Complications of TURP Transurethral electrical resection of the prostate remains the main intracavitary treatment for men with bladder outlet obstruction, with significant symptoms or with complications. In recent years, many new minimally invasive treatments have emerged, such as laser therapy, although there is no convincing information to prove its superiority over TURP. and other factors, these risks increase. In the United States, TURP patients have decreased due to the increase in new treatments for prostate enlargement, combined with an increase in medical medications and patients awaiting observation. The study noted that one in four patients had a poor postoperative outcome because of symptoms or urinary flow rate results. In the long term, one fifth of patients have to have a second surgery. This affects patient and physician choice and confidence in TURP. Early complications, 80% of prostate surgeries were TURP in the seventies and 95% in the eighties. Deaths are rare, with a mortality rate of 0.1% in 3000 surgeries in 13 centers and 0.3% in the latest data from the UK. Risk factors: renal insufficiency, urinary tract infection, emergency admission, urinary retention, prostate cancer, advanced age and medical disease, inexperience of the surgeon. The mortality rate is 5 to 10 times higher for advanced age with urinary retention, renal insufficiency and prostate cancer. An oversized prostate is also a risk factor. In some hospitals, the mortality rate is two or four times higher, which is normal, but decreases slightly when the patient is more physically active. Special complications Rectal perforation, bleeding, early secondary surgery due to urinary extravasation.