TURP Prostate Surgery in Lucknow – Dr Manmeet Singh
TURP prostate surgery by Dr Manmeet Singh at Medanta Hospital Lucknow.
TURP Surgeon in Lucknow
Transurethral Resection of the Prostate (TURP) is the most established surgical treatment for benign prostatic hyperplasia (BPH) causing significant urinary obstruction. It has been the gold-standard endoscopic prostate operation for decades and continues to deliver excellent, durable outcomes. TURP is offered alongside laser and robotic options by Dr Manmeet Singh — a senior Lucknow prostate specialist.
Dr Manmeet Singh, Director of Urology, Robotics & Kidney Transplant at Medanta Hospital Lucknow, performs TURP and its modern variant — bipolar TURP — for patients with moderate to severe BPH where medical therapy has failed or is no longer appropriate.
What is TURP?
TURP is an endoscopic (keyhole) procedure performed entirely through the natural urinary passage (urethra) — no incision on the abdomen is required. A resectoscope (a thin telescope with an electrical cutting loop) is passed into the urethra and the obstructing central zone of the prostate is removed in small chips, creating a wide channel for urine to flow freely.
Who Needs TURP?
TURP is recommended in the following situations:
- Failed medical therapy — symptoms of BPH (frequent urination, weak stream, incomplete emptying) not controlled by alpha-blockers or 5-alpha reductase inhibitors
- Acute urinary retention — unable to pass urine, requiring a catheter
- Recurrent urinary tract infections secondary to incomplete bladder emptying
- Bladder stones formed due to chronic obstruction from BPH
- Recurrent haematuria (blood in urine) from an enlarged prostate
- Renal impairment caused by obstructed urine flow
- Prostate size 30–80 ml (larger prostates are better addressed by HoLEP)
How is TURP Performed?
- Patient is placed under spinal or general anaesthesia
- A resectoscope is passed through the urethra into the bladder
- Obstructing prostate tissue is resected (cut) in small chips using an electrical loop
- The chips are washed out of the bladder at the end of the procedure
- A urethral catheter is placed and remains in for 48–72 hours to drain the bladder while initial healing occurs
- The catheter is removed when urine is clear — usually within 2–3 days
Bipolar TURP vs Monopolar TURP
Modern TURP is performed using bipolar technology, which offers significant advantages over the older monopolar technique:
- Bipolar TURP uses saline (normal salt water) as the irrigating fluid — eliminating the risk of dilutional hyponatraemia (TURP syndrome), a dangerous electrolyte disturbance seen with monopolar TURP
- Bipolar TURP can be used safely in patients with cardiac pacemakers
- Equivalent or better haemostasis (bleeding control)
- Suitable for larger prostates
At Medanta Hospital Lucknow, bipolar TURP is the standard technique.
Hospital Stay and Recovery
- Hospital stay: 2–3 days
- Catheter removal: 48–72 hours after surgery
- Return to desk work: 1–2 weeks
- Return to physical activity: 4–6 weeks
- Driving: After 2 weeks
- Sexual activity: After 4–6 weeks
What to Expect After TURP
Some degree of burning, frequency and occasional blood-tinged urine for 2–4 weeks after TURP is normal. This settles as the prostatic cavity heals. Drinking plenty of fluids (2–3 litres per day) during this period helps.
Retrograde ejaculation (semen going into the bladder during orgasm rather than being expelled) occurs in up to 75% of patients after TURP. This does not affect sensation or erection but means semen does not appear during orgasm. It is a known consequence of the procedure, not a complication.
TURP vs HoLEP — Which is Better?
Both TURP and HoLEP (Holmium Laser Enucleation of Prostate) are highly effective for BPH. The choice depends on prostate size and patient factors:
- TURP: Prostate size 30–80 ml, excellent track record, widely available
- HoLEP: Superior for large prostates (>80 ml), less blood loss, catheter out sooner (24–48 h vs 48–72 h), equally durable — preferred for anticoagulated patients
Dr Manmeet Singh performs both procedures and will recommend the most appropriate option based on your prostate size, general health and clinical situation.
Outcomes of TURP
- 80–90% improvement in urinary flow and symptom scores
- Significant improvement in quality of life
- Durable results — most patients remain symptom-free for 10–15 years
- Avoidance of long-term medications
Why Choose Dr Manmeet Singh for TURP in Lucknow?
- Director — Urology, Robotics & Kidney Transplant at Medanta Hospital Lucknow
- 20+ years of endoscopic prostate surgery experience
- Bipolar TURP with modern resectoscopes for maximum safety
- Performs both TURP and HoLEP — tailors choice to patient's prostate size
- MCh Urology & Renal Transplant (SGPGIMS, Lucknow)
- Thorough pre-operative evaluation including uroflowmetry and PSA assessment
Frequently Asked Questions – TURP Prostate Surgery
TURP is an endoscopic procedure performed entirely through the urethra — there is no abdominal incision. It is performed under spinal or general anaesthesia with a hospital stay of 2–3 days. It is well-established and considered a standard urological procedure with an excellent safety profile.
Yes. A urethral catheter is placed at the end of surgery and typically removed after 48–72 hours, once the urine has cleared. Most patients pass urine well shortly after catheter removal.
TURP provides durable symptom relief in 80–90% of patients. Most men remain symptom-free for 10–15 years. A small proportion may require repeat treatment over time as residual prostate tissue can continue to grow.
TURP does not routinely cause erectile dysfunction. Retrograde ejaculation (semen entering the bladder) occurs in up to 75% of patients and is a known consequence — however, this does not affect the ability to achieve erection or experience orgasm.
Bipolar TURP uses normal saline as the irrigating fluid, eliminating the risk of TURP syndrome (dangerous sodium dilution) that can occur with monopolar TURP which uses non-conductive glycine solution. Bipolar TURP is safer and is the current standard at Medanta Hospital Lucknow.
Mild to moderate BPH is usually managed with alpha-blockers and 5-alpha reductase inhibitors. However, when symptoms progress, acute urinary retention occurs, or complications such as bladder stones, recurrent infection or kidney damage arise, surgical treatment becomes necessary.
TURP typically takes 45–75 minutes depending on the size of the prostate. The procedure is performed under anaesthesia, so the patient is comfortable throughout.
Prostate Health Resources
Consult Dr Manmeet Singh – Urologist in Lucknow
Director – Urology, Robotics & Kidney Transplant
Medanta Hospital Lucknow