TURP Frequently Asked Questions Answered! | Roto Rooter of Prostate | BPH 

This video is very helpful for me, God bless you doctor for explaining nicely and clearly because I had done this operation just recently and waiting for urgency recovery .

I’m going in for a TURP in a hour thanks for helping me feel better

I had a TURP last week & I stayed over one night in the hospital. I had spinal anesthetic & I wasn't totally put out. There was absolutely no pain involved in the procedure. I've had cavities filled that were more painful. I get my catheter taken out today & hoping for the best. Thanks for the video.

After watching this video and several others ive got to say you give all men peace of mind with your approach to mens urinary problems! Thank you🙏

I'm 67 I had the TURP procedure 3 weeks ago after having a bladder infection and catheter for 4 months. Now no full stream, A weak steam, splatter stream or drip stream, I'm hopping it will get get better.

This video was great thank you so much I just had my TURP last week and recovering

I just had my TURP done thru the VA hospital. I was tended by 3 urologists during my surgery. Lead urologist has done over 12,000 of these over his 30+ year career I was in a bit of pain but I feel that I’m healing everyday. I feel like this was a good procedure and I’m going to feel better as I heal

Thank you Dr. Lim. For Most informative detailed information.

Thank you Dr. Lin, your detailed explanation was the best anyone has done. I’m a retired Veteran living in the Philippines and traveling to Boise VA in October for a procedure. Because of your information I have decided to go the TURP route. Thank you much.

I have mine to be done on May 1st 2023, I'm looking forward to having it done and not looking forward to it but hope all goes well. Having it done in St.John's, Newfoundland Canada. Thanks for explaining the the process.😮

Thank you Doctor Lin for taking the time to explain all about TURP Surgery. Greetings from WHITBY, CANADA

Your video was so helpful! My TURP is in two weeks and your insights and information helped me tremendously. Everything you discussed in your video is exactly what my Urologist explained to me in his office, thank you for putting my fears to rest! It is always nice to hear a second doctors opinion.

Thank you Dr Lin, great information. Just wished that you talked about Lazar use.

,I hope you have enough time to visit here in the Philippines, I'm so excited to see you soon...God bless

Thankyou doctor for your excellent explanation.. I had a TURP 10+ yeras ago. Greetings from Melbourne, Victoria, Austalia.

Excellent video, thanks a kazillion. Well done, from Canada. 😊

Hi Doc Lin, it has been 9 weeks since I got the Turp. Feeling better now. I can pee great now. And can drain out completely. Still have a little leakage, but not bad. It just takes time to recover. Guys , hang in there. These things take time.

Interesting video, may go this route myself pending the results of my next MRI. Have both BPH and low grade cancer (Gleason 3+3), prostate roughly 70cc and PSA hovers around 11, even with the combo of Flomax and Avodart. Been on Active Surveillance for several yrs. now. Age 67. Never found wearing a catheter uncomfortable at all after numerous emergency visits due to acute urinary retention. Will see how this plays out.

Well explained thank you .

Excellent video discussion on all levels. I am going to ask my GP if he can refer me to a local specialist to determine if this procedure would be right for me. Thank you for an excellent orientation and explanation.

Respect to dr I'm from England 🇬🇧 and I need this treatment you take me fell much better thank you

I'm on the books for TURP had REZUM 4yrs ago. I just hate going through it all again. Very good explanation 👍👍's up Doc you made me at ease. I'm 61 done with family if a dry O??? No mess no fuss.. Women's have to have their you know what removed. So hey..I just hope I will be able to hold my pee longer..not have to sit and tuck. (Split stream) be able to stay hard.. don't wanna lose that. 🤞lol thanks again very good presentation!!

Cam on nga bac si Lin from Phàp va Vietnam ❤

Thanks DR for good information ..please need take us about complication TURP

,it's very nice topic doc

Wow. this was sooo good. thankyou.

Great video. I want to ask what irrigation fluid is best for someone with CKD stage 4?

I had the LIFT procedure. The procedure takes 20 to 40 minutes. No catheter, and no time recovery. Once you live the doctors office. Your way if life is normal, as when you were 30.. I had this proceduredone over a year ago. My two friends had had the same procedure 4 years ago and no problems. But I know that sometimes you may need other procedures, turp, laser which takes about one hour. Remember, every doctor know only one procedure, and they don't tell you that are better procedure around. I know that once you get turp or laser done, and the time recovery has passed. You are good for life

I have the turp procedure on the 3rd of next month. My urologist says they will keep me overnight. The process of testing to see if the procedure was necessary was the painful part. Will know more after the procedure.

I'm at that point now, 71 years old. Urologist told me it's either medication the rest of my life to deal with the prostate or TURP. You've settled my mind concerning this procedure, Thank you.

Hi there if the urethra is the tube that is restricted does the procedure remove the tube itself plus the prostrate tissue too? Thanks

I had it done 3 weeks ago tomorrow. I peed blood for 2 and a 1/2 weeks. Bleeding has stopped now. doing good now. Peeing fine now.

Dr. Lin, when would you do a Rezum procedure for BPH (large prostate with medium lobe and history of two failed Urolift procedures -- so that the patient can minimize retrograde ejaculation?

Just curious about your statements about RE preserving Turp, my urologist wants to do a simple prosectomy (robotic). Biopsy results were negative. Prostate measurements were approximately 95 grams (mri/us). What’s the difference between your procedure and the one he wants to do? Seems like the robotic one is more invasive and is like an inverted Turp. And like Turp it has a 95% RE like the other Turp procedures seem to suggest. An what’s your opinion on Aquablation?

Thank you for the information. Gave me a great sense to be comfortable to get TURP surgery done. I am 4 weeks post-surgery, and the relief is fantastic. One question is about the dry ejaculation. Is this a permanent change? Thanks again.

Hello Dr. Lin. I am a 69y/o retired RN having spent 10 years at Mayo Clinic Hospital, with 4 of those years on the urology floor. I fully understand what it’s like to care for a TURP patient and it sounds like you have the procedure pretty much perfected. Over the past couple of years I have been experiencing increasingly more annoying LUTS. I have been watching your videos for quite a while now and am very impressed with your expertise. I know that all urologists are not created equal and I would be very comfortable being evaluated and treated by you. I have Cigna Preferred Medicare (HMO) which I’m pretty sure you are not a provider (out of network situation). Is it possible that this insurance would cover some or all of your exam and treatment? Sorry if I’m long winded, but I feel it’s extremely important to find a competent urologist. Any advice would be greatly appreciated. Thank you.

Many thanks for the valuable information.

can I drink coffee after the turp? Will kegel stop the incontinence? Thank you for your help

Wonderful presentation going in 3 days at 75 years very optimistic. THANK YOU Sir ! Mickey in Flagler Beach Florida

For every 10 TURPS you do, and removal of the catheter, how many patients require additional follow up surgeries? If it's 1 out of every 10, then I'm in that 10% category. It has been 5 days of my second surgery, I had my catheter removed today. Keeping my fingers crossed for a great outcome this time. Hopefully, docs manage expectations.

Dr. Lin, I have a question regarding the type of anesthesia used for a TURP procedure. Do you prefer spinal or general anesthesia? Also one question regarding a spinal, how long after the procedure does a patient start having sensation back in their lower extremities, and how long before they are able to be moving around normally again? I realized this might vary from patient to patient, but could you just me some general idea on this. Thank you. Ray

Dr Lin Please comment on Bladder Neck Scaring post TURP Procedure causing Urinary Obstruction. How frequently does this occur and how it is addressed ?

Thanks for the video! I'm considering getting this procedure. I'm 79 with a 190cc prostate. I've been on finasteride for several years that reduced the size of my prostate from 270cc. The urologist prescribed 5mg but I cut the pills in half and took 2.5mg daily. The prostate is also putting pressure on my colon causing me to have some anal leakage after defecation.

Thanks Dr. Lin for explaining of enlargement prostate treatment TURP, i just want to ask you as urology doctor do you accept an out of state patient?.

Hi I have a catheter in but I noticed some bleeding on the outside of the tube,what can cause this and it feels like something blocking

My doctor is doing my procedure at the end of this month and he said he will be doing it by robot will this be a problem is better than what you do what are the side effects and the recovery time please advise ankle doctor

I have had catheters four times, on the second time I had bladder spasms, that were pretty much left untreated for an overnight period. 12 hours of absolute agony. For the other three times, no issues. Now I know about the drugs they can use to help with the spasms.

I found the foley to be very uncomforting until i discovered that being less active and wearing ( under size) elastic depends underwear with some sort of additional gaze pading on the tip to cushion and collect seeping fluids, its important that everything not more around when you walk..its been 10 days now before i can say i dont feel much of anything, before now i just wanted to take it out and deal with the unknown. I am waiting to get surgery trying to decide which option is best

Thank you for this. I had my TURP done 7 weeks ago and wish I had seen this before. My recovery is still in progress. Unfortunately I didn’t have the kind of pre-procedure consultation this video provides. I was not prepared. All I got was “oh it’s great”, “nothing to worry about” , “quick procedure” etc. 4 to 6 weeks recovery they said. Well I’m here to tell you it’s been 7 weeks and it’s slow going. Flow is good immediately, but, for now, urgency is worse, frequency is no better (worse at night), spasms are uncomfortable after peeing, and dribbling after also bothersome. I’m trying to be patient and have a follow up mid July so we’ll see how it is by then. Your video gives me hope. One thing I will say is the discussion around retrograde ejaculation is downplayed too much. Sure I’m 64 and the only babies I want are grandkids (had a vasectomy 30 years ago anyway). It’s dismissed as no big deal. I say that’s subjective. Unless you’ve experienced it you don’t know. It’s different and I don’t like it. Again, I’ll be patient and I’m sure I’ll get used to it, but I wasn’t prepared for it. So great video. Guys, if you’re getting it done, just be prepared. In the long run I’m sure it will be worth it, but be prepared and patient.

I live in Canada. How much time I would ave to stay in Arizona and how much it would cost me your surgery on me,

I had MY bipolar TURP procedure two weeks ago, honestly it wasn't pleasant but life changing. As far as the possible side effects, well, in my case, erection quality is decreased marginally, orgasms are so much more intense post surgery and, not to be crass, but I've got the opposite of retrograde - if anything it flies out now! As far as symptoms go, how amazing not to have to go to the bathroom three or more times at night, with all this quality sleep I'm feeling great. Pain, yes, it hurts. Immediately after the catheter is removed, it is sore. Not going to candy coat it, it's not fun for a week or so. The blood in the urine is a bit concerning, but comes and goes. All in all, this has been a life changing in a good way.

I’m in the pittsburgh area, can you recommend a colleague in this area or I would be willing to come to Arizona

Can a person with prostrate cancer Gleason 7 -- 3+4 have the turp procedure without the risk of spreading the cancer

Hi Dr. Lin, I enjoyed your video very much. 2 weeks after TURP surgery. I am unable to urinate on my own. I must self Cath every time. We think my bladder may have shut down, or could it be something else? Right now, i have to self cath every time. What kind of treatment is available to repair a stretched bladder that seems to not function anymore. Thank you, Mark C.

I had a Transurethral needle ablation, also known as TUNA, in 2003. I had a TURP in 2021. Spent overnight in the hospital. Catheter taken out one week later. Even though I didn't ask my Urologist if I could get another TUNA instead of a TURP. Could I?

With my surgery, it was conscious sedation via a spinal tap - apparently general anesthesia is frowned upon because of the urge to cough afterwards, causing trauma. The spinal is uncomfortable, but "nothing" and I wasn't there at all for the procedure, those drugs are blissful.

Thank you for educational video. Does a turp last for a while, or is repeat turp necessary? Does this mean my urologist did a terrible job at turp ?

Interesting video. Thanks Dr. Lin. I had REZUM and frequent urinating came back after 10 months. Urologist suggests TURP for permanent removal of BPH. My question is whether TURP areas at prostate could re-grow and cause strictures? Can other types of prostrate surgery such as HoLEP or ThULEP which are minimally invasive & give better result?

I had green laser surgery about 5 years ago. I have needed to stay on Flomax. Is it possible to get off of the Flomax after a TURP?

in my case the cathta will be in for 8 weeks is this ok

After the procedure how many years does this procedure last

Do you have to remove the urethra itself in order to remove parts of the prostate?

Do you take MultiCare insurance from the state of Washington?

Is it normal after three days you still have a little blood drip after pee?

Would you do this procedure for Chronic Prostatitis? I'm 39 years old and have suffered for over 3 years. Constant urge to urinate, pain in the prostate, many other symptoms. I've tried everything besides surgery.

Question can be procedure done if Euro lift was performed several years ago

Does TURP perfomed using Lazer?

Dr Lin I have stage 1 prostate cancer Gleason score of 8 on the low end my doctor wants me to get a turp, before I proceed with radiation what do you

Hello, Dr Lin can TURP be performed on a cancerous prostrate?

Dr. Lin, I live a few miles from your office. Considering getting the procedure, what is the cash price without going through insurance?

Got surgery turp done one month ago. Bleeding still occurs with little bits shooting out your penis. Clots I believe. Is that from the scab inside ? I’m panicking here.

I have a mass that is 2.2 cm on my bladder found during cti after I pee blood about 2 months ago. Told also I have enlarged prostrate. How much is cost to do I have no insurance if u do. If not is that a surgery you would get done in the Philippines our in India

Thank much leading me to Turp, whereI was thinking urolift or green light because word of mouth misinformation

Can I ask what is the percentage occurrence of a contracted bladder after turp. Thx

My father now is suffering bhp, bloods coming out his catheter,and what should I do now?

Hi Doctor, I enjoyed your video. I’m 67 & I had the TURP procedure done on November 21st & tomorrow will be January 21st. I am still having to go a lot and in varying degrees of pain. I had a lot of pain in my perineum but that has subsided but still burning pain at the top of my penis. I know frequent, painful urination is part of the recovery but how long will this last? During the night I go about 10 times during the night but how can you heal when you are not getting good sleep? Also when I do go it’s only a weak stream that is split. That should not be the case after TURP right? Also I have a dull pain on my left side? Is that where my bladder is located? My instincts are telling me there is still something very wrong with me.

How much urethra is damaged when removing prostate tissue? Is the ejaculatory duct damaged that could cause ED?

Had urolift two years ago been in testicle pain painful urination now removing clips implants to do turp urolift is no good

Dr lin i live in texas i had a turp 9 years ago can you still help me. What is the cost i have no insurance. My name is daniel

I'm 41 and in the 5th week post-op and it's painful when I stand or walk and also when I sit down. When I lay down I have no pain and it's no infection. I have problems to go to work. Is this normal, do I have to wait to week 8? Will it get better soon? And at work I sometimes have stress-incontinence. I don't know what to do, my urogolist told me to wait 6 weeks and we will see. But in week 5 I still have pain in the prostate and it goes down to the penis. Can you give me some information please? What is this pain, is it normal?

I did turp 4 month ago, but still I have retrograde evacuation, is it permanent or will become normal??,

My prostate is 30volume do I need turp

Questions: Had a UraLift 18 months ago. Need a TURP now. Worried about what could happen if the roto tooter catches the UraLift stint. Couldn’t it shred the prostate? Also my prostate is over 110g. If a normal prostate is 20-40g how much do you think they should take? Also hoping to fly to a youth wrestling tournament 2 weeks after the procedure. Do you think this is doable? Finally, does the prostate control the starting and stopping of the urine flow? If hey take a large amount of tissue will it take a while to not have to wear diapers?

I just had a turp. This is the second month. My urine incontinence is still much there. What should I do? Any remedy

My age is 63 and my prostate gland size 24 gm and PSA is 1.08 ng there is no bleeding and no infection but urine passing 6 times daily at day and 2 Times at night, my problem is blodder to stricture. Now inform me please TURP operation applicable for me?

Post op bleeding ...how control....clot blocks the urine outlet...

I did not like the side effects of the meds I was prescribed after my turp. So I stopped taking "tamsulosin" and "finasteride". What are the risks of this. Generally speaking, I feel good and my ability to urinate is perfect.

Qurstion: can the proceduce be done after radiation treatment for prostate cancer. Thanks

My name is Rafael I had this procedure done and it's been 2 and a half months but I'm constantly having to go to the bathroom and only drips at times and none at other times and unable to stop the stream at times and urinating on myself

I am 57, had 27 gms prostate, urinary symptoms such as urgency and frequency , using tamsulosin and mirabegron and urethral stricture , can completely void. Question is “. My urologist suggested me TURP , is it safe and would I have discharge on ejaculation thanks in advance

My history with BPH and TURP is rather unusual, and instructive. My wife's a Neurologist and Internist of Filipino origin. I'm 77. In 2002 my first inkling of a possible urinary problem arose from a complete lack of impulse to urinate during a 20+ hour flight from Newark, NJ to Manila, Philippines during the Christmas/New Year season. On arrival My wife urged me to be examined by a Urologist in Manila, at Makati Medical Center. The fellow was Chief of Urology, a real pro. A DRI was unremarkable. A Sonogram demonstrated an enlarge prostate of approximately 42 grams, twice normal. Since our visit was for two weeks only, he recommended my seeing a Urologist upon returning to the US. I HAD NO URINARY URGENCY, FREQUENCY. OR NOCTURIA AT ALL! My normal urinary pattern returned while in the Phillipines. On returning Stateside I saw a female Urologist here in New Jersey. She confirmed the BPH, recommended a prostate biopsy The biopsy, done in her office assisted by a female nurse, was performed the following week, in office, without anesthesia, which I declined. I found it uncomfortable, but entirely tolerable. The biopsy was completely negative on all 12 cores. I have a very high pain threshold, having endured 20+ surgeries in past years for congenital orthopedic anomalies. The local Urologist prescribed Proscar and generic Tamsulosin 0.4 MG OD. That was the sum of treatment for the next 15 years. I did not actively see a Urologist again until 2017. During that fifteen year period I had increasing difficulty urinating, and nocturia. In March 2017, after taking a prescription antihistamine which I had not taken previously, I ceased urinating. I thought it was a passing effect of that drug. It wasn't. I failed to urinate for two weeks thereafter, all along thinking it would resolve spontaneously. I was then transported to an ER, where a nurse placed a urinary catheter. My bladder had retained 3300 cc of urine during the two week interruption. I remained catheterization, which didn't bother me. Within the following week I was examined by another Urologist, more senior than the first one. He maintained the catheterization, prescribed Proscar, then Avodart, and Tamsulosin. After several removals and replacements of the catheters, each of which resulted in complete cessation of urination, I was advised that a TURP was indicated to resolve the persistent failure to urinate without a catheter. The TURP was performed in early July, 2017. It was planned for a "green laser" technique, but the surgeon had to revert to an electrocautery resectoscope because the resectable tissue was "too tough" to respond to the green laser. My surgeon preferred to hold me hospitalized overnight because of the change in technique, and the consequent additional blood loss. I returned home the following afternoon, catheterized. I remained catheterized for approximately six weeks during epithelial healing of the urethra. The catheters didn't bother me at all. After final removal of the catheters, I regained fairly normal urination. But, because of loss of bladder muscle wall contractile weakening, from fifteen years of straining, and the two weeks of total cessation of urine flow, the surgeon place me on a generic of uremine (bethanicol 40mg bid) to assist the bladder function. I am presently on Tamsulosin 0.4mg OD, and the uremine generic. I still have nocturia, for which I use urinal by my bed. The urinary volume oneach occasion is about 200cc, which I'm told is normal voiding volume. Repeated ultrasonography shows a typical post void retained volume of 2-3cc, entirely normal. Given the history as described. I've come through it quite satisfactorily. My surgeon has advised me it's quite unlikely I will ever require further repeat TURP surgery due to accumulating additional prostate tissue in response to DHT. Possible, but highly unlikely. My wife is homebound, disabled, and in her early 80s. I have no problem with sexual function, as it concerns her--since she's far beyond any continuing interest in that regard. But elsewhere, and with others, I find the condition of retrograde ejaculation to be,

I would say look at hoLEP also. I'm going for holep. After looking at everything out there. I look someone that had turp and after 4 years his problems has returned. My doctor is very trained in green light and hoLEP and agreed with me on hoLEP being a one and done procedure for life. I will go home after four hours after the procedure.

If the catheter has to be reinserted is is painful?

Doc, after surgery and send out patient home what necessary the patient gonna do with catheter just take a rest for how many days .

78 year old male with acute urinary retention. My urologist says my prostate has shrunk from 55 to 15. G rams. From taking flomax and proscar it has shrunk. He says my prostate is too small for a turp procedure, he wants to perform a Supra pubic catheter. Have you a better solution? Thank you

How can we contact you Dr. Lin?

Is turp a viable option for a man with cancer in the prostate which has not metastasis?

Great information but , I'm still squirming in my chair .....lol

Will this procedure have any effect on ED?

What is the drug that turns urine orange and "coats" the urethra?