TURP Surgery Recovery: What Men Should Expect and How to Heal Faster

By Dr. David Samadi

Benign prostatic hyperplasia (BPH) is a common non-cancerous enlargement of the prostate gland that affects many men as they age. This condition can lead to bothersome urinary symptoms that may include frequent urination, a weak urine stream, and difficulty emptying the bladder. 

Specific lifestyle changes along with medications can help manage BPH; surgical intervention may be necessary in some cases. One of the most effective and widely performed procedures for BPH is transurethral resection of the prostate (TURP).

Understanding the procedure and what’s involved during recovery can help ensure a smooth experience if you or a loved one is considering TURP surgery. Here’s what you need to know.

Understanding TURP Surgery

TURP is a minimally invasive procedure used to remove excess prostate tissue to relieve urinary obstruction. During the surgery, a specialized instrument called a resectoscope is inserted through the urethra. This device, equipped with a light, camera, and an electrical loop, allows the surgeon to remove overgrown prostate tissue carefully. Generally, for most men, the procedure usually takes between 60 and 90 minutes from start to finish and is performed under general or spinal anesthesia.

What to Expect Immediately After Surgery

Following TURP surgery, patients are closely monitored in a recovery room before being moved to a hospital room. Most patients will have a urinary catheter placed to help drain the bladder while the urethra heals. The hospital stay is usually brief—ranging from a few hours to one or two days, depending on the individual’s recovery progress.

Recovery Timeline and Home Care Tips

Recovery at home requires patience and proper care to promote healing and prevent complications. Here’s a general timeline of what to expect:

First Few Days Post-Surgery:

• The urinary catheter remains in place for one to three days.
• Some blood in the urine is normal and should gradually decrease.
• You may experience a burning sensation during urination once the catheter is removed.
• Frequent urination and urgency are common but should improve over time.

Weeks 1-4:

• Avoid heavy lifting, strenuous exercise, and prolonged sitting.
• Stay well-hydrated to help flush the bladder and reduce irritation.
• Eat a high-fiber diet to prevent constipation, as straining can stress the healing area.
• Mild discomfort and urinary symptoms may persist but should gradually improve.

Weeks 5-8:

• Normal activities for most men can be resumed within six to eight weeks.
• Avoid sexual activity for at least four to six weeks.
• Follow-up visits with your doctor will ensure proper healing and recovery.

Tips for a Smooth Recovery

To optimize healing and reduce complications, consider these essential recovery tips:

• Rest and Take It Easy: Give your body time to heal, avoiding strenuous activities until your doctor gives the green light.
• Stay Hydrated: Each day, drink at least eight glasses of water to keep your bladder healthy and help flush out any residual blood or debris.
• Follow a High-Fiber Diet: Prevent constipation by eating fiber-rich foods, such as beans, lentils, fruits, vegetables, and whole grains.
• Monitor Urinary Symptoms: Some discomfort is normal, but if symptoms worsen, consult your doctor.
• Check with Your Doctor Before Driving: Avoid driving until your doctor confirms it’s safe.

When to Seek Medical Attention

While mild discomfort and temporary urinary changes are expected after TURP surgery, specific symptoms require immediate medical attention. Contact your doctor if you experience:

• Signs of infection (fever, chills, persistent pain)
• Difficulty urinating or inability to empty the bladder
• Severe or worsening pain during urination
• Excessive blood in the urine or persistent bleeding
• Trouble achieving or maintaining an erection

Final Thoughts

TURP surgery is a well-established and effective treatment for BPH, offering significant relief from urinary symptoms. Understanding the recovery process and following post-operative guidelines can help ensure the best possible outcome. Always follow your doctor’s recommendations, attend follow-up appointments, and seek medical advice when you have concerns.

If you’re considering TURP surgery or have questions about your recovery, consult a urologist to learn your options and ensure the best care possible.

Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board-certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy.  Dr. Samadi is a medical contributor to NewsMax TV and is also the author of two books, The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, and Prostate Cancer, Now What? A Practical Guide to Treatment, Diagnosis, and Recovery, both available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911.