Prostate Surgery (TURP)

The part of an enlarged prostate obstructing the flow of urine is removed from inside the urethra, with no external incision. It is done for symptoms that medication no longer controls.

What the operation involves

Sixty to ninety minutes under spinal or general anaesthetic. A telescope passes along the urethra and the obstructing tissue is removed. Laser techniques such as HoLEP are alternatives, often with less bleeding and a shorter catheter time.

Recovery and what to expect

A catheter for one to three days with irrigation, and two to four nights in hospital. Blood in the urine on and off for a few weeks is expected. Flow usually improves markedly.

What you should be told beforehand

Retrograde ejaculation — semen passing into the bladder rather than out — is common after this operation and usually permanent. It does not affect sensation but does affect fertility. If nobody has raised it with you, raise it with them.

What we arrange around it

Around ten days to two weeks, so the catheter is out and the flow checked before you fly.