Trans-Urethral Resection of the Prostate (TURP)

Dr Peter Swindle is a urologist who specialises solely in prostate cancer and diseases of the prostate. His expertise and interest lies in the treatment of benign prostatic hyperplasia.

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After a TURP, the cavity left in the prostate will take between 8 to 12 weeks to heal completely and the full benefits of the procedure appreciated. Most patients will have greatly improved flow immediately after the operation but urinary frequency and urgency may take up to 12 weeks to resolve. The following are a few tips to aid your recovery:

Fluid Intake:

During the first 1-2 weeks after the operation, it is important to drink plenty of fluid to flush any new bleeding from the bladder. The amount of fluid drunk usually depends on the amount of blood in your urine. If your urine is quite bloodstained, you may need to drink up to 3 litres of water per day. If you urine stops being bloodstained and the prostate cavity has healed then a fluid intake of 2 litres per day is adequate. Avoid alcohol and coffee for the first few weeks after the procedure as this may make urinary frequency and urgency worse.

Antibiotics:

Sometimes after a TURP, patients are discharged on antibiotics. This usually occurs in patients who had a catheter in before the operation or who had been having urinary infections before the operation. It is important that if you are discharged on antibiotics that the full course be completed.

Activity:

To lower the risk of bleeding after the operation, it is important not to be too active. Avoid lifting, gardening, golf or other demanding activities in the first two weeks or so after surgery. Normal daily activities such as normal walking can occur immediately after the procedure however try to avoid driving a car for at least a week after the procedure. Sexual activity should be avoided for at least 4 weeks.

Bowels:

It is important not to become constipated as the need to strain to empty the bowel, may cause bleeding. Extra fibre in the diet and a larger fluid intake helps to make sure the bowel actions are soft and regular. If you are prone to constipation, let Dr Swindle and the nursing staff know and you may be prescribed a laxative to take whilst in hospital and after discharge.

Bleeding:

Within the first few weeks after surgery, the scab where prostate tissue has been removed may sometimes loosen and cause some bleeding. By resting when this happens and drinking plenty of fluid, the bleeding will usually stop. If it does not stop or if it becomes difficult to pass urine please contact Dr Swindle on 07 3010 3333 or 0409 103333.

When should I seek emergency medical treatment and contact Dr Swindle?

Dr Swindle is available 24 hours a day 7 days a week on 0409 103333. Never hesitate to call him if you have any concerns or if you feel unwell. He would prefer to be contacted and know if there are any problems. If you can't contact Dr Swindle and you are concerned then go to your nearest emergency department.

There are certain complications that require emergency medical treatment and if any of the following occur, go immediately to your nearest emergency department. Once you have sought emergency treatment then contact Dr Swindle or have the medical staff contact Dr Swindle.

Severe infection - Sepsis:

This is a severe form of infection and is otherwise known as blood poisoning. This occurs in 1 in 200 patients. The symptoms consist of fevers, chills, shaking, lethargy, warm skin, shortness of breath, rapid heart beat, drowsiness and a general feeling of being unwell. If this happens it is a medical emergency. You must go to your nearest hospital or emergency department as soon as possible and do not delay. Once having sought emergency medical treatment then contact Dr Swindle on 0409 103333.

Bleeding:

If you are passing a large amount of blood in your urine or are passing blood clots contact  Dr Swindle. If you can’t contact Dr Swindle then go immediately to your nearest emergency department.

Difficulty urinating:

If you are having trouble passing your urine and have abdominal pain contact Dr Swindle. If you can’t contact Dr Swindle then go immediately to your nearest emergency department.

Follow-up after the TURP procedure

Dr Swindle would like to see you six to eight weeks after your operation in the rooms for a post surgical consultation. Please telephone the rooms to make this appointment with Jan or Sandy (07 3010 3333).

Posted in: TURP
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