Transurethral Resection of the Prostate (TURP) is a common surgical procedure to alleviate urinary symptoms caused by an enlarged prostate, known as benign prostatic hyperplasia (BPH). During the procedure, a surgeon inserts a specialized instrument through the urethra to remove excess prostate tissue obstructing urine flow. Recovery from TURP surgery is a gradual process, generally following a predictable timeline.
Initial Post-Operative Period
Immediately following TURP surgery, patients typically remain in the hospital for one to three days. A urinary catheter is usually inserted during the procedure and remains in place to drain urine and manage urethral swelling. Continuous bladder irrigation may be used to flush the bladder and prevent blood clots from forming. Patients may experience bladder spasms, a frequent urge to urinate, and discomfort during this initial phase. Urine commonly appears bloody or pink initially, gradually clearing; the catheter is generally removed once urine clears and swelling subsides, typically within 24 to 48 hours.
Managing Recovery at Home
The first two to four weeks at home involve managing urinary symptoms and adhering to activity restrictions. Patients often experience urinary frequency, urgency, a burning sensation during urination, and occasional blood in the urine. These symptoms are normal as the prostate heals; blood may be more noticeable after increased activity or bowel movements. Staying hydrated helps flush the bladder and reduce bleeding.
Preventing constipation is important, as straining during bowel movements can increase pressure on the healing area and cause bleeding. A fiber-rich diet and stool softeners help maintain regular bowel movements. Patients should avoid heavy lifting, strenuous exercise, and activities that put pressure on the perineum for four to six weeks. Light activities like walking promote circulation. Sexual activity should be avoided for several weeks, typically two to six weeks.
The Path to Full Healing
Longer-term recovery, from four weeks up to three to six months, involves gradual symptom resolution and a progressive return to normal activities. Urinary symptoms, such as frequency, urgency, and urine flow, typically improve steadily as the surgical site heals. The internal cavity created by the removal of prostate tissue can take eight to twelve weeks to heal.
Most individuals can gradually resume their regular work and exercise routines within four to eight weeks, depending on their occupation’s demands. Complete recovery of sexual function may take longer. Follow-up appointments with the surgeon are scheduled around six to eight weeks post-surgery to monitor progress. Individual healing times vary based on age, overall health, and the extent of tissue removed.
When to Seek Medical Advice
While some symptoms are expected during TURP recovery, certain signs warrant immediate medical attention. Contact your healthcare provider if you experience heavy, bright red bleeding or pass large blood clots, especially if urine resembles ketchup. Inability to urinate or a bladder fullness that does not subside after attempting to urinate are serious concerns. Other warning signs include severe pain not relieved by medication, a fever of 101 degrees Fahrenheit or higher, and chills, which could indicate infection. Any sudden, severe abdominal pain also warrants immediate medical consultation.