What is the most widely used procedure for prostate gland removal?

• A. Transurethral resection of the prostate (TURP)
• B. Suprapubic prostatectomy
• C. Retropubic prostatectomy
• D. Transurethral laser incision of the prostate

Answer: (A)

Transurethral resection of the prostate is the most widely used method for removing obstructing prostatic tissue in BPH. In this endoscopic approach, a resectoscope is inserted through the urethra and tissue is shaved away in small pieces, without an external incision. This technique provides reliable and durable relief of urinary symptoms, with the advantages of less blood loss, shorter hospital stays, and quicker recovery compared with open surgical options. It can be done under regional or general anesthesia and allows precise debulking of the obstructing tissue.

Open approaches like suprapubic or retropubic prostatectomy involve larger incisions, more blood loss, and longer recovery, so they’re less commonly used today. Laser-based transurethral procedures offer alternatives with less bleeding, but their use varies by center and they have different long-term outcomes and availability. Overall, TURP remains the standard and most frequently performed procedure for relieving prostatic obstruction.