I had a turp operation 7 weeks ago as my prostate is enlarged. I peeing every two to three hours very fast, then when it's stops, my penis is very tender. Is this normal? as I spoke to my specialist saying its normal. Bloody hell, I am restricted around my home or the township I live. When I am driving I have to wear male pads, just in case I can't hang on.
Michael
I am sorry for what you are going through. But didn’t your doctor tell you that a TURP is a very pain full surgery. It is going to take a while for everything to die down. Sometimes it can take up to a year.
I’m not saying this to hurt you but If you go on the internet they can help you with some relief and it will tell you what to expect. Also if you can take a warm bath it may help you relax.
Can you tell me why did you have a TURP procedure with all the other one we have. The TURP is consider a last resort procedure.
I hope you get better soon. Just to take it easy Ken
Michael,
It’s perfectly normal. welcome to TURP. give 12 weeks and shod start to improve. Unfortunately, sometimes healing takes longer. you need patience. in most cases it will get back to normal within 1 year. in worst cases 2, but you can pee now and will not get up at night.
Good luck! And don’t worry too much. you will be fine one day.
Michael,
It’s perfectly normal. welcome to TURP. give 12 weeks and shod start to improve. Unfortunately, sometimes healing takes longer. you need patience. in most cases it will get back to normal within 1 year. in worst cases 2, but you can pee now and will not get up at night.
Good luck! And don’t worry too much. you will be fine one day.
It will get better over time. Be patient. I wish you had looked at other options as they did the equivalent of ripping you a new a–hole. Too late for that but stay positive and stay the heck away from Urologists. They’re medieval.
turp does not remove tissues from the penis. tenderness could be due to the insertion of the endoscope into the penis. urine is acidic. u could ask ur urologist to prescribe med to make the urine neutral or PH=7. this could reduce ur discomfort.
about the pad, if incontinence does occur, it will occur right after turp. since it didn’t happen, it probably would not happen. u wear it just for the peace of mind. u are not in hell.
turp was and still is the gold standard for bph. it does produce excellent functional outcomes. since u have no complications, i would say u had a successful operation. congratulations!
my 2 cents.
your results from turp is enviable. many patients who have bph surgery would love to have ur results. probably more than 50% of ur prostate was removed. i would give it a few more weeks for the prostate to heal and to shrink. also ur bladder is adjusting its pressure as now less pressure is needed to pee even when u are peeing like a youngman.
i won’t feel frustrated, but on the contrary, should feel happy.
dl808,
You are dead wrong. TURP has about 33% of complications as long term incontinence and ED even in the most developed countries and best trained URO. I concur with the view of the previous commentator. Moder URO (except some researchers) are at the medieval level. The so called “gold standard” of burning the tissue with MW knife is 70 years old and was introduced only to reduce the hospital stay length and make it cheaper for the insurance. Open surgery or SRP produces much less side effects, but required hospital stay for a prolonged time.
85% of TURP patients end up with RE, 12 weeks of practical incontinence and due to relatively old age of the patients and preexisting mild ED, who knows how many ED terminal case it produces… It should be banned in the countries in which HoLEP, PAE and UroLIft are available. Also it doesn’t last forever. According to a well versed URO, one of US former Presidents underwent the TURP three times during his lifetime.
Michael does experience complications if he is incontinent in 7 weeks postop. I know very little about his prostate size and why he was recommended for TURP, but am convinced there are currently less invasive procedures with less side effects.
Unfortunately, it’s too late for Michael. I hope his example and numerous storie sin this discussion will teach a lesson to may other suffering from BPH and waiting for the right procedure. I literally fled from the operating table and have very little regrets albeit I realize that I might need another procedure in 3-5 years but pray for the better.
Gene
Gene
Yes that is true. My doctor calls it the last resort procedure. He does not do many unless everything else fails. To many men get talked into this procedure most of the time because that is all they do.It is to late for Michael but I hope he will be happy with the out come.
With ED problems most of the time they may mess up the nerve bundles but it also depends on how good your erection are before the surgery. I read that it takes sometimes a man 2 to 3 years to get a good erection and that is with pills
I wrote him but never got a reply. I would like to know why he picked that procedure with all the other procedures out there. Retro is a given with Turp.
But that’s life we have to deal with we are given.
Ken
The recovery time is bound to vary a bit between different people but I think you will find it clears up over the next month or two. I don’t agree with all the negative comments about turp. I had one about 14 weeks ago and it has been completely successful.
Please supply data to support your statement about 33% complications from TURP surgery. Every clinical study I have seen indicates low single digit rates for incontinence. RE is likely as it is with almost any procedure that removes prostate material. It’s a trade-off many are willing to accept.
To Michael, listen to the people who have had successful TURP surgery, not the anti-TURP crowd who have only anecdotal (and often incorrect) “data” to support their view.
Hello gene,
i am not promoting turp nor other techniques. if there is ur impression, i am sorry.
let’s examine the facts. in the original post, it only complained about penis tenderness after urination.
he didn’t say he was tricked into accepting turp.
to my knowledge, every technology when it was first introduced, always compared to turp. just one or two years ago aquablation also used turp as the to compare with. is this not the definition of standard? again i am not promoting turp, nor saying there isn’t a better technique.
in the original post if tenderness is the only complication, it was a successful operation.
i re-read all the responses to the original post in which the poster only asked about his penis tenderness after turp, the only complication, he did not ask for opinions about whether he had made the right decision in doing turp. i offered the opinion that neutralizing his urine pH to 7 might help him. neutralizing urine ph was something i learned from a famous urologist website.
some responses criticized turp instead of offering support to the original poster. so i pointed out the positive side of turp.
i join this forum because there are people like ken who is always willing to help others generously sharing his experience and time. however, when i readi all the responses to the original post, not all offered suppprt to the original poster. this is not the forum i wish to join and i will not participate in its discussion anymore.
Gene, what procedure did you do ?
I did PAE 7 month ago. Results are modest by standards of TURP Qmax=14-15 mL/sec, but my IPSS dropped from 23 to 7. Of course it’s a subjective factor and most likely PAE doesn’t last as long as successful TURP, but I’m very happy with the results. I was bleeding from varicose veins in my prostate, had frequent retentions, used self-cath on irregular basis. Three time ER with Foley catheter with bag installed for 7-10 days. All is gone as my night trips to bathroom, dribbling, leaking. No sexual side effects.
The doctor who performed my PAE under clinical study has performed now 20 procedures without even one failure or serious side effects. It wsa paper published about him in July 2018, when PAE was approved by FDA.
dl0808, lee
I never said that you are promoting TURP. Let’s make things clear. If the patient is young and physically fit with a medium size prostate <80g , age <60, and initially unimpaired erections, bipolar TURP (to avoid TURP syndrome) with a well trained URO will be best advise so far. It will be the most bang for the money and most likely lasting 10 years or more. I am talking and trying to advocate for the majority of prospective TURP patients, who are in their and 60th and 70th. Due to lat decade tendency to prescribe alpha-blockers and cialis to alleviate BPH suffering, many have prostate above 120 g and suffer from comorbidities as cardiac and low extremities vascular problems, when TURP becomes dangerous and almost guarantees complications as ED and incontinence, albeit temporary in many cases. Who will be able to make an estimate of the cost of human suffering during these 2-3 years of recovery, when you are in your mis-70th? You Lee?
Regarding single digits. Many reports and reviews differ dramatically and many are fudged, or complications underreported. There is no one big statistically verified clinical analysis because nobody followed all the TURP patients, many died since due to the nature of the BPH being late in life, and URO is not your regular PCP, which you will attend regularly and keeping record trail. On the most elaborate studies is the review published in European Urology v.50, pp. 969-980 in 2006.
Complications of Transurethral Resection of the Prostate
(TURP)—Incidence, Management, and Prevention
Jens Rassweiler a,*, Dogu Teber a, Rainer Kuntz b, Rainer Hofmann c
written by two German and one UK Urologists. It’s available online and will recommend everyone who is interested in the current techniques of TURP and it’s complications whether you are considering it or not for yourself, to read thss review. to the best of my knowledge not much changed in the technique of TURP or complications rate. The review distinguishes the results of pre-90th, mid 90th and current statistics. According to the reputable publication, in 90 complication after TURP was 38%, it drops to 21% in mid-2000 and stays there in the best medical centers. Don’t forget, Lee, not everybody has access to the best medical care, and in some places in US it’s still at mid-90 levels. Secondary, complications after TURP listed in that review don’t include sexual effect sin thsi 21%. It does site the separately as 10.5% impotence for mid-2000 surgeries. Still, not in single digits, Lee…
Read the review, and then report your funding before scolding “TURP enemies”.
I expect apology and honest report of your findings.
Sincerely,
Gene
It’s available at available at www.sciencedirect.com
journal homepage: www.europeanurology.com
with other similar articles
There are also other studies that compare TURP to HoLEP and PAE. None is reporting single digits complications short term. Even PAE studies. Almost guaranteed RE after all invasive procedures, except PAE I found acceptable at age 60-70, when childbearing is more than questionable, contrary to many loud protests on this discussion boards from man in their 50th.
So, let’s remove this side effect from the discussion. Scientifically is not proven that RE deprives you from a full blown orgasm. “Dry orgasms” are slightly different but again, not as bad as some tend believe, according some of the patients who had radical prostate resection.
Most of the sexual side effect of TURP can be taken care off with modern medical means( not cheap, though, because most insurances won’t cover ED and you are immediately in the hands of "male clinics with their exorbitant charge schedules and willingness to try on you what won;t work first, before really helping you ) . Long term incontinence and almost lifelong leaking, is the most difficult complication, albeit not a very frequent one.
Michael and all of the other men on this site
We all on here have our own opinion on any of the procedure. We are not promoting Turp or any other procedure. There are a lot of us that do more research then others. There is so much information on all of the procedure that you can find different information for them. It is really who was writing the article on the procedure. If it is a older doctor he is going to give you a good outcome on the Turp and a younger doctor is going to give you different information because they believe in the newer procedures
The first Turp procedure was done in 1926 in the US. 92 years ago. The doctors thought it was great but being that there was so much bleeding many men died. The instrument was change again in 1931 to see if it would get better which it did. But there were still deaths. Then the sheath was change again by a doctor in London to make it more practical and usable.
It was very popular in the US but without mortalities and complication. There was a lot of danger with this surgery. In the UK Turp was less common. The out break of the world war 2 they had to stop. And start doing open prostatectomy because the diathermy machines were confiscated to stop enemy radar. There was a lot of debates about the Turp procedure has late as 1960, At the time they call this surgery SILLY and wanted only to do open prostatctomy for men with prostate problem.
Turp had it’s time. But there were to many men that were angry and complained about the side effects. That is why they came up with other way of doing a TURPS. There are many way
I have to take my sone to work when I come back I will continue Ken
that doesnt sound to bad after 7 weeks. hang in there and I hope the best for you.
jim
Bravo, Ken! You gave a very exhaustive albeit history of TURP. While a teenager, I was fixing these diathermy apparatus as a part of my job. Thermal treatment is harsh but works good for warts and other things of our body to be removed. It’s too harsh for prostate and surrounding sensitive nerve bundles, that send signals to our bladder, penis, brain, and spine. TURP relies on our body ability to self-healing Something more gentle and less damaging should be used on such an important male organ,. That my unshakable view. Anybody who claims otherwise and believes that TURP is best thing is best thing invented after the sliced bread (approximately the same time) is dead wrong. Of course there are many successful cases and healthy males after TURP. So are many cancers cured, sometimes self-cured. when it becomes a matter of luck and art it’s not a cure.