Page 1 - Trans-urethral Resection of the Prostate - Discharge Instructions
P. 1

Urological Health
                                Transurethral resection

                                of the prostate (TURP)

                                Discharge instructions





        Transurethral resection of the prostate has been performed to improve urination.






             our prostate was cored out (Transurethral            Bowel function
        Yresection of the prostate or TURP) to allow the
        bladder to empty more easily and improve your             Your normal bowel pattern should return when you
        voiding pattern. The entire prostate is not removed by    resume your usual diet and activity. Avoid straining to
        this technique; rather, the urinary channel is widened    have a bowel movement, as this can cause bleeding
        to improve the flow of urine.                             from the prostate. A non-prescription stool softener,
                                                                  like docusate sodium (Colace™), is often helpful in
                                                                  this regard.
                       Anatomy of prostate
                       before and after TURP
                                                                  Activity
                            bladder                               Gradually resume your usual activities. Avoid straining
                            prostate                              or heavy lifting (over 10 kg or 20 lb) for about four to
                            resected                              six weeks from the date of surgery as these activities
                            prostate                              can cause bleeding.
                            external
                            sphincter                             Sexual activity can be resumed in three to four weeks.
                            urethra                               Most men have no change in their ability to have an
                                                                  erection after prostatic resection, but there may be
                 BEFORE                     AFTER                 a decrease in the volume of the ejaculate (the fluid
                                                                  expressed at male orgasm) due to backward flow
                                                                  of semen into the bladder at orgasm (retrograde
                                                                  ejaculation).
        Voiding

        Although you should see a significant improvement         Hygiene
        in your urinary flow immediately, you will likely have
        increased voiding frequency, urgency and voiding          You may shower or bathe, as usual.
        discomfort for several weeks. Your voiding pattern
        should improve as healing progresses.
                                                                  Medications
        Drink plenty of fluids to keep the urine clear unless
        advised otherwise by your doctor. You may notice          You may be prescribed medication when you leave
        some blood in the urine for up to six weeks after your    the hospital. You should be able to continue with your
        surgery.  Rarely, this would require placement of         usual medications. If you have any questions contact
        another catheter and possible repeat surgery.             your family doctor.

                                                                  Aspirin, arthritis medications, blood thinners and herbal
                                                                  supplements may all increase the risk of bleeding after
                                                                  surgery. Follow your doctor’s instructions with regard to
                                                                  resuming these medications, if applicable.




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