Trans Urethral Resection of the Prostate (TURP)

Reason for doing a TURP

TURP is commonly performed to treat Benign Prostatic Hyperplasia (BPH)

Blockage of the prostate, can occur with ageing under the influence of male hormones. Occasionally the operation is done to improve urine flow in prostate cancer.

What occurs during the operation

TURP is performed under a general or spinal anaesthetic and takes 1 hour. A telescopic instrument is inserted through the penis along the urethra. The part of the prostate causing the blockage is removed in small pieces via the telescope, using an electrically heated wire loop.

What to expect post operatively

• After the operation, a catheter will be draining the bloodstained urine away. Irrigating fluid will be running through the catheter to clear away blood and clots from the site of the operation. The irrigation will continue until the bleeding settles, usually within 24- 28 hours.
• Once the catheter has been removed it is important to drink plenty of fluids to help flush the blood and or clots from the bladder. Bladder spasms may occur whilst the catheter is in place. These may be uncomfortable and may make you feel that you need to urinate. Medication can be given to relieve these spasms. These will cease once the catheter has been removed.
• The catheter is removed usually 1 - 2 days after surgery and most men are able to pass urine. There may be some initial discomfort due to the healing site and this could be accompanied with the frequent need to urinate, which can be quite strong, and this usually settles over a few weeks.

After going home

• Complete healing will take up to 6 weeks (giving the prostate a new inner lining). It is important to keep up a good fluid intake. Occasionally blood may be seen in the urine, it is important to increase the fluid intake until this disappears.
• It is important not to over exert during the recovery phase as bleeding may reoccur, this includes heavy lifting, gardening, golf and other strenuous activities.
• Avoid constipation, as straining may cause bleeding from the healing prostate. A mild laxative may be necessary, if this is suspected to be a problem.
• Sexual activity may be resumed once full healing of the prostate has occurred in 6 weeks.

Potential Complications

• There is a risk of bleeding, urethral scarring and urine infection
• After TURP potency is not usually affected (the ability to obtain an erection)
• Fertility will be affected, because the ejaculate containing the semen passes back into the bladder rather than being expelled, this is called retrograde ejaculation. The sensation of orgasm should not be altered.

If you experience any post operative complications please contact Dr Hadley’s office on 31637400 and for after hours please follow the prompts.

Post operative appointment

Dr Hadley will catch up with you in his rooms at your post op appointment to discuss his findings. This appointment should have already been made for you at the time of booking your procedure date.