Procedures

Recommendations after a TURP

The first 24 hours
  • It is possible to stay one night at the Centre Métropolitain de Chirurgie, where nurses provided 24-hours care.
  • The inside of the bladder is be periodically cleaned with an aqueous solution to rinse the blood traces (normal after this type of surgery).
  • The presence of the catheter can cause discomfort or even spasms in the bladder; if this is the case, medications may help. The patient is given a daytime thigh bag as well as a drainage bag for the night.
  • The patient returns home the next day and must be accompanied.
  • The catheter will be removed the next day; it is possible to do so in a CLSC, or in one of Dr. Marois’ clinics.
  • When the urinary catheter is removed and the patient starts to urinate naturally, he may feel urge or even pain when passing urine through the urethra; this tends to disappear when the inflammation resolves itself.
The first week
  • Complete rest for the first day.
  • The day after the surgery and for the first week, the patient can walk, but go gradually by alternating periods of activity of 15-30 minutes with periods of rest.
  • It is important to avoid being constipated (you will have medication).
  • It is important to drink plenty of water to allow small clots to drain well from the bladder and have clear urine; about 8 ounces every 2 hours during the day and stop 2-3 hours before bedtime.
The following weeks
  • It is important to avoid lifting heavy objects (more than 10kg) for 6 weeks.
  • It is important to avoid intense exercise or physical activity for 6 weeks.
  • It is important to avoid sex for 6 weeks.
  • Within 6-8 weeks of your surgery, there should notice a significant improvement in the urine jet; better flow!
  • The ability to have an erection should not change after this procedure, but the sperm volume may decrease due to reflux in the bladder at the time of orgasm (retrograde ejaculation). This should not affect the patient’s pleasure nor that of his partner.
  • A follow-up appointment with Dr Marois is be planned 6 weeks after the surgery.

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