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Mr Robert Ewing
MB BS FRCS
Consultant Urological Surgeon
Spire Cheshire Hospital
Honorary Lecturer
University of Liverpool

 

 

Transurethral Prostatectomy

PATIENT ADVICE FOLLOWING TRANSURETHRAL PROSTATECTOMY

As men get older their prostates enlarge. The prostate may press on the urethra causing obstruction to the bladder. Transurethral prostatectomy (TURP) removes the prostate to relieve the obstruction.

There is no incision. Your operation will be carried out under a general anaesthetic or a spinal anaesthetic.

TURP usually involves a hospital stay of up to four days.

After TURP most men will have retrograde (backwards) ejaculation. A small percentage will have difficulties with their erections.

Convalescence will take up to six weeks.

DOs

  • Contact the hospital immediately if you find you cannot urinate or you are bleeding excessively or you have severe pain or a high temperature
  • Take your prescribed painkillers or Paracetamol as instructed.  You may feel some soreness following your operation
  • Drink plenty of fluids every day.  2 to 3 litres of fluid each day should suffice.  This needs to be increased if there is blood in the urine
  • Have a daily bath or shower
  • Resume work after 3 to 6 weeks if fit to do so. The time you return to work will depend on your occupation and how heavy and strenuous your job is
  • Take regular exercise such as gentle walking to keep your circulation going

DONTs

  • Do not drive a car or operate machinery for 2 weeks. Remember not to drive yourself home
  • Do not panic if you experience some blood in your urine. Small amounts are not unusual.  Drink plenty to flush it through
  • Refrain from contact sports and golf for 4 weeks. Care should be taken when twisting especially getting in and out of bed or a car. Gardening including mowing the lawn should not be done
  • Refrain from heavy or strenuous activity for 4 weeks.
  • Refrain from sexual intercourse for 4 weeks and then when you are comfortable

If you have any initial problems, or are worried and need advice, please contact the ward on 01925 215070 at the Spire Cheshire Hospital or complete the form below:







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