I had a laser TURP procedure 22 months ago. Recovery was routine ( several days of discomfort and spasms) and post procedure urinarion was good. However, some months after the procedure, I had infrequent occurrences of psaaing blood and tissue during urination. This has occurred 8-10 times. It sometimes impairs urination until the tissue passes. Latest occurrence was today. Have others experienced similar issues?
By Laser TURP, do you mean Green Light Laser PVP ? Hank
Yes
You might want to repost this with the new title and the correct name of procedure (Green Light Laser PVP), to get more responses. Hank
I'm not 100% sure this is relevant to your case but I had FLA in July this year. I was passing tissue for quite a while after, an unusual experience similar to passing a small bladder stone, surprising but not painful . No blood though apart from very early stage.
I felt this was fairly normal as the tissue from the ablation has to go somewhere. I've not experienced it for quite a while now.
I hope the same thing happens to you and it passes.
Pete
Isso é normal. O tecido que está passando é tecido prostático ou coágulos de sangue, tudo a ser esperado. Saúde
Allen:
Já passei por três procedimentos de TURP nos últimos 5,5 anos. O mais recente foi há três meses. Um foi um GL, dois foram TURP tradicionais, então já tive alguma experiência com os procedimentos e o período pós-procedimento. Parece que sua hematuria 22 meses após o procedimento de TURP está bem fora dos padrões normais. A literatura sobre TURPs indica que o desprendimento pode continuar por até 6 meses após o procedimento. Claro que cada pessoa é diferente. No entanto, sua janela de 22 meses parece estar bem além do caso típico. Uma possibilidade é que você esteja experimentando uma estenose uretral, que é essencialmente tecido cicatricial em sua uretra. Pode ter se formado como resultado de TURP ou pós-TURP devido a atividade intensa ou qualquer número de circunstâncias. O tecido cicatricial é "friável" e menos flexível que o tecido normal. Pode fissurar durante a atividade física e causar sangramento. Esse sangramento eventualmente "cicatrizará" e cicatrizará, mas é suscetível a novas fissuras e o ciclo continua. A crosta eventualmente se desprenderá e será notável durante a urinação.
Após meus três TURPs, desprendi tecido cicatricial até 12 semanas após o procedimento. Nunca além desse período. Pode ser sábio consultar seu urologista para uma avaliação mais aprofundada. Uma cistoscopia pode ser necessária para obter uma melhor visão de sua uretra. É um procedimento relativamente benigno e fornecerá uma melhor visão de sua "plumaria".
Experienciar hematuria sempre é um pouco perturbador, especialmente porque um pouco de sangue vai longe na coloração da urina. No entanto, é uma condição que deve ser investigada mais a fundo, pois pode levar a consequências mais sérias, como retenção de urina e bloqueio do fluxo. Parece que uma visita ao seu urologista seria prudente.
Boa sorte na investigação e resolução de sua situação.
allen- what you describe is exactly what im going through! I had my 2nd turp april 2017. NEEDED 2nd turp because of obstructive scar tissue and bleeding .For18 months i was good then all of a sudden (the first pee after ejaculation) a clot came out with blood . Blood lasted for 2 or 3 urinations . Now this cycle is happening regularly after ejaculation. Painful for a few days after each incident! Do I need a 3rd turp ? Thinking an artery pops every time any pressure put on it!Seeing my urologist next week! JOHN
I had a tissue discharge 10 days after my bipolar/button TURP. This thread has informed me that this is routine for many patients.
Thank you for sharing your information.
Allen, it’s been exactly 22 months since I had TURP Surgery and I am experiencing the exact same thing. It’s happened about 4 different times recently. It has happened twice after sex and twice after working in my yard doing strenuous work. Most the time it cleared up after two or three times I went to urinate. This last time seemed to be heavier than the others.I haven’t experienced any pain however at times it seems that there is restriction when I urinate, somewhat. Not real bad but it seems the urethra is opening or not as open. After reading some of the responses, it appears that scar tissue is the problem in the urethra. I certainly don’t want to have another TURP. That was a miserable ordeal !
How did you come out at the Urologist?
I had a TURP in 2017 and had frank hematuria often for 4 years and passed clots even more often. My urologist surgeon said “That’s nothing to worry about. It’s just your prostate growing back.” So my prostate grew completely back and I now have difficulty urinating just like in 2017. My new urologist says that complete regrowth of the prostate following TURP is not that rare and he wants me to get Holep surgery. My primary care physician said I should optimize the dosage of finasteride plus tamsulosin to make peeing easy, minimize hematuria and minimize post-void retained volume and forget about more surgery.
Just to add my $0.02 to this discussion…I had my 3rd TURP in early 2021 and here we are 2 years later and I don’t pass scabs anymore but I do notice a bit of tissue now and then especially after sex. It’s always a little surprising when it passes, but put in the bigger picture, it’s just part of life now. 