Transurethral Resection of the Prostate (TURP) is a common surgical procedure performed to alleviate symptoms caused by benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland. When the prostate enlarges, it can press on the urethra, leading to difficulties with urination. Many individuals considering or recovering from TURP surgery have questions about its effects on various aspects of their lives, particularly concerning sexual function.
Resuming Sexual Activity After TURP
After TURP, the body needs time to heal. The typical recovery period before resuming sexual activity, including intercourse, often ranges from two to four weeks. Some medical professionals suggest that sexual activity can be resumed within two to three weeks, provided there is no ongoing bleeding in the urine or burning sensation during urination. However, others advise waiting a minimum of three to four weeks.
During the initial two weeks post-surgery, avoid strenuous activities, heavy lifting, and driving. Gentle activities like walking are encouraged to aid recovery. As healing progresses into the third to fifth week, individuals can gradually increase their activity levels. Always follow your surgeon’s specific advice, as individual recovery times vary.
Understanding Changes in Ejaculation
A significant change after TURP surgery is the alteration in ejaculation, commonly known as retrograde ejaculation. This occurs when semen, instead of being expelled through the penis, travels backward into the bladder during orgasm. This happens because TURP involves resecting prostate tissue, which affects the bladder neck’s function, preventing it from closing properly during ejaculation.
Retrograde ejaculation is a common outcome, affecting 50% to 90% of men who undergo TURP. While this means little to no semen exits the penis, it typically does not impact the sensation of orgasm or the ability to achieve an erection. The semen that enters the bladder is later passed out with urine and is not harmful. While it does affect fertility, it does not cause pain or a loss of sexual pleasure.
Other Potential Sexual Changes
Beyond retrograde ejaculation, other sexual changes after TURP are less common. For instance, the procedure typically does not negatively affect erectile function. Many studies indicate that most men maintain their pre-operative erectile function, and in some cases, individuals who experienced erectile dysfunction prior to surgery may even see an improvement in their erectile function after TURP. The risk of developing new erectile dysfunction after TURP is generally low.
Changes in libido, or sexual desire, can occur but are not a universal outcome of TURP. Some patients may report a decline in libido or sexual satisfaction, but this is not as prevalent as retrograde ejaculation. If any persistent or concerning sexual issues arise after the surgery, it is advisable to consult a healthcare provider. This ensures that any new symptoms are properly evaluated and managed.