Discharge advice for patients
following Trans-Urethral Prostatectomy
by Mr H Lewi, FRCS
1. Following the removal of your catheter you
may experience some burning on urination and may have a frequent
desire to pass urine. These symptoms will last for only a
few weeks at the most and will disappear.
2. It is quite normal to experience urinary
dribbling for a period of time.
3. Try to pass urine as soon as the desire
4. Drink adequate amounts of fluid. 2-3 litres
per 24 hours is recommended. For the first couple of weeks
drink less in the evening so you don't have to get up in
5. Some bleeding is expected and quite normal.
It may last 1-2 weeks following your operation. This will
clear up spontaneously and can be helped by increasing your
fluid intake. If bleeding is heavy or continuous please contact
Mr Lewi or nursing staff at Springfield Hospital on (01245)
6. Try and avoid constipation and any strenuous
exercise for about four weeks following your operation.
7. It is recommended that you do not recommence
driving until 2 weeks after your operation.
8. You may return to work after 2-3 weeks if
your work is sedentary and after 4-6 weeks if manual.
9. Having a prostatectomy does not usually
cause impotence. You can resume sexual activity when you
feel comfortable. Please do not be alarmed if no fluid appears
Following ejaculation the seminal fluid goes into the bladder and is
excreted with the urine. This is not at all harmful.
10. Finally, if in any doubt at all do, not
hesitate to contact the staff at Springfield Hospital who
are there to give simple advice or, if there is genuine cause
for concern, they will contact Mr Lewi.
Advice for patients following
Trans-Urethral Resection of Prostate (TURP)
under the care of Mr Lewi, FRCS
You are to be admitted to Springfield Hospital
for a Trans-Urethral Resection of Prostate or TURP as it
is referred to.
A TURP is where part of the prostate is removed.
You will have a general anaesthetic and a telescope is inserted
into your penis. Part of the telescope uses heat from an
electric current to cut away pieces of the prostate.
You will receive a letter from Springfield
Hospital informing you of the date and time of your admission.
As you will be having a general anaesthetic you will need
to refrain from eating and drinking prior to your operation.
If this is not stated in your letter, the nurse will inform
You will also receive an appointment to attend
the Out Patient Department for pre-operative blood tests
and you may also have a chest x-ray.
You will be in hospital for approximately two
to four days depending on how you feel after your surgery.
On arrival at the hospital you will be shown
to your room by a member of the administration or portering
staff and a nurse will be with you shortly to admit you.
Each room is equipped with a colour TV, radio and telephone,
although you may wish to bring something with you to help
pass the time while you are waiting for your operation. The
hospital will provide towels for you during your stay. You
will need to bring in your own nightwear, toiletries and
clothes to go home in.
Mr Lewi and the anaesthetist will see you before
your operation. The anaesthetist does not routinely prescribe
a premed. However, you may discuss this with him. You may
wish to discuss the type of anaesthetic with the anaesthetist.
Please feel free to do so when he visits. Once your operation
is over you will be taken back to your room to sleep off
the effects of the anaesthetic.
You will have a catheter in your bladder with
irrigation fluid running in and out into a bag. This is to
prevent blockages occurring. The urine that drains out into
the bag will be blood stained - do not be alarmed as it is
quite normal to bleed after this operation. You will also
have a drip going into your arm. This is to replace fluids
lost during your operation and you may have a blood transfusion.
The drip will be removed the night or morning after your
If you have any pain or nausea following your
operation, please inform the nurse and she will give you
something for this.
After your operation you can commence drinking
fluids and, depending on how you feel, gradually increase
to a light diet. It is advisable to drink plenty of fluids
after the operation and continue to do so for at least 6
weeks as this helps to flush fluid through the urinary system.
The nurse will look after you and help you
to have a wash. You will be able to get up if you wish.
The irrigation water running into the catheter
will usually be removed the night or morning following your
operation. The catheter will be removed two to three days
After the catheter is removed you may experience
a burning sensation when you pass urine and you may want
to pass urine more frequently than usual. These symptoms
will only last a few weeks and will then disappear.
Mr Lewi will visit you daily whilst in hospital
and will decide when you are ready to go home. This is usually
two to four days following surgery. When you get home you
may feel shaky for a while as, although there is not much
to see on the outside, you have had a major operation. You
will need to take it easy for two weeks and not overdo things
for another two weeks after that.
If you have any problems or require any further
advice whilst you are an In Patient, please ask the nurse
or you can see the Senior Nurse or Matron if you wish. Before
you leave the hospital, please inform the nurse. She may
need to ensure that you have necessary follow up appointments
and medication that may have been prescribed by your Consultant.
We will also arrange for a porter to carry your bags if required
and escort you to the door.
Mr Lewi's secretary will write to you with
a follow-up appointment in the Out Patient Department for
six week's time.
Points to remember following your TURP:
- Try to avoid constipation as this
may cause you problems when you try to pass urine
- Avoid strenuous exercise for about four
weeks after the operation
- You can resume driving two weeks after the
- You may return to work after two to three
weeks if your job is sedentary. If it is manual, you need
to wait four to six weeks. The nurse will give you a sick
certificate if you need one.
- Try to pass urine as soon as the desire
- Remember to drink at least four pints of
fluid every day for the next six weeks
- If you have been prescribed antibiotics
please finish the course
- You may notice some dribbling of urine,
this is quite normal and will disappear
- You will experience some bleeding which
may last one or two weeks following your operation. This
is quite normal and will stop. However, if the bleeding
becomes very heavy, please contact Springfield Hospital
and speak to the nurses on the Acute Unit. They will contact
Mr Lewi, if necessary.
- This operation does not usually cause impotence.
You can resume sexual activity when you feel comfortable.
You may notice that no seminal fluid appears when you ejaculate,
this is quite normal and not at all harmful. The fluid
goes into the bladder and is passed out when you pass urine.
- If you experience any problems at all, please
contact Springfield Hospital on 01245 234080 and ask to
speak to the nurse in charge who will assist you if possible
or will contact Mr Lewi on your behalf. Mr Lewi's secretary
is also based at Springfield Hospital and can be contacted
on 01245 234087.