Transurethral resection of the prostate gland for prostate cancer

Surgical intervention, namely transurethral resection of prostate adenoma (TRP), is considered one of the most effective methods of treating this disease in Ukraine. Also, when a malignant tumor of the prostate gland is detected at the initial stage, which obstructs the urethra, this type of surgical intervention is successfully used. TRP is not a radical treatment. Transurethral resection is intended to improve the patient's quality of life, namely to relieve painful symptoms caused by compression of the urethral canal by the neoplasm.

Advantages of TRP over radical prostatectomy:

• lack of scars and scars on the body;
• low risk of complications;
• minimal risk of bleeding;
• lack of a long rehabilitation period.

A contraindication to treatment with this method is the presence of a large tumor, impaired blood clotting, exacerbation of inflammatory diseases of the genitourinary system, the advanced age of patients.

There are 2 techniques for transurethral resection:

• monopolar TRP - the electric loop is heated by the current passed through the patient's tissues to a temperature that allows resection of the neoplasm and cauterizes the damaged blood vessels;
• bipolar TRP - two electrodes are located at one end of the loop, the formation of a current between them makes it possible to carry out operations for patients with cardiovascular diseases.

TRP prostate surgery is performed under general intravenous or epidural anesthesia and begins with carefully inserting a lubricated endoscope into the urethra and examining it. Further, the surgeon-urologist, under visual control, introduces a resectoscope. It moves along the urethra to the prostate gland, after which the neoplasm is excised with electric loops and the vessels are coagulated. The cut tissue enters the bladder and is flushed out with a fluid that is fed into the resectoscope. Excision of the tumor is carried out under the additional control of a finger of a surgeon-oncourologist inserted into the patient's rectum. After surgery, the patient is usually placed with a Foley catheter, which remains in place for 1-3 days to urinate.

The duration of the operation of resection of the prostate gland takes about 1 hour on average.

The cost of transurethral resection of the prostate in each case is individual and depends on the level of complexity. The price of surgery in the Dobrobut clinic in Kyiv also includes preoperative preparation, the procedure, and consumables, the patient's stay in the clinic.

You can find out the details of the procedure, as well as sign up for a consultation with a doctor by filling out the feedback form on our website or by calling the call center number.

1. Abdul-Muhsin H, et al. Analysis of benign prostatic hyperplasia patients' perspective through a third-party administered survey. Urology. 2016;88:155.
2. Martin Marszalek, Anton Ponholzer, Michael Rauchenwald, Stephan Madersbacher - Palliative transurethral resection of the prostate: functional outcome and impact on survival. Published online, October 11, 2006.
3. Martov AG, Kornienko SI, Gushchin BL, Ergakov DV, Sazonov OA: Intraoperative urological complications in transurethral surgical interventions on the prostate for benign hyperplasia. Urologiia 2005:3-8.
4. Лопаткин Н.А., Сивков А.В., Камалов А.А. и др. Трансуре­тральная резекция предстательной железы и лечебная тактика ведения больных с верифицированным и не верифицированным раком простаты. Матер. Пленума Правления российского общества урологов. М 1999; 231-232.