T.U.R.P.
Transurethral Resection of the Prostate

Knowledge Share


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Share your knowledge and experience about the Prostate with others who need help and information. Often those submitting questions here do not have the option of asking a doctor these questions nor the many medical support organizations that others of us benefit from. If you can share personal experience, offer references, or just empathy, please click on the envelope icon at the bottom of each message to respond to them.

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Many of these emails are from those who unfortunately have complications or other unique problems. Yet there are also those who are just concerned and confused by the symptoms of BHP, and/or the TURP post-operation experience. Remember, the vast majority of TURP patients have successful procedures and greatly reduced or even eliminated symptoms. (Messages are in chronological order with the oldest first; oldest messages are purged first.   I only add emails if they offer significantly new information.)

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Just thought I would share my experiences since it seems most of the e-mails are negative. I am a 51 year old male who was experiencing a continuing number of bladder infections. After consultation with a urologist was told that my prostate was growing up into the bladder putting pressure on it so my stream was reduced. My doctor said I should have the T.U.R.P. Also had a biopsy to confirm no cancer which it did. It came back cancer free. I had my procedure on the 22nd of May of this year. The catheter was removed on the 2nd day after my surgery and my stream was 100% improved. I went home that day and took the next two weeks off. Some blood in the urine at the beginning of each evacuation but not much for the first few days. Began passing some scabs with some bleeding at those times. It is now June 12 (three weeks since the procedure) and have not seen any blood since saturday. Have not resumed sexual relations yet. My check back appointment is this Thursday, so hope to have an idea then when they can resume.. My only recommendations are to take it easy for a couple of weeks and to drink plenty of water during the day to flush your self out.

EdReply to message


I am 59 years old and was told 6 years ago that my prostate was the size of an 80 year old. He wanted to remove the prostate but after reviewing what that meant for my quality of life I decided not to. I went on herbal medication. Saw Palmetto helped a lot.

Two weeks ago I began experiencing difficulty peeing. My wife persuaded me to go to the emergency room. It took almost 2 more hours to see be admitted to the room. The nurse inserted a catheter. I didn't know what to expect and it was very painful. At the same time it relived the pressure. I filled a container with 850 ml of urine. The normal bladder holds about 1/2 of that. They told me that if I had not gone in I would likely have died in about 10 hours from acute renal retention. So much for denial of prostate problems.

I saw a urologist that Tuesday. He scheduled me for a TURP on Monday 7/02/01. The operation was only about an hour. When I came out of it I was beginning to feel some pain. They gave me a little morphine and a percocet tablet. I was okay for about 4 more hours. They took me to my room and as usual for this operation I was on a Foley Catheter. The put about 2 gallons of saline solution through the catheter to flushout the prostate operation debris. This went well until 11:30 PM when the staff changed shifts. They neglected to drain the container that catches the fluid. I began feeling cold on the end of my penis, and a feeling like my bladder was under pressure. it was. Someone finally came and when they drained the bottle they went too fast and caused me to fell a vacuum and some sharp pain. MAKE SURE THE STAFF REGULARLY DRAINS THE CONTAINER!! You can see that drain hose. They drained mine about once/hour. If the drain hose fills call them immediately.

I was allowed to go home the next day. They removed the catheter. This didn't hurt too much. A lot of blood flowed for a few seconds and then stopped. I have been taking it easy and following the doctors instructions. So far I can pee very well (but did get the "burning" sensations). It has been 1 week from the operation. I feel much better. I hope things continue to improve. I am glad I had the TURP instead of any of the newer techniques. I don't know what a laser or microwave would do to other parts of the body. I am on flow max as prescribed by the urologist. I can still see blood when the stream 1st starts. Overall the TURP is a very good operation. If things start to get worse I will write.

JoeReply to message


I had a TURP 18 months ago. There was a significant stone in my prostate the surgeon said he'd try to remove but couldn't since it was too close to the nerve bundle. Later I developed quite a few more small stones on the resected section and have experienced recurrent infections. Some small stones were removed cystoscopically 9-10 months ago by the urologist who performed the turp. 2 months ago a second urologist accidentally knocked loose some large stones(5mm-10mm) in a cystoscopy followed by a rectal ultrasound of the prostate. After I passed those in the next 3 days I was in heaven because the urine flow was tremendous. Now I fear I have more stones or bits of the original big one blocking the way again since I've got weak stream and frequency again. If I need another turp to go after the stones I'd like to have access to the French 3-D procedure I heard on t.v. was being performed somewhere in California. Its advantage is that the risk to the nerve bundle is greatly reduced. Does anyone know where this procedure is available?

Reply to messagePierre


To sort of "balance the books" a little for this webpage, I am offering a positive example of the TURP procedure. I (the author of this web site) had a TURP performed about 3 years ago. I had been suffering from increasingly upsetting and limiting symptoms for over 15 years before deciding to do something about it. I would get up from sleep two to three times per night; I avoided travel where access to a restroom was not always available; and declined social events for the very same reason. It was essentially controlling my life to a greater and greater extent.

My operation was an "out-patient" one, i.e. I was home within an hour after the operation was performed, and I was required to administer the postop recovery procedures and deal with the catheter -- even to removing it myself when the time came.

Yes I was uncomfortable during the recovery period and had all the postop symptoms that the website lists. However, after recovery, I was without any of the prior negative BHP symptoms and after three years none have returned.

Reply to messageJohn Fife


My father had the TURP procedure at the advice of his urologist due to frequent urination at night. I'd just like to share an unfortunate consequence that developed in his case so others may avoid the same outcome as he. He developed blood clots in his lower leg below the knee, which were not treated timely and even clot busting medication did not help, resulting in having to have an amputation. If you have this procedure and develop leg pain afterwards INSIST that it be checked out by your doctor or a hospital. Older people may have circulation problems (perhaps unknown to them) that can be exacerbated by having their leg(s) in a stirrup position for a prolonged time. Better to be err on the side of caution. You can print this as it may help someone else avoid this problem. (Oct, 2001)

LindaReply to message


Hi John.

I had first PSA test last week since my turp operation in Oct 2000 and it turned out an excellent result of only 4. Everything is back to normal, no more dripping after toilet since the operation and my sex life is back to normal again. (Feb 2002)

Regards K. Scott.Reply to message


Hi: I'm scheduled for a TURP on March 14th after fighting continually more restrictive prostrate symtoms. I was pretty sure it wouldn't be a "walk in the park" but after reading so many horror stories ( your's being one of the few positive testimonials) I'm scared to death. I thought the procedure had gotten better and more sophisticated. Now, I'm not sure what to do. It sounds like guys (I'm 58) are condemned to weeks, months and years of torture. Can you offer any more encouragement?

Webmaster answer: Yes, the vast majority of TURP patients have successful and uneventful operations (inc. myself). The variables are: choice of doctor, in or out patient treatment, how well you follow recovery procedures and your general health. Good luck.

Response from Rick: Just had the surgery. Feel like a new man. Should have had it years ago. Thanks. (March 2002)

So far it's been a real good experience. I'm thankful that I had it done and that I'm recovering so quickly. (April 2002)

RickReply to message


I am 63, and have a moderately enlarged prostate, along with several stones which have caused me much misery with chronic infections/inflammations for many years. My Uro. has recommended a TURP to correct the enlargement and remove the stones. My questions are: How effective is this surgery in curing chronic prostatitis by removing the stones? On a scale of 1-10, how painful is it each time you urinate, and for how many days or weeks does this painful urination last?

Finally, has anyone developed any major hospital staff infections from the procedure? I guess these are my chief concerns outside of not being able to urinate at all after the catheter is removed, which I understand can happen. Would appreciate comments from anyone on these items and/or advice.

Thanks for your help. ArdHi57 Reply to message


Hello to fellow sufferers -

My urologist has been recommending a TURP for the past three years, but I have been hesitant. My PSA is under 10 and two biopsys have been negative. (BTW, I'm soon to be 69). I have found that the saw palmetto and cardura (prescribed somewhat reluctantly by my urologist) have helped. I'll never forget when I first noticed a problem. One morning I got up, went to the bathroom, and NO stream. Panic! After a few minutes and considerable straining, I was able to release a weak stream. From that time on, it has been every 6 months to my urologist, PSA test, and the infamous "digital exam" - You ex-GI's know it as "bend over and grab your sox". But one suggestion that I have to everyone who has this problem - when you go to the bathroom, Take Your Time! I make a game out of it. How long can I keep a weak stream going. When I concentrate on prolonging it instead of "I have to hurry back to work" and squeeze it off, I find that I can go longer between trips - sometimes all night without having to void. My personal feeling is that if 85 percent have good luck with the TURP, that leaves 15 percent with problems. That's the same odds you get with Russian Roulette. I don't mean to sound flippant, but after all, it is My (and Your) decision as to how you might have to spend the rest of your life. As a disclaimer, I am NOT in any way a health professional. Just a retired electrical engineer turned banjo player. Best wishes to all.

(Update): Hello to all: I had my T.U.R.P. 10 days ago, and I can't believe how well it went! I had almost complete blockage and had to wear a catheter for the past three months, which took some getting used to. The reason for the delay in surgery was the fact that my bladder was so enlarged, my doctor wanted to allow it time to recover. It was my fault that I waited so long to have something done. I think, like a lot of guys, I was just afraid of the potential side effects. After the surgery, I had virtually no pain, and after 4 days the catheter was removed and I have been voiding like the proverbial race horse since ;-) I echo what was said on an earlier post -- find a urologist whom you trust and who has a lot of experience with TURP. BTW, I will be 70 in three weeks, and I'm looking forward to a summer full of activities that I haven't enjoyed for several months. Good luck to all,

(Update from Charlie from Sept. 2002): Hello to all -- This is a follow-up to my previous posts. I had TURP the first of April, 2002 and was very pleased with the results. However starting in June, I began to see a decrease in my urine flow. My urologist ordered a uroflow test and determined that there appeared to be some blockage, probably due to scar tissue. I was scoped and it confirmed that I had scar tissue in the urethera at the bladder opening. I am now scheduled for a "minor" procedure in October during which the the doctor will remove some of the scar tissue. It will be much a much shorter procedure than the TURP, and will have much less recovery time. He told me that about one out of 100 TURP patients have this problem. Has anyone else on this page had this condition? BTW I am 70 years old and fairly active. My one other complaint to the doctor is that I now have erectile disfunction. Would anyone else out there care to comment?? Thanks for reading.

Charlie C.Reply to message


Hi,

Just had TURP proceedure 10 days ago and wanted to share a positive result. I am 48 years old, and [was] told that I am way to young to have these problems. However, with a PSA reading of over 8, 2 biopsies , a cystoscope proceedure, a very enlarged prostate, 3 trips to the emergency room with a urinary tract blockage, and very many trips throughout the day to the restroom, it was time. I had my surgery performed in New York, at The Sound Shore Medical Center, by my urologist Dr. Larry Roberts of New Rochelle on Wednesday April 24. The surgery took almost 2 hours, and I was in no pain before, during, or after the surgery. The catheter was left in for one day after the surgery to help cleans and drain the prostate. It was removed early Friday morning by Dr. Roberts, and I have been urinating with no hesitation since. The first 2 or 3 hours after the catheter was removed, I urinated quite frequently, since I was drinking an awful lot of juices and water, and also, I needed to regain some control over my bladder. From Saturday however, my control has been excellent, my urges to urinate are far and few between, and through all this no pain, not too much blood during urination, and my control is almost excellent. I actually went to the Yankee game this past Sunday (10 days after surgery), and I did not have to get up once to go to the men's room. I have even slept 2 or 3 nights straight through without having to get up to relieve myself (Oh what a feeling!) The only minor problem is if I cough or laugh too hard, and there is some urine in my bladder, a drop or two comes out since I guess I am not completely healed. However, I am assured this should stop in the next week or so.

But I must tell you what a pleasure it is, not to have to plan my day around where bathrooms are. If you have any questions, please do not hesitate to write. (May 2002)

JOHNReply to message


This is June 14, 02 and just wanted to share my TURP experience, since your site has helped me out greatly... On June 4, 02 I was TURPed at the Cleveland Clinic after about 4 mos. of my creatine level starting to rise. I had no pain or discomfort which surprised my doctor... I was still peeing but one day it just stopped and I had to have the urologist put a catheter in me which I retained for 7 weeks. After one day in the hospital they took the catheter out [and] I peed 600cc -- mostly blood. They said that was no good and 1 hour later I peed again which was pink and they said that was o.k. and let me go home.

Since being home I have not had any blood in my urine and I drink lots of water and juices. It is still difficult for me to begin a stream and usually have a bowel movement with it.... but when it starts, its pretty good, and one night I filled three 8oz. glasses. But usually its between 4 to 8oz. I know it sounds stupid to keep track of your urine, but I read somewhere you should expel approx. 2 quarts a day, depending on the amount you drink, naturally. My doctor was concerned about me peeing even after the operation because he said I had a large bladder even tho he said the lining looked good. He didn't tell me if it was naturally large or if it got that way by not peeing. I was always able to hold my urine, even when I was in high school. The only problem is straining to pee, I hope that gets better. I am 62 yrs. old and my first follow-up with him is July 8. Please print this letter maybe it will help some one, your site has sure helped me.

ClipperReply to message


Hi, had a turp on May 6th 02. Have been leaking since then. On the third week I started to pee blood, had to go to E.R. for a catheter. The next day began bleeding outside the catheter -- back to E.R. for serious blood clot removal. Had a second surgical procedure to seal leaking blood vessels. It is now about six weeks after the first surgery and I have resumed my normal routine, exercise, sex, work and so on. However, I have to wear an adult diaper because of the leaking. If any one has had a similar experince or has ideas on what might help, short of buying adult diaper stock. I would be glad to hear from them

JackReply to message


My name is Bernie, I had the T.U.R.P. surgery August 6, 2002. My surgery started at 10:30 A.M. and was out of the hospital the next day at 2:30 in the afternoon. I know this is early in the process but I want to thank all the guys who shared their experience. It was fantastic. It made it easier for me to have that knowledge before hand, because without it, I wouldn't have known about the difficulty in urinating, standing on my tiptoes really helped. Being aware of the blood and the clots eased my mind a lot. I am almost 70 years old and this was my first surgery so you guys did me a great service. (August 2002)

Thanks BernieReply to message


I was amazed to read the many e-mails about problems folks are having after TURP. I've got my own horror story but was under the impression that complications are rare. I'm 65 years old and after having symptoms of an enlarged prostate for as many as ten years, my primary care physician finally recommended I see a urologist. The guy he recommended was young (the first mistake!) and he performed a TURP in may 2001 using what he called a vaporization procedure. The initial recovery was good, but I continued to show blood in my urine as much as a half a year later. Finally another cystoscopy revealed that I had a number of stones attached to the resected prostate tissue. These were removed by the same urologist in Feb. 2002.

After that we left Rochester, N.Y. for our winter place in South Carolina where the bleeding recurred almost immediately. X-rays and ultrasound revealed more stones and a blocked uriter (the duct from the kidney to the bladder) It seems that insufficient prostate tissue had been removed during the "vaporization" TURP. The S.C. urologist (an older more experienced one) said the stones were the result of my inability to void completely, causing the retained urine to concentrate and to precipitate stones. He did another TURP (May 2002) and, again the initial recovery was good - excellent stream, up once a night only, no leakage etc, etc. BUT, six weeks after this TURP I started bleeding again. This time the amount of blood was scary. Almost any physical activity could bring it on. Yet another urologist - we were now back in Rochester - attempted to cauterize the large resected area in a procedure very much like yet another TURP. It hasn't worked. The least amount of lifting or activity still results in bleeding, usually six or more hours later. It will then clear up until the next time I forget and maybe pick up my 2 year old grandson or something even lighter.

If there is anyone out there with advice, I'm getting a little desperate! You may post my e-mail and I hope to get some response. (September 2002)

HerbReply to message


I appreciate your public service. Here's my story, positive one so far. I'm 47, have had 'prostate problems' since my 20's. Graduated to Urine Retention issues with problem symptoms in my 40s. I went through Caduraand Flomax and finally decided to get it fixed. I had my Turp 4 days ago. I had a spinal and watched the job, stayed in the hospital one nite. If you want to do that, do what I did and get them to give you Valium first. They used a balloon catheter with traction pulling downward to faciliate healing and it hurt a fair amount. I found the morphine didn't work as well as the vicodin. Cath came out in the morning and I went home. It took awhile to get the pee going, I was a little freaked out because it hurt alot, they gave me some atavan to cool me out. First few days at home sucked, kinda leaky, kinda bloody. Now at day four its all getting better. Guys, if you have this problem and you are a candidate for surgery I'd say do it if you can. The more you wait the more you compromise your whole urinary system.(March 2003)

DavidReply to message


It is my pleasure to contribute my experience to this website which has been my guide through the TURP experience. My doctor initially did not inform me of the severity of the TURP operation on my system nor the difficulties and length of full recovery. I am thankful for the realistic information this website provided.

 First I want to comment that despite the difficulties of the TURP procedure, I am very pleased with the outcome and would urge any candidate for surgery to do it. Now 10 weeks later, the urgencies, nocturnal urinating, etc. have largely disappeared. I know I will be happier as time goes by as explained below.

 I am 67 years old and had my TURP operation on Monday, June 9, staying two nights in the hospital on the advice of my physician. I urge you to do the same. The balloon catheter can be very uncomfortable, painful and messy. Why hassle it? That first afternoon I had to be irrigated because of the pain. They gave morphine in an IV but after a few hours found that Tylenol with Codeine by mouth worked better. A sleeping pill gave me reasonable night's sleep. About 7 am Wednesday morning the catheter was removed, and after drinking cranberry juice and a large container of coffee, I gushed urine (to my surprise) and went home.

 The first two weeks of recovery were difficult For the first three days, I had to take Pyridum to relieve pain and burning in urinating. The pain, frequencies and spasms diminished slowly and although I did return to work after two weeks, I still had considerable discomfort. Even into the third week I curtailed business activity. While bloody urine dissipated, I still passed clots or scabs for many weeks. Before my surgery my physician said that I would be OK to go on a planned vacation 4-weeks from operation date. Now that I know the difficulties, I would have postponed the vacation. And I suggest you wear "adult diapers" until you can completely control your urinating system.

 Today, 10 weeks later, I am perhaps 95% recovered, have been back for weeks on my regular schedule, including sex (which I believe has greatly improved).

 However, I was not prepared, except for the advice from this website, for the physical toll of the TURP operation. I didn't realize that I was making a major commitment and that it would disrupt my life for many weeks.

 I fully agree with Mr. Fife's comments on his "Frequently Asked Questions Page." Full recovery can take up to a year.. Confronting my doctor, a week after surgery, he even admitted that surges would not fully disappear for perhaps six months. So be prepared, be realistic and good luck!(August 2003)

RalphReply to message


Hi!   Today is my first day home from the hospital. I had my TURP surgery on Tuesday (28th, October 2003) and I wanted to share with your readers how really terrific everything went for me. I am 44 and have been dealing with symptoms for many years.  2 months ago I had to resort to cath - ing myself 4 times a day because I could no longer Pee by myself.  My Dr. wanted me to do this for 6 weeks in order to "train" my bladder. He told me that I was his youngest patient by 14 years and that my urethra was completely closed by my prostate. ANYWAY:  I want you to know my surgery and post surgery has been COMPLETELY PAIN FREE and without pain medications. The only thing that hurt was the shot for the spinal and of course there was a bit irritation with the Cath. The nurses & Drs. were great, they answered questions. I wanted to tell you of my experiences because while many of your contributors have expressed the many complications that can occur. I wanted everyone to hear about the ones that are very successful AND don't write in. I encourage everyone to drink water, and do the surgery ASAP. For the first time in 15 years I can "Pee Freely"...My family & Nurses have said I am acting like a kid at "Show And Tell" and that Santa came early this year!   My life has changed!   No more searching for bathrooms, no more 6 trips a night to the bathroom, no more "full" feelings.  My goal was to be able to write my name in the sand (Snow for the northerners) and I will do it!
Also, I do want to thank everyone in this site, I collected information to reduce my fears and by far this site was the most helpful. It is easy to read and navigate. THANK YOU!(November 2003)
    LouReply to message

My TURP procedure was performed three months ago and I just learned that I have been doing the sphincter exercises completely wrong! The urologist/surgeon asked me several times if I was doing the exercises faithfully, and I answered truthfully that I certainly had.  Still, three months down the line my bladder drains every time I rise to a standing position. I squirt when I sneeze, cough, or bend over. I am sick of being one of the Depends company's best customers!
 
I started a six-week biofeedback program at Queens Hospital in Honolulu three days ago. When I demonstrated how I had been tightening my sphincters on the prescribed schedule three times daily, the RN very politely told me that sucking my abdomen in and holding it tightly ten seconds at a time was exactly the wrong thing to do! She use the word "contraindicated."  I learned during two hours connected to a sophisticated computer program with a probe up my rear and patches stuck to my skin in several places how I am supposed to be exercising.
 
Very simply, what I was supposed to have done was imagine that I was very anxious to have a bowel movement and was puckering my rectum in order to prevent messing my pants before I could make it to the bathroom. Since the same pelvic-floor muscle controls the bladder, this exercise will restore the muscle strength I need in order to say goodbye to Depends.
 
On the biofeedback monitor two horizontal lines run across the screen; one showing how tightly I contract the one muscle which controls both the bladder and the rectum, and the other showing how badly I was cheating by tightening my stomach muscles.  During the past three months my stomach muscles became very strong, but my pelvic-floor muscle is weak from lack of use. Lying there and watching what my efforts produced on the monitor was like a great game, but it really demonstrated what I have to learn to do. Much of the time when the nurse told me to tighten up the pelvic-floor muscle, the line showing my stomach muscle tension shot up. She had me keep a hand on my stomach in order to monitor was I was doing.
 
If you are having the same problem come to Oahu, lie on the beach between sessions, and we will get together!(Nov 2003)
 
AlReply to message


I am 51 and had a TURP op in July 2003.  There were some complications due to my having Prostatitus which had gone undetected.  This resulted in excessive bleeding, I needed two blood transfusions.  Straight away after the catheter was removed my flow was terrific, a great relief.  A month later however, I was unhappy that I still had a nasty urgency problem that was not there before.  I was advised to do pelvic floor exercises and this sorted it out.  It seems that these "pulling up" exercises are very important, although I had not been told to do this.  Now four months later everything is perfect.  My recovery took longer than I expected but it has been complete.  It is great to be able to lead a normal life again.(Dec 2003)
ChrisReply to message

I STRONGLY suggest that anyone who needs a TURP consider a  "Greenlight PVP" instead.  It is a new laser approach to remove the offending prostate material.  The PVP has similiar clinical endpoints, or results,  but with less morbidity.  Many patients go home the same day without a catheter.  The recovery period is shorter.   The procedure is FDA approved and Medicare covered.  More than 11,000 PVP's will be provided in 2003.  All Urologic communities may not have  endorsed PVP yet and some insurance may not yet provide coverage, but fight for it.
I investigated both.  To me there was only one choice - the PVP. (Dec 2003)

DennisReply to message(Ed Note: see FAQ's and Links for more on PVP)

Hi, My name is Tom and was diagnosed with BPH over 15 years ago. I procrastinated and took herbs and proscar (which made me feel like a zombie) and went to flowmax.  When the bladder infections and the other symptoms got unbearable I finally found a urologist who agreed to do PVP on my trophy size prostrate.  It takes one minute per estimated gram of prostrate material to complete the procedure.  Mine took 90 minutes which during the procedure he accidentally lasered my inner thigh about 3 inches long. Prior to the procedure I was told that I shouldn't have any negatives like retrograde ejaculation etc. The recovery was painless with minimal bleeding for about a week.  Passed two huge wads of thick blood and some small scabs and that was it.  However after two months the flow started to slow again. I had partial retrograde ejaculation and the urologist was talking redo already. It is almost 5 months now and I still feel like I'm recovering to some degree.  I have complete retro ejaculation now and alot of dribbling at the end of urination.  I'm not a happy camper but I was told that because of the large size 150 gram I was Lucky to find a doctor to do it because it is labor intensive.  I had two bladder infections after the procedure but have had no recurrences for the last three months.  I will take a PSA test next month. I hope this was helpful to anyone with similar circumstances who is contemplating PVP. (Mar 2004)

TomReply to message

Hello and thank you for this opportunity.  Five and s half weeks ago  (Jan.21st,2004) I had a TURP: there was no pain or discomfort before, during or after the surgery.  I did have an embedded catherer for over a month prior to the procedure,and am glad to be rid of it.  Therefore I have been without sex since the end of November.  I have not seen any blood or clotting in weeks and despite having been tired and somewhat listless after the surgery, I have had little discomfort.  e.g. Sitting for long periods of time is the only thing that made me reach for a Tylenol.  I just turned 69 years old---but---I have been blessed with an active sex life and still maintained (modestly) prodigious erections.  Yes,I do use Viagra.  This past week my lady love (who resides in California,and who I freqently visit with) had our first attempts at phone sex, (no Viagra of course) and it was NOT good. Previous to this past December I have been able to masturbate with a substantial erection.  This has not been the case this past week----I did begin to feel the sensation of ejaculation,but apparently the sperm did it`s retro thing and immediately my penis collapsed. This has never been the case.  Is there something wrong?  Am I expecting too much,too soon?  I will be meeting my Lady in Florida this Thursday, and I can tell you that I am more than a little trepeditious,even though I know she will be very understanding.  Is a lot of this in my head?   I will appreciate any advice you may be able to offer. Thank you very much.
JoeReply to message

First I'd like to thank you for providing a place where a guy can get some straight answers involving the turp.
Yesterday was 3 weeks to the day when I had my turp and since I was having very little blood I decided to test the water to see if I could get an erection.  Maybe it's still too early because I had a dredfull experience when I tried this.  Not only did I not get an erection, I experienced tremendous pain in the area of my urethra, all the way from the tip to the area under my testicles.  I was under the impression that no sex meant no ejaculation, now I would guess that would mean no attempted erections.  All I can say is I am having a bad experience with this attempt and I would advise anyone who had the turp to wait the entire prescribed period before making any attempt to try this.  I can imagine that any guy who has the turp would be very curious to know if he still has a functioning sexual organ.  Don't be tempted like I was to experiment, you may end up with a terrible pain.(May 2004)
RayReply to message

I showed the emails on this site to an 86-year-old friend of mine who recently underwent a successful TURP procedure, and after reading the comments of others, he asked me to relate his own experiences.
 
Over 20 years, Gordon developed an extreme reduction of urine flow. The bladder did not empty completely, and the frequency of urination increased. He was put on Flomax and Terazosin, and in December of 2002 he had a TherMatrx procedure -- which is microwave thermotherapy and is approved and paid for by Medicare. There was no improvement.
 
In April of 2004, Gordon underwent a TURP operation, spending three days in the hospital. He was catheterized for 24 hours. At first, when he urinated there was a lot of blood and clotting, but it diminished to zero over a period of eight weeks.  For several weeks, there was some discomfort in the form of a constant desire to urinate even after having just done so.
 
Now, three months after the TURP, Gordon reports: 
a: Ease in starting and finishing urination.
b: All discomfort gone
c: Once in a while (not daily) he may lose one drop of urine when coughing or sneezing.  
He no longer takes any prostate medications.
 
When I asked Gordon to summarize his experience, he said: "I am very pleased with the results and would recommend TURP to anyone with an enlarged prostate."(August 2004)
 
ScottReply to message

Your website is extremely helpful.   i had a turp procedure and the only thing you have not discussed is bleeding.   Its been 12 days since surgery and blood still appears when i urinate.  also stinging is a problem.   any experience on why and when these symptoms will stop?
(April 2005)

(Ed Note:  Actually voiding of blood and tissue is mentioned several places: FAQ's, Tips)

My turp was in December.  By March I had regressed to my former state with spasms, leakage, and pain.  With LipatorLA  I now control most of the spasms and dribbling.  However, the pain of urination is almost more than I can stand. It is not a burning sensation but rather like an electrical shock that goes all the way down to my finger tips. I go back to the surgeon in the morning.  At this point I am sorry that I ever had the surgery. (May 2005)
Charles Reply to message

Been about 4 years since my T.U.R.P. and while the procedure itself was uneventful..overnite in hospital, catheter for 5 days while on the couch with no problems since..My complaint would be with the quality of ones sex life...Erection is not a problem but the uncontrolable urine emissions during sex is a tad embarassing and am not enthused about the retro grade ejaculation...Am now 67 and in looking back I think I would suggest anyone facing this procedure give serious thought, do alot of research and definetly more than one medical opinion...While the procedure cured the prostate problem quality of a sex life afterwards is also to be considered...(May 2005)
Cha00emReply to message

Hi, my name is Rob, and had a TURP in October 2004.
Things are just great when urinating, extra great flow and bladder empties completely.   But as the months passed the uncanny feeling of ejuculation shooting backwards into the bladder and not out the penis is and has become very dull and not as exciting in pleasure and feeling.
I masturbate frequently as I don't have a female companion and find it an embarrising situation with them as most don't understand or don't really want to understand.
I have no problem with getting an erection, in fact since the operations I have got a lot harder and sustain for a longer period tahn before.   The only problem now is that I would like to be able to ejaculate as a normal male and more acceptable to others.
I was wondering if there was another opp that could be performed to re adjust the procedure to enable a normal ejeculation?  (June 2005)

(Ed Note and Response:  I do not normally print my responses to email, but I think Rob's question is so very important and he has expressed it so well that I thought the full context was necessary)

I AM NOT IN THE MEDICAL PROFESSION AND ALL COMMENTS SHOULD NOT BE CONSIDERED PROFESSIONAL MEDICAL ADVICE OR REPLACE THE NEED TO CONTACT A VALID MEDICAL PROFESSIONAL.

I think that what you are dealing with is normal, but also mostly a mental one, not a physical issue.   Almost all men who have a TURP operation ejaculate into their bladder as the valve that would normally close at your bladder to direct sperm out your penis is destroyed in the operation. Whether it can be repaired/replaced I do not know.  But I suppose in this day and age of rapidly advancing medical science, anything is possible.

However, I would beg that you consider that what you are dealing with here is more an attitude than a physical problem.   I too have the same situation since my TURP, and I too experienced an actual increase in sexual ability/desire after having it, but I did not have the issues you are dealing with -- in fact, quite the opposite.

You see, when my doctor told me about the impending change to my ejaculation, I was glad it would happen.  Why, because I think all my life, no matter what the women "said" they were doing to avoid pregnancy, I was never sure it was true and/or would work, and that worry always took alittle of the experience away from me.   I no longer have to worry about that, as so little sperm now finds its way out.   I am not embarrassed that I don't ejaculate -- I actually brag about it, and I have not found a woman who is not glad about this also.   And this especially comes into play for women when you are taking about oral sex!

The women are less worried they will get pregnant, no matter what they are already doing, it is less messy for both, but especially for them, and much less likely they will get any kind of infection from your fluids.   I looked at it, and still do, as a "win-win" situation.

I am not trying to minimize your concern, as I actually understand how this can be construed as being a "masculine" issue, and I have no doubt it can mentally affect performance and experience.   But I am saying, why allow that, when you can just as easily look at the good things it does for you?!

I have always believed that sex is mostly "mental" anyway, and getting older only reinforces that belief.   So if that be true, then you are in control of your own sexual experience, be it via masturbation or with a partner.      Hope this helps.
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I want to tell you how much I appreciate your web site. It was so helpful to me, especially the TIPS page and the testimonials, in making my decision concerning TURP. I am not in the medical field and this is just my personal experience. I am 61 years old and  was diagnosed with BPH about 10 years ago. I have been through the biopsy procedure twice because of elevated readings in my PSA and have taken Flomax for a number of years.  The Flomax helped some for a while, but over time became ineffective. Last year 2005 my doctor recommended the TURP procedure telling me that although there were other procedures TURP was "the Gold Standard" of prostate operations.
 
In Nov. 05, went into the hospital at 6:00am, but had to wait for 2 hours because I drank a cup of coffee! They were serious about "nothing by mouth after midnight".  I was taken to a holding room where an IV was inserted and a drug administered that made me feel woozy. I elected to receive the spinal (good choice).   As I lay there I began to loose feelings in my feet and after awhile I could not move my feet. (Weird feeling) I was then taken into the OR placed on a table with my legs lifted up.  The anesthetist stood by my shoulder during the entire time making sure that I was comfortable. The surgeon told be everything that he did and at one point turned a monitor so I could see what he was doing! AWESOME. After about an hour I was taken into  recovery where I was monitored until the feeling began to come back into my feet and legs. After about 1/2 hour I was returned to a regular room. I realized at this point that I had a NEW member, a catheter.   Let me just say EVERYTHING you read about the catheter being bad is true. I was kept over night and the next morning the surgeon came and checked me out and removed the catheter.   Pain like you have never felt, but only for a moment. I was told that I was to urinate three times in a bottle so the nurses could monitor the color (red, lighter red and not too red) for next couple of hours. Hold on when you urinate the first few times because it is baaaad!  
 
When I got home I took the medicine, pain pills and slowly but surely got better. The pain and bleeding went away after a few days, but returned because I got in a hurry to do some lifting. Plan on a good month of no heavy lifting.
 
The over all results have been nothing short of amazing. I sleep through the night. WONDERFUL. I can drive a hundred miles without having to stop and look for a restroom. I have had no additional problem with my sex life and the dry run that some have reported never has happened.
 
All in all, if the doctor feels that you are a candidate for TURP, go with it. (May 2006)
David (email withheld upon request)

I would appreciate it if you don't use my email address on the page, but I wanted to add my experiencewith this T.U.R.P. procedure.
I am in my late 50's.   After many years of having aweak stream, dribbling and all of the associated nuisances from BPH (including night waking to go to
the bathroom a few times) I finally had the TURP procedure done just 6 days ago.  In the hospital, I stayed overnight and the urologist came in the next
morning and removed the catheter. That was probablythe most uncomfortable part of this whole procedure. Immediately after the removal, I felt like I had to
go, but there wasn't anything coming out yet. The nurse told me to relax and wait awhile.   When I did, I was able to go.  To my surprise,
I was able to pee like a kid again! It burned a little and had some blood in it, but it went okay.   In the few days I have been home, the amount of blood in the flow has
decreased to almost nothing and there is still some burning, but I have not needed any pain medications to control it as the burning is slight. I hope this healing continues.
I now feel when I empty my bladder and can pee full force! It's great. In other words, the TURP was sucessful in my case. I won't know about the long range effects for a few
weeks yet, as I am still in 'healing' mode, but I think if short term recovery is any reflection on the longer range, I will be much better off.
Remember to find a urologist you trust.   Ask questions. Don't rely on hearsay.  As in any procedure, relax.  Only a very small percentage of men who have this
procedure have problems afterwards.  I have two friends who have had thos done as well as two family members.
All have had great success without any problems. (August 2006)

Verne (email withheld upon request)

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