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I had TURP procedure a month ago and I'm still not peeing normal. What can be done?

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Guest

After TURP about one month ago not peeing that normal and may have urine retension.What can be done?

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Guest

Hello.

Transurethral Resection of the Prostate (TURP) is a surgical procedure commonly used to treat benign prostatic hyperplasia (BPH), a condition where the prostate gland enlarges and obstructs the flow of urine. It's not uncommon for some patients to experience changes in urination following the procedure. However, if you are still not urinating normally a month after TURP, it's important to discuss this with your urologist or the surgeon who performed the procedure. Here are some potential reasons and considerations:

  1. Temporary Effects: Some degree of discomfort, urinary urgency, and changes in urination are common immediately after TURP, but they usually improve with time as the body heals. However, it's concerning if these issues persist for an extended period.

  2. Bladder Spasms: After TURP, some patients may experience bladder spasms, which can lead to symptoms like frequent urination, urgency, and discomfort. Medications can help manage these spasms, and your urologist may prescribe them if necessary.

  3. Scar Tissue or Stricture: TURP can lead to the formation of scar tissue or strictures in the urethra, which can cause urinary symptoms. Your urologist can evaluate for these issues through various diagnostic tests and may recommend treatments such as dilation or laser therapy to address them.

  4. Incomplete Emptying: If you're having difficulty emptying your bladder completely, it can lead to residual urine and ongoing urinary symptoms. Your healthcare provider may assess this through imaging tests or urodynamic studies and suggest treatments like intermittent catheterization if needed.

  5. Infection: In some cases, urinary tract infections (UTIs) can develop after surgery and cause urinary symptoms. If you suspect you have a UTI, it's essential to seek prompt treatment with antibiotics.

  6. Bladder Training: Your urologist may recommend bladder training exercises to help improve urinary symptoms. These exercises can help you regain control over your bladder and develop a more normal urination pattern.

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