Benign prostatic hyperplasia (BPH) is a common condition in older men that involves enlargement of the prostate gland. As the prostate grows, it can squeeze the urethra, leading to a variety of frustrating urinary problems like frequent urination, difficulty emptying the bladder, and a constant urge to go.
Transurethral resection of the prostate (TURP) surgery is a common procedure to relieve these symptoms. During TURP, a surgeon inserts a resectoscope through the urethra to trim away excess prostate tissue that’s blocking urine flow.
If you’re considering TURP, you probably want to know what to expect in terms of recovery, potential complications, and getting back to your normal routine. This article will provide a guide to life after TURP surgery.
The immediate post-operative period
Here’s what you can expect right after your TURP procedure.
Hospital stay
Most men stay in the hospital for one to three days after TURP. The length of your stay will depend on the specifics of your surgery and your overall health.
During your hospital stay, you’ll likely receive IV fluids until you’re fully recovered from anesthesia. You’ll also have a catheter in place to help drain your bladder.
Your medical team may also flush your bladder with water periodically to keep it clear.
Catheter and initial discomfort
The catheter will stay in place for a while after your surgery, allowing your bladder and urethra time to heal so you can resume urinating normally.
It’s common to experience some discomfort and bladder spasms while the catheter is in place. These side effects are generally mild and manageable with over-the-counter pain relievers.
Recovering at Home: The First Few Weeks
Once you’re discharged, the real recovery begins. Here’s what to expect in the first few weeks after your TURP surgery:
Physical Activity and Rest
Rest is crucial. It’s normal to feel tired and generally unwell for a week or two after the procedure. Your body needs time to heal.
For the first 3-4 weeks, avoid heavy lifting and strenuous exercise. Think of it like this: you want your body to focus on healing, not on powering through a tough workout. However, that doesn’t mean you should be completely sedentary. Gentle exercise, like walking, can help with circulation and prevent blood clots.
Diet and Hydration
Hydration is key! Drinking plenty of water helps reduce the risk of urinary tract infections (UTIs) and helps clear any blood from your urine. Aim for several glasses of water throughout the day.
Also, focus on high-fiber foods to prevent constipation. Constipation can put extra strain on the surgical area, which you definitely want to avoid. Think fruits, vegetables, and whole grains.
Urinary Function
It’s common to experience some difficulty urinating after the catheter is removed. You might find it hard to start the flow or have some dribbling. This usually resolves within a few days, but it can be frustrating.
In some cases, you might need to have a catheter reinserted temporarily if you’re unable to urinate. Don’t hesitate to contact your doctor if you’re concerned.
Pelvic floor exercises (Kegels) can be beneficial for regaining bladder control, but other treatments like Emsella may also be options depending on contraindications. Your doctor or a physical therapist can show you how to do these exercises correctly.
Potential Complications and Side Effects
Like any surgery, TURP has some potential complications and side effects to be aware of.
Blood in Urine (Hematuria)
Seeing blood in your urine is common in the weeks after TURP, especially in the first week or two as the area heals. You might notice more blood around one to two weeks post-surgery, as scabs start to come off.
One of the best ways to manage blood in your urine is to drink plenty of fluids. This helps flush the blood out and keeps you hydrated.
Urinary Tract Infections (UTIs)
There’s a slightly higher risk of getting a UTI after TURP. Staying well-hydrated can help prevent these infections.
Other Potential Issues
While less common, some other potential issues can arise after TURP, including: erectile dysfunction.
- Erectile dysfunction
- Retrograde ejaculation (this is when semen goes backward into the bladder instead of out the penis during orgasm, often called a “dry orgasm”)
- Incontinence (trouble holding your urine)
- Stricture (narrowing of the urethra)
Returning to Normal Activities
Wondering when you can get back to your regular routine? Here’s a breakdown:
Work
Most people need to take time off from work to heal after a TURP procedure. The amount of time you’ll need depends on the type of work you do. If your job is physically demanding, you should plan to take off for about 3-4 weeks.
Other factors that can influence how quickly you return to work include your overall health, your age, and how well you’re healing.
Driving
Don’t drive until you’ve talked with your doctor. They’ll let you know when it’s safe for you to get behind the wheel again.
Sexual Activity
You’ll likely need to hold off on sex for around 3-4 weeks. Talk to your doctor if you have questions or concerns.
It’s also worth noting that TURP can sometimes lead to changes in sexual function, and knowing how to navigate changes, such as life after EDEX discontinuation, is helpful. One common change is retrograde ejaculation, where semen flows backward into the bladder instead of out of the penis during orgasm. It’s not harmful, but it can affect fertility.
When to seek medical attention after TURP surgery
While some discomfort and side effects are normal after TURP, certain symptoms warrant immediate medical attention. Don’t hesitate to contact your doctor or go to the nearest emergency room if you experience any of the following:
- A high fever
- Severe, unmanageable pain
- Inability to urinate
- A large amount of blood or blood clots in your urine
- Signs of infection (increased redness, swelling, pus, or worsening pain)
It’s always best to err on the side of caution when it comes to your health. If something doesn’t feel right, get it checked out.
Frequently Asked Questions
How much prostate is removed in TURP?
During a TURP procedure, the surgeon removes only the portion of the prostate gland that’s causing the urinary blockage. The goal isn’t to remove the entire prostate, but rather to create a wider channel for urine to flow freely. The amount removed varies depending on the size of the prostate and the extent of the blockage.
What are the precautions after TURP surgery?
Post-TURP, it’s crucial to follow your doctor’s instructions carefully. Common precautions include avoiding heavy lifting, straining during bowel movements (a stool softener may help), and engaging in strenuous activities for several weeks. Drink plenty of fluids, and avoid alcohol and caffeine, as these can irritate the bladder. Contact your doctor immediately if you experience heavy bleeding, fever, or difficulty urinating.
What is recovery from TURP like?
Recovery after TURP typically involves a hospital stay of 1-2 days. You’ll likely have a catheter for a short period to drain your bladder. Expect some blood in your urine initially, which should gradually clear. It’s normal to experience frequent urination and urgency for a few weeks. Full recovery can take several weeks to a few months, during which you should gradually resume normal activities.
Do you stop tamsulosin after TURP?
Whether or not you stop taking tamsulosin (Flomax) after TURP depends on your individual situation and your doctor’s recommendations. Tamsulosin is often prescribed to relax the prostate muscles and improve urine flow. After TURP, if the procedure has successfully relieved the blockage, your doctor may advise you to discontinue tamsulosin. Follow your doctor’s specific instructions.
What is the rule of 60 in TURP?
I am sorry, but I don’t know what the rule of 60 in TURP is. You may want to consult your doctor for more information.
Key Takeaways
Life after TURP surgery starts with a period of recovery, where you’ll focus on managing any discomfort and following your doctor’s instructions.
It’s really important to attend your follow-up appointments, usually scheduled a few weeks after your surgery, so your doctor can monitor your progress and address any concerns you might have.
The good news is that TURP surgery often brings long-lasting relief, leading to improved urinary function and a significantly better quality of life.