I had green light TURP procedure 0n June 26th 2020 The procedure went well, it was done on a Friday and I went home with a catheter until the following Tuesday. After the catheter was removed I had just a day or two with slight blood mostly pink color and then it cleared up and my urine was normal. I was also initially impressed with the urine stream and for the first three weeks I really do not recall any significant issues with urgency. about the fourth week or so I began to have a change in the urine stream and began to have issues with split stream, spraying and urgency. Now at 6 weeks when I feel the urge I have about 15 seconds before the urine starts coming wether im ready or not and now my penis literally contorts into a corkscrew with the initial pressure of urine in my penis and eases up as the the urine releases and the urethra on the underside of my penis is like there is a steel rod running thru it until the pressure subsides a little and the stream has declined into a small squirt about like what would come from a small type squirt gun. I have had no spasm's, pain or blood and my next appointment with my urologist still is about 2 months away. Has anyone else had this particular problem ?
Hello.
It's not uncommon to have some changes in urinary function after a TURP procedure. Initially, many patients experience improvements in urine flow and relief from symptoms caused by an enlarged prostate. However, as you've described, there can be changes or new symptoms that arise in the weeks following the surgery. These can include:
- Urgency: A sudden, compelling need to urinate, which may be due to the healing process or irritation of the bladder or urethra.
- Changes in Stream: Alterations to the urine stream, such as spraying or splitting, can occur as the urethra heals and the swelling subsides.
- Physical Sensations: Feelings of pressure or the sensation of a foreign body could be related to inflammation or scar tissue formation.
While these symptoms can be part of the normal healing process, it is also important to rule out complications such as stricture (narrowing of the urethra), infection, or issues with the healing of the surgical site.
Given the urgency of your symptoms and the significant impact they have on your quality of life, I would recommend the following steps:
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Contact Your Urologist: You should reach out to your urologist's office as soon as possible. They may want to see you sooner or offer advice on managing symptoms until your appointment.
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Seek Medical Attention if Symptoms Worsen: If you experience severe pain, inability to urinate, or bleeding, seek immediate medical attention.
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Monitor for Other Symptoms: Keep an eye out for signs of infection, such as fever, chills, or worsening pain, which would require prompt medical evaluation.
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Record Your Symptoms: Keep a diary of your urinary symptoms, including frequency, urgency, changes in the stream, and any pain or discomfort. This information can be very helpful for your doctor.
The healing process can take several weeks to months, and symptoms can fluctuate during this time.