Transurethral resection of the prostate

Last revised by Dr Joachim Feger on 19 Oct 2021

Transurethral resection of the prostate (TURP) is a traditional therapy for lower urinary tract symptoms (LUTS) and prostatism from benign prostatic hyperplasia. Transurethral resection of the prostate results in characteristic imaging features.

  • irregular midline gap in the prostate at the bladder neck
  • limited utility for evaluation of post-TURP anterior urethral strictures
  • VCUG shows a cone-like widening of the prostatic urethra
  • RUG/VCUG good for evaluating possible post-TURP stricture
  • hemorrhage (early)
  • extravasation of irrigating fluid into the periprostatic tissue and the space of Retzius (early)
  • development of a bladder neck contracture
  • prostate regrowth

Transurethral resection of the prostate was developed in the 1920s and has been used continuously since that time. The number of TURP procedures has been decreasing with the advent of other minimally invasive therapies.

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Cases and figures

  • Case 1: a TURP on voiding cystourethrogram
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  • Case 1: a 3D CTU reconstruction of a TURP
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  • Case 1: a TURP on CTU
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  • Case 1: a TURP defect on MRI
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  • Case 2: prostate cancer - detected on TURP
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  • Case 3: prostate cancer - detected on TURP
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