Transurethral resection of the prostate





Definition

Transurethral resection of the prostate (TURP) is a surgical procedure by which portions of the prostate gland are removed through the urethra.


Purpose

The prostate is a gland that is part of the male reproductive system. It consists of three lobes, and surrounds the neck of the bladder and urethra (tube that channels urine from the bladder to the outside through the tip of the penis). The prostate weighs approximately one ounce (28 g), and is walnut-shaped. It is partly muscular and partly glandular, with ducts opening into the urethra. It secretes an antigen called prostate-specific antigen (PSA), and a slightly alkaline fluid that forms part of the seminal fluid (semen) that carries sperm.

A common prostate disorder is called benign prostatic hyperplasia (BPH) or benign prostatic enlargement (BPE). BPH is due to hormonal changes in the prostate, and is characterized by the enlargement or overgrowth of the gland as a result of an increase in the number of its constituent cells. BPH can raise PSA levels two to three times higher than normal. Men with increased PSA levels have a higher chance of developing prostate cancer. BPH usually affects the innermost part of the prostate first, and enlargement frequently results in a gradual squeezing of the urethra at the point where it runs through the prostate. The squeezing sometimes causes urinary problems, such as difficulty urinating. BPH may progress to the point of generating a dense capsule that blocks the flow of urine from the bladder, resulting in the inability to completely empty the bladder. Eventually, this could lead to bladder and kidney malfunction.

Transurethral resection of the prostate (TURP) is the treatment of choice for BPH, and the most common surgery performed for the condition. "Transurethral" refers to the procedure being performed through the urethra. "Resection " refers to surgical removal.


Demographics

Prostate disease usually occurs in men over age 40. BPH eventually develops in approximately 80% of all men. Prostate cancer occurs in one out of 10 men. In the United States, more than 30,000 men die of prostate cancer each year.


Description

TURP is a type of transurethral surgery that does not involve an external incision. The surgeon reaches the prostate by inserting an instrument through the urethra. In addition to TURP, two other types of transurethral surgery are commonly performed, transurethral incision of the prostate (TUIP), and transurethral laser incision of the prostate (TULIP). The TUIP procedure widens the urethra by making small cuts in the bladder neck (where the urethra and bladder meet), and in the prostate gland itself. In TULIP, a laser beam directed through the urethra melts the tissue.

The actual TURP procedure is simple. It is performed under general or local anesthesia. After an IV is inserted, the surgeon first examines the patient with a cystoscope, an instrument that allows him or her to see inside the bladder. The surgeon then inserts a device up the urethra via the penis opening, and removes the excess capsule material that has been restricting the flow of urine. The density of the normal prostate differs from that of the restricting capsule, making it relatively easy for the surgeon to tell exactly how much to remove. After excising the capsule material, the surgeon inserts a catheter into the bladder through the urethra for the subsequent withdrawal of urine.


Diagnosis/Preparation

BPH symptoms include:

  • increase in urination frequency, and the need to urinate during the night
  • difficulty starting urine flow
  • a slow, interrupted flow and dribbling after urinating
  • sudden, strong urges to pass urine
  • a sensation that the bladder is not completely empty
  • pain or burning during urination

In evaluating the prostate gland for BPH, the physician usually performs a complete physical examination as well as the following procedures:

  • Digital rectal examination (DRE). Recommended annually for men over the age of 50, the DRE is an examination performed by a physician who feels the prostate through the wall of the rectum. Hard or lumpy areas may indicate the presence of cancer.
  • Prostate-specific antigen (PSA) test. Also recommended annually for men over the age of 50, the PSA test measures the levels of prostate-specific antigen secreted by the prostate. It is normal to observe small quantities of PSA in the blood. PSA levels vary with age, and tend to increase gradually in men over age 60. They also tend to rise as a result of infection (prostatitis), BPH, or cancer.

If the results of the DRE and PSA tests are indicative of a significant prostate disorder, the examining

An enlarged prostate can cause urinary problems due to its location around the male urethra (A). In TURP, the physician uses a cystoscope to gain access to the prostate through the urethra (B). The prostate material that has been restricting urine flow is cut off in pieces, which are washed into the bladder with water from the scope (B). (Illustration by GGS Inc.)
An enlarged prostate can cause urinary problems due to its location around the male urethra (A). In TURP, the physician uses a cystoscope to gain access to the prostate through the urethra (B). The prostate material that has been restricting urine flow is cut off in pieces, which are washed into the bladder with water from the scope (B). (
Illustration by GGS Inc.
)


physician usually refers the patient to a urologist, a physician who specializes in diseases of the urinary tract and male reproductive system. The urologist performs additional tests, including blood and urine studies, to establish a diagnosis.

To prepare for TURP, patients should:

  • Select an experienced TURP surgeon to perform the procedure.
  • Purchase a mild natural bulk-forming laxative.
  • Wear loose clothing on the morning of surgery.
  • Ask friends or family to be available for assistance after surgery.
  • Schedule a week off from work.
  • Get sufficient sleep on the night before surgery.

Aftercare

When the patient awakens in the recovery room after the procedure, he already has a catheter in his penis, and is receiving pain medication via the IV line inserted prior to surgery.

The initial recovery period lasts approximately one week, and includes some pain and discomfort from the urinary catheter. Spastic convulsions of the bladder and prostate are expected as they respond to the surgical changes. The following medications are commonly prescribed after TURP:

  • B&O suppository (Belladonna and Opium). This medication has the dual purpose of providing pain relief and reducing the ureteral and bladder spasms that follow TURP surgery. It is a strong medication that must be used only as prescribed.
  • Bulk-forming laxative. Because of the surgical trauma and large quantities of liquids that patients are required to drink, they may need some form of laxative to promote normal bowel movements.
  • Detrol. This pain reliever is not as strong as B&O. There may be wide variations in its effectiveness and the patient's response. It also controls involuntary bladder contractions.
  • Macrobid. This antibiotic helps prevent urinary tract infections.
  • Pyridium. This medication offers symptomatic relief from pain, burning, urgency, frequency, and other urinary tract discomfort.

When discharged from the hospital, patients are advised to:

  • Refrain from alcoholic beverages.
  • Avoid sexual activities for a few weeks.
  • Avoid driving a car for a week or more.
  • Keep domestic activities to a minimum.
  • Avoid weight lifting or strenuous exercise.
  • Check their temperature and report any fever to the physician.
  • Practice good hygiene, especially of the hands and penis.
  • Drink plenty of liquids.

Risks

Serious complications are less common for prostate surgery patients because of advances in operative methods. Nerve-sparing surgical procedures help prevent permanent injury to the nerves that control erection, as well as injury to the opening of the bladder. However, there are risks associated with prostate surgery. The first is the possible development of incontinence, the inability to control urination, which may result in urine leakage or dribbling, especially just after surgery. Normal control usually returns within several weeks or months after surgery, but some patients have become permanently incontinent. There is also a risk of impotence, the inability to achieve penile erection. For a month or so after surgery, most men are not able to become erect. Eventually, approximately 40–60% of men will be able to have an erection sufficient for sexual intercourse. They no longer ejaculate semen because removal of the prostate gland prevents that process. This effect is related to many factors, such as overall health and age. Other risks associated with TURP include:

  • blood loss requiring transfusion
  • postoperative urinary tract infection
  • unsatisfactory long-term outcome

TURP syndrome effects 2–6% of TURP patients. Symptoms may include temporary blindness due to irrigation fluid entering the bloodstream. On very rare occasions, this can lead to seizures, coma, and even death. The syndrome may also include toxic shock due to bacteria entering the bloodstream, as well as internal hemorrhage.


Normal results

TURP patients usually notice urine flow improvement as soon as the catheter is removed. Other improvements depend on the condition of the patient's prostate before TURP, his age, and overall health status. Patients are told to expect the persistance of some pre-surgery symptoms. In fact, some new symptoms may appear following TURP, such as occasional blood and tissue in the urine, bladder spasms, pain when urinating, and difficulty judging when to urinate. TURP represents a major adaptation for the body, and healing requires some time. Full recovery may take up to one year. Patients are almost always satisfied with their TURP outcome, and the adaptation to new symptoms is offset by the disappearance of previous problems. For example, most patients no longer have to take daily prostate medication, and quickly learn to gradually increase the time between urinating while enjoying uninterrupted and more restful sleep at night.

Normal post-operative symptoms include:

  • urination at night and reduced flow
  • mild burning and stinging sensation while urinating
  • reduced semen at ejaculation
  • bladder control problems
  • mild bladder spams
  • fatigue
  • urination linked to bowel movements

To eliminate these symptoms, patients are advised to:

  • Exercise.
  • Retrain their bladder
  • Take all medications that were prescribed after TURP
  • Inform themselves via support groups or pertinent reading
  • Get plenty of rest to facilitate the post-surgery healing process

Morbidity and mortality rates

TURP reduces symptoms in 88% of BPH patients. TURP mortality rates are 0.2%, but they can be as high as 10% in patients over 80 years of age. Following surgery, inadequate relief of BPH symptoms occurs in 20–25% of patients, and 15–20% require another operation within 10 years. Urinary incontinence affects 2–4%, and 5–10% of TURP patients become impotent.


Alternatives

Conventional surgical alternatives for BPH patients include:

  • Interstitial laser coagulation. In this procedure, a laser beam inserted in the urethra via a catheter heats and destroys the extra prostate capsule tissue.
  • Transurethral needle ablation (TUNA). This technique was approved by the FDA in 1996. It uses radio waves to heat and destroy the enlarged prostate through needles positioned in the gland. It is generally less effective than TURP for reducing symptoms and increasing urine flow.
  • Transurethral electrovaporization. This procedure is a modified version of TURP, and uses a device that produces electronic waves to vaporize the enlarged prostate.
  • Photoselective vaporization of the prostate (PVP). This procedure uses a strong laser beam to vaporize the tissue in a 20–50 minute outpatient operation.
  • Transurethral incision of the prostate (TUIP). In this procedure, a small incision is made in the bladder, followed by a few cuts into the sphincter muscle to release some of the tension.
  • Transurethral microwave thermotherapy (TUMT). TUMT uses microwave heat energy to shrink the enlarged prostate through a probe inserted into the penis to the level of the prostate. This outpatient procedure takes about one hour. The patient can go home the same day, and is able to resume normal activities within a day or two. TUMT does not lead to immediate improvement, and it usually takes up to four weeks for urinary problems to completely resolve.
  • Water-induced thermotherapy (WIT). WIT is administered via a closed-loop catheter system, through which heated water is maintained at a constant temperature. WIT is usually performed using only a local anesthetic gel to anesthetize the penis, and is very well tolerated. The procedure is FDA approved.
  • Balloon dilation. In this procedure, a balloon is inserted in the urethra up to where the restriction occurs. At that point, the balloon expands to push out the prostate tissue and widen the urinary path. Improvements with this technique may only last a few years.

BPH patients have experienced improved prostate health from the following:

  • Zinc supplements. This mineral plays an important role in prostate health because it decreases prolactin secretion and protects against heavy metals such as cadmium. Both prolactin and cadmium have been associated with BPH.
  • Saw palmetto. Saw palmetto has long been used by Native Americans to treat urinary tract disturbances without causing impotence. It shows no significant side effects. A number of recent European clinical studies have also shown that fat soluble extracts of the berry help increase urinary flow and relieve other urinary problems resulting from BPH.
  • Garlic. Garlic is believed to contribute to overall body and prostate health.
  • Pumpkin seed oil. This oil contains high levels of zinc and has been shown to help most prostate disorders. Eating raw pumpkin seeds each day has long been a folk remedy for urinary problems, but German health authorities have recently recognized pumpkin seeds as a legitimate BPH treatment.
  • Pygeum bark. The bark of the Pygeum africanus tree has been used in Europe since early times in the treatment of urinary problems. In France, 81% of BPH prescriptions are for Pygeum bark extract.

Recent developments in BPH treatment options include:

  • The Urologix Targis TM System. This is a microwave device that uses the same heating method as TUMT. The procedure takes about an hour, and requires no anesthesia. The urologist inserts a flexible tube into the penis. This tube contains a unique microwave antenna that is able to generate very localized hot spots while cooling the surrounding areas. Diseased prostate tissue is destroyed with very little discomfort and a short recovery time. To date, men who have had this procedure have yet to develop impotence or incontinence.
  • The Dornier MedTech Urowave. This device is another proprietary microwave heating device, similar to the Targis System.
  • Transurethral alcohol treatment. This recent development is very promising for the treatment of BPH. The procedure involves injecting ethyl alcohol into the lateral and middle lobes of the prostate. The alcohol kills prostate tissue, which the body then absorbs. Early results are encouraging, and show that all patients (who were originally scheduled for TURP) were able to urinate freely after 24 hours. More studies are required to assess long-term outcomes.
  • Prostatic stents. Stents are wire devices shaped like small springs or coils. They are placed within the prostate channel to maintain its patency (keep it open). These devices are currently under investigation and are not yet FDA-approved.
  • Aromatase. This inhibitor drug suppresses excess levels of estrogen in the blood. In many men, estrogen is the primary growth-stimulating agent that causes prostatic overgrowth.

See also Cryotherapy ; Open prostatectomy .


Resources

BOOKS

Barrett, D. M., ed. Mayo Clinic on Prostate Health: Answers from the World-Renowned Mayo Clinic on Prostate Inflammation-Enlargement Cancer. New York: Kensington Pub. Corp., 2000.

Blandy, J. P. & R. G. Notley. Transurethral Resection. Boston: Butterworth-Heinemann, 1992.

Childs, S. J. Laser-Assisted Transurethral Resection of the Prostate (TURP). Philadelphia: Lippincott, Williams & Wilkins, 1993.


PERIODICALS

Cimentepe, E., A. Unsal, and R. Saglam. "Randomized Clinical Trial Comparing Transurethral Needle Ablation with Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Hyperplasia: Results at 18 Months." Journal of Endourology 17 (March 2003): 103-7.

Kaplan, S. A. "Comparison of Long-term Results of Transurethral Incision of the Prostate with Transurethral Resection of the Prostate, in Patients with Benign Prostatic Hypertrophy." Journal of Urology 168 (October 2002): 1657.

Kumar, P. V., M. P. Gomes, B. L. Davies, and A. G. Timoney. "A Computer Assisted Surgical Trainer for Transurethral Resection of the Prostate." Journal of Urology 168 (November 2002): 2111-14.

Kursh, E. D., R. Concepcion, S. Chan, P. Hudson, M. Ratner, and R. Eyre. "Interstitial Laser Coagulation versus Transurethral Prostate Resection for Treating Benign Prostatic Obstruction: A Randomized Trial with 2-year Follow-up." Urology 61 (March 2003): 673-8.

McAllister, W. J., O. Karim, R. O. Plail, D. R. Samra, M. J. Steggall, Q. Yang, and C. G. Fowler. "Transurethral electrovaporization of the Prostate: Is it Any Better than Conventional Transurethral Resection of the Prostate." British Journal of Urology International 91 (February 2003): 211-14.

Merrill, R. M., & C. L. Wiggins. "Incidental Detection of Population-based Prostate Cancer Incidence Rates through Transurethral Resection of the Prostate." Urologic Oncology 7 (September/October 2002): 213-19.

van Melick. H. H., G. E. van Venrooij, M. D. Eckhardt, and T. A. Boon. "A Randomized Controlled Trial Comparing Transurethral Resection of the Prostate, Contact Laser Prostatectomy and Electrovaporization in Men with Benign Prostatic Hyperplasia: Analysis of Subjective Changes, Morbidity and Mortality." Journal of Urology 169 (April 2003): 1411-16.

Yung, P. M., S. Chui-Kam, P. French, and T. M. Chan. "A Controlled Trial of Music and Pre-operative Anxiety in Chinese Men Undergoing Transurethral Resection of the Prostate." Journal of Advanced Nursing 39 (August 2002): 352-9.


ORGANIZATIONS

American Foundation for Urologic Disease (AFUD). 1128 North Charles Street, Baltimore, MD 21201. (410) 468-1800. http://www.afud.org .

American Urological Association (AUA). 1120 North Charles Street, Baltimore, MD 21201. (410) 727-1100. http://www.auanet.org .

Cancer Information Service. National Cancer Institute, Building 31, Room 10A19, 9000 Rockville Pike, Bethesda, MD 20892. (800)4-CANCER. http://www.nci.nih.gov/cancerinfo/index.html .


OTHER

"Anatomy of the Prostate Gland." University of Maryland Medicine. http://www.umm.edu/prostate/panat.htm .

"Prostate Disease Awareness." Monash University. <www.med.monash.edu.au/healthpromotion/pamphlets/prostate/index.h ml> .

"Transurethral Resection of the Prostate (TURP)." Family Practice Notebook. http://www.fpnotebook.com/URO110.htm .

"What is the Prostate?" AFUD. http://www.afud.org/conditions/pdbefore.html .


Monique Laberge, Ph.D.

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?



Transurethral resection of the prostate is performed in hospitals by experienced urologic surgeons who are specialized in prostate disorders and in performing the TURP procedure.

QUESTIONS TO ASK THE DOCTOR



  • What are the alternative treatments for benign prostatic hyperplasia?
  • What are the risks involved with TURP?
  • How long will it take to recover from the surgery?
  • How painful is the TURP surgery?
  • When and how often will the catheter require flushing?
  • How long will it take to feel improvement?
  • What are the post-operative problems?
  • How will the surgery affect the ability to achieve erection?
  • How many TURP procedures does the surgeon perform in a year?
  • Will the surgery have to be repeated?


User Contributions:

dr kaushik sinha
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Aug 4, 2007 @ 3:15 pm
It is a good article.Can you please tell me in detail about DIFFERENT CAUSES OF POST TURP INCONTINENCE ,HOW TO PREVENT AND MANAGE POST TURP INCONTINENCE ?
THANK YOU
YOURS TRULY
KAUSHIK SINHA .
chigozie ohaegbuchi
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Jul 1, 2009 @ 9:09 am
thanks for the article. it is very informative.
keep it up.
what if after the TURP patient come back bleeding without trauma.
yours faithfully,
chigozie ohaegbuchi
port harcourt,
Nigeria
edgar i. santos
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Oct 18, 2009 @ 3:03 am
I've just undergone TURP for three months already. My question is personal. Can I masturbate now because i am single i dont have wife.
thank u so much.
RAZA BASTANI
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Nov 8, 2009 @ 6:06 am
Can you please answer the following question?

WHICH ONE OF ALTERNATIVE PROCEDURES DOES NOT HAVE THE EFFECT OF STOPPING EGEJACULAtION OF SEMEN.

Regards
R.Bastani
K.S.RAO
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Dec 19, 2009 @ 2:14 pm
The article is very informative. But is there any weight loss after post TURP surgery.
John
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Jan 9, 2010 @ 3:03 am
After having this procedure done in hospital; I suferred a recurance of the symtoms within a year. Sex was not affected.
It was suggested to undergo the operation again? having had the second procedure done every thing seemed to be normal except I was unable to get an erection.Although when my wife maniplates my penis I am able to reach ejaculation WITHOUT A FULL ERECTION. It never gets erect enough to penetrate my wife.
Now after about 21/2 years all the symtems are back, although I can sleep through the night.

BPH symptoms include:

•increase in urination frequency, (and the need to urinate during the night, this is now only very occasionally)
•difficulty starting urine flow
•a slow, interrupted flow and dribbling after urinating
•sudden, strong urges to pass urine
•a sensation that the bladder is not completely empty
•pain or burning during urination
Thank You For your considderation and time spent.
Best wishes John Slabbert
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Feb 24, 2010 @ 8:08 am
May Iask a question.I had a turps operation on the 5th October 2009 and every thing has been fine,I have good pressure and no pain at all.
My problem is that in the last 4 weeks I have been awakened with a painful erection which I can only relieve by passing urine and this is happening on average 3 to 4 times per night do I have a problem.
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Mar 21, 2010 @ 7:19 pm
In this article, under Risks, you note that “Eventually, approximately 40–60% of men will be able to have an erection sufficient for sexual intercourse”. Later, under Normal Results, you also say that “Patients are almost always satisfied with their TURP outcome.” Could you tell me why 40-60% of men are happy with impotence as an outcome of the TURP procedure?
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Jun 8, 2010 @ 10:22 pm
i want to have more info after the turp how high has to be the psa where i can get more info thanks
KR
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Jun 25, 2010 @ 2:02 am
Great article. I had my TURP done 25 days ago and am still recovering. I am 52 years old and haven't gone back to work yet because of poor bladder control, however, further reading has given me suggestions on how to improve this and "retrain" my bladder. Bladder spasms are still constant when I urinate with the urge to also have a bowel movement. Constapation hasn't been an issue but the bladder spasms are still slightly painful and usually followed by a bowel movement (sometimes not very productive but the urge is still there). Very slight bleeding only occurs now when I don't attempt to stop my urine flow immediately after the urge to urinate has passed. If I still attempt to vacate my bladder by relaxing and allowing to urge to urinate again, Bladder spasms result along with the slight bleeding. I'm posting this info with the hopes that it helps other guys who may be going through the same thing and wondering, "Is something wrong?" From all the reading I've done, its sounds pretty common. My doctor is a good surgeon but his staff and office people are of no help. I left the hospital with no info on recovery or what to expect other than the catheter was to removed after 4 days. Another good site for post surgery info can be found at : http://users.isp.com/keoni/turp/FAQ.html#four . Good luck!
KR - Las Vegas, Nevada
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Jun 29, 2010 @ 4:04 am
it's been a month now since turp and it seems like i have more frequency than ever. will i ever get any relief? it really effects my daily life all day long. i still don't have much of a stream and it's every five minutes. i hope there is an answer that tells me this will get better sooner or later. thank you anyone who can help me.
JEG
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Aug 19, 2010 @ 5:05 am
I had a TURP about 15 years ago. Is it possible to get prostate cancer now ?
ET
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Aug 25, 2010 @ 4:04 am
I had my turp 4 weeks ago and I am getting up every two hours to pee.At this time I can't get an erection and I am still having urgencies which is why I had the procedure.When can I expect to see improvements? I am a 67 year old man.Also at this stage can I lift anything heavy?Also what is consired heavy at this stage? Thanks for any help
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Aug 25, 2010 @ 7:19 pm
Had TURP 5 years ago. In the past two years have had occasional slight bleeds that quickly ease up and things return to normal. This tends to be associated with some physical effort. Last month I had a very heavy bleed, the clots that formed blocked the flow of urine and I had to attend the local ED. A catheter was inserted and a bladder irrigation carried out for a few days (about 110 litres of saline)after which all seemed OK. Last evening, without warning, but again associated with moderate lifting of a couple of 450mm square pavers, I had another heavy bleed, with clotting, tho' so far I have been able to exert some effort and pass them. During my hospitalisation various blood tests were conducted from which no adverse symptoms were mentioned. Is this something that happens so long post op? What can be done about it?
Kieran B
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Sep 10, 2010 @ 7:19 pm
Thanks for the article, it is very informative.I had my TURP done five weeks ago and am still recovering. I am 53 years old and can't get back to work due to poor bladder control. urinating is normal during night, flow/Orifice is much better than before. is this normal? I have lost 7 lbs.

Now,urinating is not normal during the day time,. it still dribbles during the day (on and off). is this symptom a part of the recovery process?

as per the theory TURP requires 4-6 weeks period for recovery.
I have also experienced painful and reduced semen at ejaculation. is this normal? also please reflect on how to prevent and manage post TURP incontinence?

Thank you,

Regards,

KB- Toronto,Canada.
OswaldoC
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Oct 12, 2010 @ 12:12 pm
Dear Sirs,
I've just undergone TURP (2 days ago), and I find the information on your site very accurate as I relate them to my own experience. I've read many of the questions posted on your User Contribution section, and I would very much like to know the respective answers. Please, where can I see them?
Thank you.
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Oct 27, 2010 @ 6:18 pm
i would like to ask any urologist if there is any possible way we can get erection after the operation . TURP definitly gets u impotent for the rest of your life because no cialis or viagara can do the job...please write
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Nov 4, 2010 @ 2:14 pm
Excellent article.
How long before you need addtl surgery?
Impact on sex life - minimal?
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Nov 5, 2010 @ 12:12 pm
Hello, i have just completed a TURP operation and continue to bleed going on my third week. Bleeding is during urination only. How concerned should i be about this?

thanks joe
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Nov 6, 2010 @ 9:09 am
I too had TURP operation 10/29/10, only problems bladder spams keep hitting how long will they last. I had no pain went back to work 11/01/10. only other problem bowle movement hard. I am 53 and feel great now.
Bob
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Nov 21, 2010 @ 9:21 pm
Hi: I'm 63 and had the procedure done about 6 weeks ago. It took 3-4 weeks for the bleeding to completely stop, but the flow has been spectacular (best in 20 years, at least!). Still feel like I have to go when I'm through, but that is decreasing. Also get an occasional leak when I sneeze, cough, etc., but that is also decreasing. I found that after about four weeks, erections actually improved. The retrograde ejaculations are odd, but don't seem to decrease pleasure...in fact, at times, I think it's better.
You really need to retrain the bladder--don't go every half hour or hour like you used to. Wait a while, and after a few weeks, the longer wait becomes a habit.
For those of you questioning whether or not to have the procedure, think about this. When you were young and outside, you used to see how far you could pee (can I hit that tree over there???). Middle age, you could write your initials in the snow if you were quick about it. When your prostrate enlarged greatly, you were proud to be able to dribble down your leg! At least that was my three stages. Now I think I could do the initials, if not actually hit the tree!
All in all, there were lots of little things that were annoying during recovery, but I would do it again in a flash!

Hope this helps!

Bob
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Nov 25, 2010 @ 2:02 am
An elaborate description of TURP. The kind of chosen words are quite an encouraged to many who are going through difficult time trying to decide on what to do when a condition related to prostate arises. This information is also timely even for those who are younger and without any complaint related to the prostate.
Gary
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Dec 4, 2010 @ 9:09 am
I am considering TURP and have studied the situation and circumstances considerably. I am pleased with the information provided here. Thank you all for contributing your personal experiences. Could any of you provide specifics about how you made your final choice? Also I am unaware if the answers are to these questions are public. I would like to see the responses to many of the above questions.
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Dec 24, 2010 @ 8:08 am
I had surgury 4 days ago cathater was removed on 3rd day. My question is am not feeling that
there has not been any change in my symptoms...how long should it take before I feel a better
urine flow?
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Dec 27, 2010 @ 1:13 pm
good job.im iraqi resident doctor in Urosurgery, Laser TURP will be used in my hospital ,,al mawani general hosp. ,, in the next few months. so i have to thank you about such topic, for sure it is helpfull.
Can you kindly please provide me with a techincal info about the instrument of Laser TURP.
mark
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Dec 29, 2010 @ 5:05 am
I had a TURP about 3 weeks ago experiencing really good urine stream at the start, but this tapers off at the end, with dribbles. mildly incontinent.
have read that one must strengthen the PC muscles through Kegel exercises. One way to locate them is to stop peeing midstreem. but I can't do this at the moment. other way is to use the muscles to jerk your penis up and down when erect. this I can do! So I am looking at a lot of pictures while I jiggle! but it is very hard to sense this muscle now. and I think it will be many months of determined exercise. I had a narrow neck to the bladder which was also removed, and i think much of the nerve system is gone and also in shock. I am 50 and have had problems for the last 20 years. I think Coffee is really bad. My father had the same problems. I have been a keen cyclist since I was 7 years old, Not sure that this was the cause, as I experienced pains in prostate area since I was 14 years old holding off on peeing or shitting.
my experience post op was horrible, as my intestines were extreemly bloated. the hospital coffee was really bad, and I would advise against drinking cofee post op for at least a week after the catheter is removed. if you are sensitive to filter coffee, often have a lot of air in the bowles, then make sure you have a neutral ph diet. the combination of urine retention post op and inflamed bowles was for me a nightmare and EXTREEMLY painful. the catheter had to me reinserted twice, and now I have to drain the bladder 3 times a day using a self inserted cathetar. I am convinced that pelvic floor exrcises, and kegel exercises will solve the problem long term. Please reply to these issues as you would a Blog. because your questions are not being answered and I think we should be sharing our experiences. regards, Mark
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Dec 30, 2010 @ 7:19 pm
Here it is. I hope you get a lot out of it since you will be meeting with your doctor soon.
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Jan 27, 2011 @ 1:13 pm
Pam's Ron, had this done yesterday at Methodist Hospital in Peoria. He will be in the hospital for 2-3 days. I had the little girls ready for their Mom to take them to see Ron, as soon as she got home from work. Barry was going to meet them at the hospital.
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Feb 4, 2011 @ 1:01 am
hi i read this artical its very knoweldgeable, i have one question, how to treat post TURP urinary incotinency?, is their any surgical correction?. thanks.
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Feb 12, 2011 @ 3:15 pm
Had turp last monday 2-7-2011 I was on three medications prior to surgery
to help relieve bph symptons.I was able to pass urine,thanks to the
medication,but I was urinating twenty times a day.I chose the spinal block
which I thought, worked out real well, because I was numb from the waist
down and had no pain for several hours after the surgery.The worst part
for me was dealing with the cathater and all the related tubing for
flushing things out etc.Dragging all that stuff into the bathroom for a
bowel movement was a lot of fun.The catheter was very uncomfortable, but
was removed before breakfast on tuesday morning.I was in the hospital
for less than twenty four hours.It has now been four days and i still have
all the symtons i went in for in the first place. My doctor told me before
the surgery that would be the case.I was led to believe that enlarging
the uretha opening was the first step not a cure all instantly. I was
told to make an appointment with my doctor in two to three weeks, and
discuss where things are at that time and we will go from there.
He is keeping me on my three medications at this time which are probably
over stimulating everything. Hopefully he will take me off the meds and
I will get back to a normal life.I have had this problemm for a number
of years and was told by my doctor that turp, gave me the best chance of
not needing more surgery down the road. I feel fine and just waiting for
the healing process to end.Time will tell, but I feel relieved that i took
the first step, and I feel it will be a success, I really trust my doctor.
Steve SIDKI
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Feb 15, 2011 @ 5:05 am
Mr. Steve SIDKI
U.K.

I had TURP surgery at Darent Valley Hospital in KENT on Thursday 10th and I found reading your web-site very, very helpful. I have a couple of simple questions and would really appreciate your answers.

Before my surgery I was told to stop taking my Glucosamine Tablets , a week before surgery which I did. I just wanted to know if it's OK to restart taking them again ?
Also, before my surgery I was taking the following supplements, would it be OK to re-start taking them ? :

1) Vitamin Tablets
2) Omega-3 Fish Oil Tablets abt. 3,000 mg/day
3) Prostate Health Complex ( Tablets which I bought in the U.S. containing Zinc 15mg - Selenium 55mcg - Saw Palmetto extract 320mg - Pumpkin Seed oil 480mg - Lycopene 300mcg - Palmttic Acid 66.7mg -Stearic Acid 27.8mg - Oleic Acid 115.2 mg -and Linoleic Acid 266.4 mg )
4) Tablets to lower Cholesterol naturally (Mainly Plant Sterols/Stanols (Pine Tree) Calcium Carbonate and a load of other ingredients )

I thank you in advance for your reply and look forward to your reply.

Best Regards
Steve
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Mar 12, 2011 @ 3:03 am
Very informative and complete article. If I could have read before TURP! Any way, searching answers to Post TURP also, this article almost answered every query.
I am 55+. TURP was done on 26.02.2011 by Dr. Vipul Aggarwal in B L Kapur Hospital, New Delhi & catheter was removed in 1.03.2011.LUTS were observed 5-6 months before and I was assessed with Ultrasound and Uroflowmetery for PVR etc. After getting PVR of 71 ml one one occassion and 261 on other the doctor advised for TURP, though with Flotral D I was feeling better but was not OK with its tendency to cause chest heavyness/pain/lethargy and congestion. Hence to avoid long term medication I gave in to Dr advise for TURP. 4 days in Hospital and post TURP twenty days, I have following experience:
1.Initially flow improved with Flotral D, Pyredium,Nuclai etc. but since last two days the flow has decreased and Blood clot followed by bloody urine happened.
2.Errection happens but it seems penis is shortened more on the left side.
3.Ejaculation also happened once in first week itself without any pain & with usual pleasure but seems it would not have been good enough for inter course. However, all stressful activity including sex is on hold for three weeks as per advise.
4.Revisit for follow up with complaints like: pain in the rectum, reduced flow and stream, urge to urinate etc with bleeding and clot lead the Sr doctor Dr.Rajinder Yadav to examine my rectum and PR again and has recommended to get admitted again for fulgration as the PR is boggy. I am scared and not prepared for another stint in hospital.Finast and Dicynine are prescribed.
5.I did not take Flotral D/Pyredium and now the urine colour is clear and no blood/clot etc.
6.I am off the work since 9.02.2011 since my symptoms lead to acute pain in chest, High BP, Pain in the groins as I also have Hernia etc.

My questions:
What is PR boggy?
How to determine if the PR is continually bleedinf and forming clots in the bladder.
Will irrigation solve the problem or Fulgration is a must?
Long sitting causes soar rectum and pain what to do?
Will TURP ultimately get reid of Flotral and other medicines?
How long will it take to reach fullfleged errection and normal sexual activity?

For those who plan to undertake TURP, a suggestion to try oral therapy and plunge only when extreem incontinence occurs. My choice was to take up TURP so as to get well fast to attend to Work and get rid of medicines.

All the best for your experience with TURP.

Magoo
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Mar 15, 2011 @ 1:01 am
I had a TURP in 2002 at the age of 48 following a diagnosis of granulomatous prostatitis. The surgery did work, but the road to recovery was long, painful and arduous. Over the past 6 to 9 months the symptoms are slowly but surely returning (including a severe burning pain on ejaculation). I was told in 2002 that there was a strong probability that I would have to have further surgery because of my age. I had a PSA test about 10months ago which was normal. Thanks for the info in your piece. Could you include the rarer forms of prostatitis and more emphasis on the psychological side of ED and the devastating affect it has on men.
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Mar 24, 2011 @ 5:17 pm
Is there tretment for errection after turp operion
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Mar 31, 2011 @ 7:19 pm
I was advise that my PSA was good. but I could not urinate and was so painful. I had surgery "transurentral" and they said there was not much buildout. Ive had a cathera for two weeks, they took it out and I could lnot urinate and they put it back. It's been three weeks since surgery. Doctors do not have an answer why I cannot urinate. Where do I go from here. Appreciate any feedback.
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Mar 31, 2011 @ 9:21 pm
Me relize la RTUP, hace 60 días, despues de 45 me aparecio nuevamente sangrado y ya llevo 15 asi, me duele fuerte al orinar. fui al urologo y me manifesto que era raro, que el sangrado iria normalmente hasta 30 días, que podia ser una infección, o falta de coagulación, me formulo un anticeptico cada 12 horas Norfloxacina 400 mg, si esto no me mejora me remite al Hematologo. ya me he tomado 5 pastillas y sigo igual. Que me estara pasando y estoy muy preocupado, me recuperare rapido. tenia obstrucción nivel 3 antes de la Cirugia.
Grscias, por su atención y quedo atento a su inportante y sabio consejo.
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Jun 4, 2011 @ 4:04 am
Very nice & effective artile.

Thanks

Helal
Head of Sales & Marketing,
PFI Properties Limited,
House # 2, Road # 8, Gulshan Avenue,
Gulshan-1, Dhaka, Bangladesh
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Jul 6, 2011 @ 8:08 am
How long does it take to perform this operation as my dad is having it done and would like to know how long it actually takes thanks
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Aug 20, 2011 @ 2:14 pm
I had a prostate robotic surgery on jun 20, 2011 and still have week urination.
When standing up to urinate , my urine comes out in small quantity and stop. When sitting down to urinate all the urine comes out better but still a little slow. When my stool comes out the urine comes out better and faster. Would you please tell me what is going on ?
I also would like to know after how long is the best time to start having sex because I am still
feeling some pain due to the surgery even that is getting better.Also please tell me if it is ok to drive.

your,s

Evaluta.
Shimon Gruber
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Sep 3, 2011 @ 3:03 am
One of the findings of a recent abdominal CT was malfunction of the unternal urinary bladder sphincters. Could it be caused by TURP operation, or what are the other possible causes?
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Sep 18, 2011 @ 8:20 pm
i have night flow problem ,regularly . pls give me suggestion..
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Oct 10, 2011 @ 9:21 pm
Had TURP 1 years ago. In the past three months I have had occasional slight bleeds that quickly ease up and things return to normal. I feel This tends to be associated with some physical effort. then I had a very heavy bleed, the clots that formed blocked the flow of urine, is my working lifting have to do with the these problems I'm having? and what are the things i'm allow to do and not do?
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Oct 20, 2011 @ 10:22 pm
I had the Turp done 2 weeks ago, still sore and urinating blood and clots. Everyday at some point am seeing some blood and then It clears up. Still very swollen and still a little pain and burning when urinating. Some of the guys above just need to retrain their bladder. I have been working on that you can't get away with that, you need to work on retraining your bladder otherwise you will keep having problems.
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Nov 1, 2011 @ 4:04 am
I had the Turp operation 10 days ago. I was assured the op' would allow me to get things back to NORMAL. I have had good days and some really bad days/nights. I wake up exhausted from peeing all night (on the hour every hour) and then repeat of the same during the day. I find it hard to sit for too long and or stand. I have been sitting on the toilet to pee instead of standing so one can hold onto things during peeing. I was looking forward in returning to work in a few days time but obviously will have to be placed on hold.
I am seeing my Doctor in a couple of days and asking for a higher pain relief medication.
I had a bad experience after the operation, as the nursing staff were wheeling me out of recovery someone stood on my tube that yanked the catheter so that was a bit painful.
No not scare scaremongering, just my walk with getting through the pain barrier/s. I like the positive reads, hopefully in a few weeks I can print something positive
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Nov 8, 2011 @ 6:18 pm
Please clarify if the procedure can be done at as Outpatient level. RACs in California are denying INPTATIENT admission for TURP. No explanation is given. It can have huge financial impact. Where and when TURP is done in outpatient setting?
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Nov 14, 2011 @ 12:00 am
I am back with some positive and helpful comments.I was all but ready for a re-entry of the catheter after I found I couldn't urinate early one morning. My wife drove me to the hospital and whilst there, prior to the Doctor inserting the tube, I needed to go to the toilet for a number 2. A lot of wind and then I began urinating much to my relief in more ways that one. The same scenario has happened after that incident at home and I have used the sit down method in passing wind which seems to unlock air or relaxes muscles to urinate.
It's worth a try fella's, saves a lot of grief and pain.
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Nov 14, 2011 @ 9:21 pm
IM 54 years old. Had the TURPS operation about Four years ago have difficulty maintaning a good erection.Viagra is out due to sensitivity to light for three days after.Is there anythiny else that I can do. My new Partner is 35 and so much want to have satisfing sexual intercoarse.
Derrick Dubois
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Dec 1, 2011 @ 11:23 pm
am most concerned after 2 months since TREP procedure i want to stop the pee running down my leg & when and if i will ever get back the ability to ejackulate and cum?
jimmy
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Dec 6, 2011 @ 7:19 pm
I just had TRUP one week ago. Now when I go it stings at the end of my penis. The doc gave me pyridium to take and now it stings more and also inside it feels like. Is it the pyridum does anybody know?
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Dec 14, 2011 @ 12:00 am
I had the turp 4 weeks ago and I have been in hospital twice for bleeding. The doctor had to go back in an seal the bleeder. No sex, no exercise, no walking, no lifting for the next month. I have to lay around like my cat. I started to bleed for no reason. It was in the middle of the night. I got up to take a piss and it was all blood, and it wouldn't stop. Off to the ER...again. I am only 1 week after the second bleed/operation. The Foley cath was removed 4 days after the bleeding stopped. The doctor once told me that a bleeder takes too long to heal so they usually go in and seal it. I will ask for the Detrol to relax the bladder, it does work. I also have the itching after pissing and a little burning. The doctor said that I was healing after the stretching to my urethra. Retraining the muscles is a good idea but after 1 or more months. One thing is I have never had small amounts of blood when urinating. Mine has been totally clear of any blood...until I start bleeding and not stopping. Hope all goes well with all of you, this has been a good info site.Thanks
Norman
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Dec 26, 2011 @ 11:11 am
Had a TURP operation 5 weeks ago and despite the complication of a bladder infection 2 days after that was cleared by antibiotics the recovery has so far been good. I read somewhere on the internet the advice to eat plenty of fresh fruit and vegetables after the operation which I followed. It results in easy bowel movements without the need to press and I'm convinced that it helps the wound to heal. Hope this is of use to others recovering from TURP.
.dilip gadhia
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Feb 4, 2012 @ 4:04 am
Sir, I had problem in passing urine and after scanning it was found that small enlargement of prostat has overcome. Doctors adviced to operate the same and it was done on 17th of february this year i.e. 15 days back. Now as explain above in your article ,sometimes while coughing or any other time few drops of urine comes out. secondly can you guide me when i can go for sex? I will be thankful to you to guide me in the matter.
Deepak Gupta
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Mar 10, 2012 @ 1:01 am
Can someone tell me the most experience and capable suregon known for TURP surgery in DELHI.deepak
david
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May 6, 2012 @ 8:20 pm
1-27-12 had turp operation. Am enjoying the go. As time goes on the freaquency is less often enambleing me to travel up to 3 hours before rest stop. Beats the 30 or so minuets before surgery. One thing noticable is my penus has shrunk nearly 1/2 '' in length and the circumfrence close to 1/3 size pre surgery. Doctors don't tell us this but it sems to be normal. In my case I don't care. I really enjoy the go
Jerry
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May 11, 2012 @ 3:15 pm
I had TURP surgery 5 weeks ago. I have had some pain in my lower stomach, but the last few days have really been painful. It seems my testicles hurt even more, especially when I sit. Is this normal?
T.
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May 21, 2012 @ 11:23 pm
My father had TURP surgery in January of this year, it was his second time to have this surgery first time about 6 years ago. He had good results with both times. He is in his 70's and very healthy and active. After his surgery they had sent some tissue samples to the lab. Results being that the sample taken showed a less than 1% cancer cells. Over the last couple of weeks he has begun to have some lower back pain. Went in for xray, then ct scan and now the Dr. is saying that his bone pain is being caused by prostate cancer that has metastasis to his tail and pelvic bones. How could this have possibly happened in four months, his psa level was 2.8 last week. Any Dr.'s out there with any advise?? How could this be?? I just don't understand and my heart is breaking!
Richard
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Jul 21, 2012 @ 7:19 pm
I had the TURP surgery over a month ago and have on 5 separate occasions had the cath removed. Each time I seem to get a little further ahead, however never overnight success. In the beginning I couldn't pee on my own after I left the doctors office to remove the cath. I now succomb to bladder spasms in severe form and end up in the emergency room to have the cath put back. At which time the spasms instantly stop. I am becoming exhausted over the course of 5 weeks and the pain involved. I have also developed anxiety when I have an appointment to remove the cath. My urologist manually inflates my bladder and I always manage to pee in the office. The last time I layed down to pee and never knew when I went. After this last trip to the doctor, I did pee at home 2 separate times. The first time I could pee successfully. The second time I went it took me some time to get things working. But with success. The next time I was unable to go and the spasms started in full force causing severe pain and a trip back to the emergency room. Please help explain the chain of events.

Rich
David Martinez
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Aug 2, 2012 @ 11:23 pm
The procedure TURP was done 3 months ago . I have recovered & would recommend this to anyone . At first I was really hesitant, but during the time me & my girlfriend had thought it over . We had thoughts not only on my urination dilemma resolving but also my ejaculation . My girlfriend hates semen to begin with , but with the chance of retrograde ejaculation she immediately responded with a yes . Sure it was a small chance of this happening but she hoped for the best . Now she and I could enjoy ourselves with no mess and no chance of pregnancy . May I add , we already have a child so whether this retrograde ejaculation , either outcome would be the best of the situation . 3 months later I am completely back to normal with my urination and I have a happy girlfriend . I hope the best for all of you , this is best for you in the long run for those who are curious !
Suri
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Aug 9, 2012 @ 1:01 am
Had TURP 2 years ago. After this proceedure all was ok within a week except for some blood clots now and then which stopped completely in 3 weeks time. All was normal no pain, but frequency a bit more because of higher intake of fluids, but the only problem was ejaculation, which was not as before, with the sensation not there at all. All was going fine when after a few months there was slight bleeding which stopped soon with more intake of water and a tablet of Dicynene (Etamsylate tablet). This bleeding or Clots have appeared occasionaly In the past two years, but a couple of days back there was heavy bleeding and big clots, could be as I was travelling by road ans was in a sitting position for a long time. On consulting my doctor I was advised to take antibiotic with Etamsylate tablet and a good quantity of water/ fluid. The bleeding stopped and all was normal again, but the incident scared me. I have now returned and will be going for a check-up and will post my views later. in the mean time let me convey to the persons who have gone through and those who will be going through this proceedure (TURP) that we can only go by the advise of our Doctor as they are the best judge for the cure, but as always there is a risk involved. My advise is after the proceedure, have good healthy food, increase intake of fluids, reduce on hard drinks and no Soda, stop intake of Tobacco, do not lift heavy weights etc., and exercise. God Bless.
steve
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Aug 22, 2012 @ 3:15 pm
Had Prostiva 1 year ago this month.Had burning and still go frequently when I urinate ever since Prostiva.Got worse over time so went back to same doctor.He did cystoscope and found Prostiva did not do any good and my bladder had blisters.I asked if Prostiva could have caused blisters and he said it never had before.He recommended Turp so 1 week ago I had turp urinating less but still burning and flow is better.I found out later that the Prostiva probably caused the blisters but doctor did not want to admit it .Has anyone else had this problem with Prostiva.The blisters look horrible and he said they were not there 1 year ago so it just makes sense that the heat from Prostiva caused blister.Wondering if anyone else has had blisters with prostiva?
mal
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Oct 3, 2012 @ 12:00 am
I had the Turps 12 months ago, I feel good, I can stand two foot back from the toilet and pee and would be able to write my name in the sand. The only thing is they (Nursing Staff) stood on my tubes as they wheeled me out of surgery and yanked on my cath and now my penis is bent from broken nerve ends. I have been assured it will come back straight after the intake of months of vitamin E tabs, but he is still looking up at me instead of straight ahead. Any suggestions fella's?
steve
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Oct 11, 2012 @ 4:16 pm
Just went back to doctor after porostiva 14 months and turp 2 months ago.Ever since prostiva 14 months ago I feel Like I am peeing splinters.After turp 2 months ago urine flow is better but still feels like I am peeing splinters.Pain is caused by blisters in the neck of my bladder the doctor finally admitted that the heat from the Prostiva probably did it he don`t know what to do except to continue taking urogesic -blue and wait.Just warning anyone out there the Prostiva is not what it is cracked up to be ,Just a fast way for doctors to make a fast buck.I have several friends who have had prostiva and are having problems after year or two.Also when I ejaculate( when I can) nothing comes out.61 years old
Hiram Johnson
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Dec 2, 2012 @ 3:15 pm
I will mention an important point for anyone suffering with BPH or trying to avoid a TURP: if you wait too long, you can ruin the "muscle tone" of the bladder. If you do that, then a TURP won't do you any good, and you will be stuck with a Foley or do-it-yourself catheterizing for the rest of your life. So if you have bad BPH and the pills (or vitamins/herbs/etc.) aren't good enough, may as well make the decision promptly and get it done with. (I am having a TURP in 9 days from today). I am not looking forward to the TURP but am looking forward to getting the problem fixed finally.
Arti namdev
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Jan 4, 2013 @ 2:02 am
Q.-what is the etiology of BPH ?
Q.-Which type of anaesthesias are used for TURP?
Q.-whether it is major operation or minor?
Carlos
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Feb 22, 2013 @ 5:17 pm
I TURP 2 years ago I am very good so far ,at this point my T levels are low,I did talk to my
Doc about it , but does not like the idea of taking any form of Testosterone he said my prostate may grow, doing some research on this topic, any feed back please let me know.
CSC
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Mar 23, 2013 @ 9:21 pm
I had a TURP yesterday. My abdomen is still bloating. This was my symptom of urine retention before the surgery. Will this improved? Is this normal after TURP surgery?

Any insights would be greatly appreciated.
Herb Linhart
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May 9, 2013 @ 3:15 pm
I am slated to have the TURP opperation. I have had a holiday set up for Dec., 2013. That gives me about 5 months to recover before I leave. Is that sufficient time to heal. What concerns me most is the holiday is in Mexico. Should I be concerned. I natually do not want to have to visit a hospital in Mexico. A responce would be greatly apprecaited.
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May 16, 2013 @ 11:11 am
I am booked into have a TURP operation on Wednesday 5th June at Swindon GWH I also have a holiday booked for 8th November 2013 to Barbados also wondering if I will actually get the holiday
SHAH
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Jul 4, 2013 @ 1:01 am
my father had turp on feb 2013. my question is, do he need to continue with the previous medication such as avodart deutistride after the turp or stop completely? his PSA level also drop from 9.0 to 0.36. please help..
Lawrence
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Aug 3, 2013 @ 7:19 pm
I had the Turp procedure done 18 yrs.ago,every once in a great while after ejaculation the first pee blood will show up for a short period.Is this normal after this procedure? thank you.
Robert
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Oct 27, 2013 @ 1:13 pm
It's been just over 3 weeks since my turp operation (October 3rd 2013) Attempts at sexual intercourse have been difficult. I find it difficult to get erect and can only achieve semi erections which can disappear in seconds making intercourse impossible. I have managed two dry orgasms whilst semi erect which I'm presuming means that I ejaculated back into my bladder. Have I attempted to have sex too early? I have had no pain at all and am urinating fine after two weeks of having a catheter in with no leakage at all. I am keen to know if my erections will improve in time or do I need to see a doctor? My sex drive isn't affected at all, I am still having sexual urges. Will I be able to become fully erect again and maintain the erection? Any advice would be appreciated. Thank you.
spigott
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Jan 19, 2014 @ 8:20 pm
A reminder to anyone thinking of Prostiva.I had Prostiva 32 months ago because I was urinating every 2 hours at night about 4 to 6 ounces.Had prostiva and still had burning when I urinate and urinate frequently every1-2 hours.After 12 m0nths went back to same urologist in Brookhaven ms.and he did another proceedure called turp and at that time found blisters on the neck of my bladder.After Turp I still have serious pain when i urinate and when I ejaculate nothing comes out and there is no pleasure.After going to another Urologist he said I probably did not need the prostiva to start with that frequent urination is part of getting older 63 yr.He also said the other urologist probably left the needle in one place too long and it burned the neck region of my bladder.Hope i have helped someone
Allan
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Mar 26, 2014 @ 1:13 pm
I came home three days after surgery told to drink plenty of water and to sit to pee the main problem I had with the starvation diet and general anaesthetic I was constipated.Trust me you don't want that the pain was awful, I did bleed on and of for the first day my urine stream was very strong due to the catheter being remove the day before but the next day split into two streams and slower.Frequency roughly twice an hour and being woken during the night so extremely tired and also still painful.
Today as I write much better day still drinking plenty stream stronger and only one stream now.I am 65 in good health so I am hoping for a good outcome, if I could give any advice try to avoid constipation if at all possible. Thank you for the article very informative but I do think the forum of sharing real experiences is most helpful.
JayC
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Apr 13, 2014 @ 10:22 pm
I had turp surgery almost 4 weeks ago. Had a catheter coming out of my abdomen. Could not urinate for first ten days even when catheter was closed. Finally urinated and kept a log for about i0 days but was passing only 30 to 40 percent of urine in the bladder so the rest of it was let out thru the abdominal catheter. Doctor says bladder enlarged so won't remove catheter. Personal doctor is treating me for bacterial infections first with cypro and when the infection return in about 5 days now with levaquin and says I will continue to fight infections as long as the catheter is in me. Surgeon seems unconcerned about infections even though I told him I had been quite sick from them. He says quit passing urine thru the ureter and all urine is to pass thru the catheter. After a few Days I can try to urinate normally again but if after another 8 days I am not voiding completely We would discuss further options. when I told him I had a strong stream that would suddenly stop and sometimes resume strongly after a few seconds and sometimes not resume at all he said the bulb on the catheter sometime blocks the flow but would not consider letting me try to continue trying and pulling slightly on the catheter (as he showed me how to do it. What should those options be and should I be asking for a second opinion from another urologist? (The lab reports showed the infections are Klebsielia pneumonia and Escherichia)

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