TURP remains a widely used and proven technique.

Persistent urinary symptoms may not just be part of ageing — they could signal an enlarged prostate that needs treatment

  • Getting up multiple times during the night to urinate

  • Slowing urine stream

  • Feeling like your bladder doesn’t fully empty

  • Urgency to urinate – sometimes not making it to the toilet in time

If any of this sounds familiar — either for you or someone you know — it might be due to an enlarged prostate, also known as benign prostatic hyperplasia (BPH).

In many cases, your urologist may recommend a TURP (Transurethral Resection of the Prostate) or TUIP (Transurethral Incision of the Prostate) as an effective treatment option.

What Is a TURP?

TURP is a minimally invasive surgical procedure designed to relieve urinary symptoms caused by an enlarged prostate. At The Prostate Clinic, we increasingly offer GreenLight Laser Therapy, but TURP remains a widely used and proven technique.

The surgery involves:

  • A camera inserted through the urethra to visualise the prostate

  • Removing part of the inner prostate tissue (like clearing the hole in a donut)

  • No external cuts or removal of the whole prostate

  • A catheter is placed temporarily post-procedure to aid bladder drainage

Who Might Benefit from TURP?

You may be a candidate for TURP if:

  • Medications no longer relieve your symptoms

  • You experience acute urinary retention (inability to urinate at all)

  • You have recurrent urinary tract infections

  • You’ve developed bladder stones due to retained urine

  • There’s evidence of kidney damage caused by chronic obstruction

  • You experience frequent bleeding from the prostate

What’s the Recovery Like?

Recovery Milestone

What to Expect

Hospital Stay

Usually 1–2 nights

Catheter Removal

Typically removed 1–2 days post-op

Return to Light Activities

Within 1 week

Avoid Straining & Vigorous Exercise

For 4–6 weeks (no heavy lifting, golf, cycling, running, or climbing ladders)

Improvement in Obstructive Symptoms

Often immediate or within the first few weeks (e.g. stronger stream, easier urination)

Improvement in Irritative Symptoms

May take 2–4 months depending on age, bladder health, and how long obstruction has been present

Risk if You Overdo It Early

Bleeding is the main risk if returning to activity too soon

Common Side Effects

Short-term effects:

  • Blood in urine

  • Stinging or burning while urinating

  • Ongoing frequency or urgency (usually temporary)

Longer-term risks:

  • Retrograde ejaculation (semen goes into the bladder — orgasms still occur but no fluid comes out)

  • Urge incontinence (urgency that occasionally leads to leakage — usually temporary)

  • Stress incontinence: (dribbling with coughing/lifting — may need pelvic floor rehab)

  • Erectile changes: A 10–20% chance of reduced erection quality, especially if nerves are affected during surgery

TURP is a proven and commonly performed procedure for men experiencing troublesome symptoms or complications from an enlarged prostate. It’s important to have an open discussion with your urologist to determine whether this treatment is the best option for your prostate health

If you have any concerns about your urinary symptoms or prostate health, don’t hesitate to speak with your doctor or a specialist. Staying informed is the first step toward taking control of your health.

Until next time — look after your prostate.

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