Transurethral resection of the prostate (TURP) is a well-established surgical treatment for BPH. A specialized instrument is passed through the urethra and used to remove obstructing prostate tissue, creating a wider channel for urine to pass.

TURP provides significant and durable improvement in urinary symptoms and urinary flow. It is generally performed under anesthesia and may require an overnight hospital stay, although some patients can be discharged the same day.

A urinary catheter is typically left temporarily after surgery. Blood in the urine, urinary urgency, frequency, and burning are common during recovery. Most patients experience substantial improvement over several weeks. Risks include bleeding, infection, urethral stricture, bladder neck contracture, temporary urinary leakage, and retrograde ejaculation, which is common after TURP.