What is TURP?

Transurethral Resection of the Prostate (TURP) is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH) by removing excess prostate tissue that is blocking urine flow. The procedure is performed using a small surgical instrument inserted through the urethra. TURP helps relieve symptoms such as weak urine stream, difficulty urinating, frequent urination, and incomplete bladder emptying.

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What to Expect After TURP

• A catheter may be placed in the bladder for one to three days to help drain urine.
• Blood in the urine is common for up to two weeks after surgery.
• Mild burning or discomfort while urinating, which should improve in a few days.
• Increased urinary urgency and frequency in the weeks following surgery.
• Temporary urinary incontinence, which typically resolves as the bladder heals.
• Retrograde ejaculation (semen flows into the bladder instead of exiting through the penis) is a common long-term effect but does not affect sexual function or pleasure.

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Post-Procedure Recovery Tips

• Drink at least 2–3 litres of water per day to help flush the bladder.
• Avoid caffeine, alcohol, and spicy foods, as they may irritate the bladder.
• Take prescribed antibiotics and pain relievers as directed.
• Perform pelvic floor exercises (Kegels) to strengthen bladder control.
• Avoid heavy lifting, strenuous exercise, and sexual activity for at least four to six weeks.
• Refrain from driving while the catheter is in place and until you are comfortable and pain-free.

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What to Avoid

• Avoid sitting for long periods to reduce pressure on the prostate area.
• Do not strain during bowel movements; use a stool softener if necessary to prevent constipation.
• Avoid baths and swimming for at least two weeks to reduce the risk of infection.

When to Contact the Doctor

• Severe or persistent bleeding with large blood clots.
• Fever, chills, or signs of infection, such as painful urination or foul-smelling urine.
• Inability to urinate after catheter removal.
• Severe pain that does not improve with medication.

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Recovery Time

• Most patients return to light activities within one to two weeks.
• Full recovery may take six to eight weeks, depending on individual healing.

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Emergency Instructions

If you are unable to reach Dr. Singh and require urgent medical attention, present to the Emergency Department at Life Westville Hospital or Busamed Gateway Hospital for immediate assessment. The hospital team will evaluate you and contact Dr. Singh if needed.

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Hospital Locations

• Life Westville Hospital – 7 Spine Road, Westville, Durban
• Busamed Gateway Private Hospital – 36-38 Aurora Drive, Umhlanga, Durban