Regaining Strength: A Guide to Post-Operative Care After TURP

Transurethral resection of the prostate (TURP) is a common surgery for relieving benign prostatic hyperplasia (BPH), also known as an enlarged prostate. While the procedure itself is minimally invasive, recovery plays a crucial role in ensuring a smooth healing process and optimal long-term results. This guide will provide you with the knowledge required for post-operative care after TURP.

Rest and Recuperation

Following TURP surgery, prioritizing rest is of paramount importance. You need to take off from work for 10–14 days if you are an office worker. If your job involves physical labor, you should consider taking around three weeks of rest at home. After a few days of complete rest, you can gradually increase your light activities around the house.

Activity Restrictions

  • Avoid strenuous activities like lifting heavy objects, straining, or vigorous exercise for at least 2–4 weeks.
  • Limit yourself to light walking and gentle activities that do not cause discomfort.
  • Ask your doctor for guidance on when to resume specific activities, including driving.

Diet and Hydration

  • Maintain a balanced, healthy diet, focusing on easily digestible foods if you experience stomach upset.
  • Drink plenty of fluids, especially water, to help flush out any remaining blood clots and prevent urinary tract infections. Aim for 8–10 glasses of water daily for the first few days after surgery.

Bowel Movements

Straining during bowel movements can increase the risk of bleeding. To prevent constipation, incorporate fiber-rich foods into your diet or use a stool softener as recommended by your doctor.

Catheter and Urinary Expectations

  • A catheter may be placed in your bladder during surgery to drain urine. Patients typically go home with the catheter on the day following surgery. The catheter is usually removed 2–3 days after surgery at the hospital.
  • After the catheter is removed, it is common to experience a burning sensation while urinating, increased urinary frequency or urgency, occasional hematuria (blood in the urine), or the passage of small clots for 2–4 weeks. These symptoms usually subside within the first week or two.
  • Report any persistent burning, inability to urinate, or excessive bleeding to your doctor promptly.

Medications

  • Your doctor may prescribe antibiotics to prevent infections.
  • Pain medication may also be prescribed to manage discomfort.
  • Take all medications exactly as directed by your physician.

Sexual Activity

  • Refrain from sexual activity for at least 4–6 weeks after surgery to allow for proper tissue healing.
  • You may experience temporary changes in sexual function following surgery. Discuss any questions or concerns with your doctor.

Resuming Daily Activities

  • Gradually increase your physical activity as you feel stronger.
  • Listen to your body and avoid pushing yourself too hard, which could hinder recovery.

When to Contact the Hospital

Following TURP surgery, it is crucial to remain aware of warning signs that require immediate medical attention. Seek prompt medical advice if you experience:

  • Fever or chills
  • Severe or persistent abdominal pain
  • Inability to urinate or bright red blood with large clots in your urine
  • Severe or sudden loss of bladder control (incontinence)

By following these guidelines and maintaining open communication with your doctor, you can help ensure a smooth and successful recovery. Prioritizing rest, taking medications as prescribed, and maintaining healthy lifestyle choices are key to returning to your daily activities and regaining optimal urinary health.