The Operation: TURP = Trans Urethral Resection of the Prostate

THE OPERATION: TURP = Trans Urethral Resection of the Prostate

Done in the Operating room. You will either have a ‘general anesthetic’ where you are put to sleep or a ‘spinal anesthetic’ where you are frozen from the waist down.

A special instrument with a telescope is inserted through the urethra (the pee channel opening) and the excess prostate tissue is removed in small pieces to open up the pee channel.

After the operation you will have a Foley catheter (small tube in the penis draining your urine), which will be used to flush out the bladder of any blood for about 24 hours. On the day after surgery I will come see you in the morning between 6 and 10am. At this time I will decide if the catheter can come out or if it needs to stay in longer.

Some patients will go home with the catheter for a few days and it will be removed in the office at a later time.

turp

What To Expect At Home

Things That are Normal

  • Slow urinary stream for 3-6 weeks
  • Discomfort at the end of peeing especially in the first few days
  • Blood in your urine, including clots and debris for 3-6 weeks
    • If this occurs, drink more water
  • A need to pee more urgently initially after surgery is normal

Reasons To See  A Doctor:

  • A fever
  • An inability to pee for many hours
  • Severe pain unrelieved by medication
  • Blocked catheter

Do’s And Don’ts After Surgery:

  • Walking as tolerated is important in your recovery
  • Avoid lifting more than 20lb for 4-6 weeks
  • You may shower the day after surgery, even with a catheter.
  • Do not submerge the catheter in the bath tub
  • Ensure your stools are soft by taking an over the counter stool
    softener right after surgery

Risk of Complication

  • 4% risk of not being able to urinate after surgery and requiring a foley
    catheter
  • 2% risk of making a hole through the prostate that needs prolonged
    catheterization
  • 1% risk of needing a blood transfusion after surgery

Michelle Strovski, Maple Ridge Urology, Serving Maple Ridge, Coquitlam, Mission, Abbotsford, Langley, and Vancouver.