Transurethral (= via the urethra) resection of the prostate (so-called "minor prostate surgery") is considered the standard procedure for the surgical treatment of benign prostate enlargement (benign prostatic hyperplasia or prostate adenoma).
Course of treatment
Transurethral resection of the prostate is performed using a resectoscope. A wire loop through which an electric current flows is used to resect the tissue. This is used to remove excess tissue in the prostate in layers. Any bleeding that occurs is cauterised electrically (cauterisation). During the operation, sterile fluid is constantly flushed through the resectoscope to improve visibility. The surgeon can follow the operation on a screen with the help of a camera.
The removed tissue is flushed out and examined under a microscope. At the end of the operation, a urethral catheter is inserted. This is used to continuously flush the bladder for the first 24 hours in order to prevent the formation of blood clots and blockage of the catheter. The catheter is usually removed on the 2nd or 3rd day after the operation. In most cases, the patient can leave the hospital one day later.
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