Transurethral Resection of the Prostate (TURP) is a common surgical procedure used to treat urinary symptoms caused by an enlarged prostate, known as Benign Prostatic Hyperplasia (BPH). The procedure involves removing excess prostate tissue that is blocking the flow of urine through the urethra. Patients often worry about mobility and walking immediately following surgery. Understanding physical activity guidelines is important for a successful and complication-free healing process.
Walking and Mobility Immediately After Surgery
Walking is actively encouraged shortly after the TURP procedure. Patients are often assisted to stand and take their first short walks within hours of the operation, as soon as the effects of the anesthesia subside. This early movement promotes blood circulation, which helps prevent the formation of blood clots, such as deep vein thrombosis (DVT).
During the first 24 to 48 hours, an indwelling urinary catheter is present to drain the bladder and allow continuous irrigation. The catheter is secured and designed to permit light mobility, such as walking a short distance around the hospital room or ward. Nurses provide instruction on how to manage the catheter and its drainage bag safely while moving. Initial post-operative walking should be gentle, focusing on short, frequent strolls.
Restricted Activities During the First Few Weeks
Once discharged, the recovery period at home, typically the first four to six weeks, requires careful adherence to activity restrictions to ensure the surgical site heals properly. The primary goal is to avoid any activity that could increase abdominal pressure, which might trigger post-operative bleeding (hematuria) from the prostate bed.
Patients must strictly avoid heavy lifting, defined as anything over 10 to 15 pounds, for the entire four to six-week period. Activities that involve straining, squatting, or bending over at the waist should also be limited, as these raise pressure in the pelvic area.
Prolonged sitting, such as long car rides or cycling, is discouraged because it places direct, sustained pressure on the healing prostate area. Patients should also avoid constipation, as straining during a bowel movement can induce bleeding, and they may be advised to use stool softeners.
Timeline for Resuming Strenuous Exercise
The return to more vigorous forms of exercise is a gradual process that depends on individual healing and must be cleared by a surgeon. Most high-impact activities, sports, and heavy physical labor are restricted for at least six weeks following the TURP procedure. This restriction includes jogging, running, weightlifting, and playing sports like golf or tennis.
After the initial four to six weeks, if recovery has progressed without complications, patients can generally begin to reintroduce low-impact exercises. Activities like gentle swimming or using a stationary bicycle can often be resumed first, provided they do not cause discomfort or strain.
The body should guide the pace of return, and any sign of blood in the urine following an activity should signal the need to immediately stop and rest. Full clearance to return to all pre-surgery routines may take six to eight weeks or longer, following the specific recommendations of the healthcare team.