TURP (Transurethral Resection of the Prostate) is a surgical procedure used to treat an enlarged prostate that’s causing urinary problems. Understanding the potential side effects can help you prepare for your recovery and know what to expect.
This guide covers the most common side effects of TURP surgery, how long they typically last, and when you should contact your healthcare team.
What Is TURP Treatment?
TURP (Transurethral Resection of the Prostate) is a surgical procedure that removes excess prostate tissue to relieve urinary problems caused by an enlarged prostate (benign prostatic hyperplasia or BPH). The procedure is performed through the urethra using a specialised instrument, with no external incisions required.
For men with larger prostates your doctor may also discuss alternatives such as HoLEP (Holmium Laser Enucleation of the Prostate), which allows for more thorough tissue removal in a single session.
Side Effects After TURP
It is normal to experience side effects as your body heals after TURP surgery. These side effects vary in frequency and tend to improve over time.
Common Side Effects
Most men will experience some of these side effects in the weeks following their procedure. These are typically temporary and improve as you heal.
Retrograde ejaculation: Semen travels backwards into the bladder during orgasm rather than out through the penis. This affects most men who have TURP and is usually permanent, though sexual sensation and orgasm remain normal.
Blood in urine: Light bleeding or pink-tinged urine is normal for several weeks after surgery. The colour should gradually become clearer as healing progresses.
Burning sensation when urinating: Discomfort during urination is common as the surgical site heals. This typically improves within 2-3 weeks of the procedure.
Frequent urination: You may need to urinate more often than usual, including during the night. This usually settles as swelling reduces and your bladder adjusts.
Less Common Side Effects
These side effects occur in a smaller number of men but are still important to be aware of before your TURP procedure.
Temporary incontinence: Some men experience difficulty controlling urine for a few weeks after surgery. Most regain full control within 3-6 months as pelvic muscles strengthen.
Urinary tract infections: The risk of infection is slightly higher after prostate surgery. Symptoms include fever, burning when urinating, or cloudy, strong-smelling urine.
Difficulty achieving erection: A small percentage of men may experience changes in erectile function. This can be temporary or, less commonly, longer-term.
Need for repeat surgery: In some cases, prostate tissue may regrow over time, potentially requiring another procedure years later.
Supporting Your Recovery
Taking simple steps at home can help reduce discomfort and support healing after TURP.
Stay well hydrated: Drinking enough water helps flush the bladder and may reduce burning during urination.
Avoid heavy lifting: Straining or lifting heavy objects can increase bleeding risk. Avoid lifting anything over 5 kilograms for several weeks.
Take prescribed medications: Pain relief or antibiotics should be taken exactly as directed to manage discomfort and reduce infection risk.
Plan for frequent toilet trips: Keep pathways to the toilet clear, especially at night, to avoid rushing. Consider using a bedside commode if mobility is limited.
Follow your doctor’s instructions: Attend follow-up appointments and follow your surgeon’s advice to monitor healing and address any concerns.
When to Seek Medical Attention
While some discomfort is expected after TURP, a qualified urologist in Singapore if you experience:
- Heavy bleeding: Bright red blood or clots that do not improve with rest and hydration
- Inability to urinate: Complete difficulty passing urine, which may indicate swelling or blockage
- Signs of infection: Fever, chills, foul-smelling urine, or worsening burning pain
- Severe or increasing pain: Pain that does not improve with prescribed treatment
Conclusion
Most side effects after TURP are temporary and manageable, with many men experiencing significant improvement in urinary symptoms.
If you have concerns about your recovery or would like to explore treatment for enlarged prostate such as HoLEP, schedule a consultation with our urology specialist in Singapore for personalised advice and next steps.
