Transurethral resection of the prostate

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

  • acute urinary retention
  • recurrent infection
  • recurrent hematuria
  • azotemia
  • symptomatic bladder outlet obstruction
  • irregular midline gap in the prostate at the bladder neck
  • limited utility for evaluation of post TURP anterior urethral strictures
  • VCUG shows 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

TURP 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.

Article information

rID: 40585
System: Urogenital
Synonyms or Alternate Spellings:
  • TURP
  • TURP defect

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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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