is inserted during surgery.
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A tiny drain pipe may be inserted in the surgical side of the abdomen, connected to a bag.
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Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.
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The drain pipe, if kept, is removed in the room on day 2 after surgery.
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The catheter is removed on day two after surgery.
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Total hospital stay for robotic adrenalectomy is 4 nights (including night before surgery).
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Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home. Almost all patients are back to work within 2 weeks of surgery.
Heavy activities like running, weight lifting can be resumed after a month
FOLLOW UP AFTER SURGERY
Follow up after an adrenalectomy is in the form of CT scans, once a year for 5 years.
Local patients usually meet Dr. Ramani after two weeks to discuss report.Outstation patients are counselled on a phone consultation.
ROBOTIC SURGERY FOR BLADDER CANCER
- Dr. Ramani is one of the very few surgeons in India who has the expertise to perform a robotic surgery for bladder cancer, which includes removing the urinary bladder and reconstructing a new bladder robotically.
- Robotic radical cystectomy is an extremely sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.
- Once the anaesthesia is done, and patient positioned, six micro cuts (3mm each) are made in the patient’s abdomen.
- The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
- Dr. Ramani then sits in the controlling console to perform the surgery.
- On an average, a robotic radical cystectomy with an ileal conduit takes 3-4 hours.
- The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
- A urine catheter and bag to drain the new bladder is inserted during surgery.
- Two tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
- Patient is kept nil-by-mouth for 4 days after surgery with IV supplementation of patient’s daily requirements of calories, fats, carbohydrates, proteins and electrolytes.
- The drain pipes are removed in the room on day 3-5 after surgery.
- Total hospital stay for radical cystectomy is 8 nights (including night before surgery).
- Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
- On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home.
- Almost all patients are back to work within 6 weeks of surgery. Heavy activities like running, weight lifting can be resumed after two months.
FOLLOW UP AFTER SURGERY
Follow up after a radical a cystectomy is in the form of CT scans, once a year for 5 years.
Histopathology report: Local patients usually meet Dr. Ramani after two weeks to discuss report.
Outstation patients are counselled on a phone consult. Depending on the report, patient may or may not need chemotherapy after surgery.
If chemo is needed, patients may choose to get it done with a medical oncologist of their choice or avail the services of one of the four medical oncologists on our team.
ROBOTIC RADICAL/PARTIAL NEPHRECTOMY FOR KIDNEY CANCER
- Robotic partial nephrectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications. Robotic radical (total) nephrectomy is
- relatively easier but still requires significant experience to consistently deliver results.
- Once the anaesthesia is done, and patient positioned, five micro cuts (3mm each) are made in the patient’s abdomen.
- The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
- Dr. Ramani then sits in the controlling console to perform the surgery.
- On an average, a robotic radical nephrectomy takes one hour and a robotic partial nephrectomy takes about an hour and half.
- The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
- A urine catheter and bag to drain the bladder is inserted during surgery.
- A tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
- Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.
- The drain pipe is removed in the room on day 3 after surgery. The catheter is removed on day two after surgery.
- Total hospital stay for radical/partial nephrectomy is 4 nights (including night before surgery).
- Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
- On the day of discharge, patient is totally self- sufficient.
- They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home.
- Almost all patients are back to work within 2-3 weeks of surgery.
- Heavy activities like running, weight lifting can be resumed after a month.
FOLLOW UP AFTER SURGERY
- Follow up after a radical/partial Nephrectomy is in the form of CT scans, once a year for 5 years.
- Local patients usually meet Dr. Ramani after two weeks to discuss report.
- Outstation patients are counselled on a phone consultation.