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What are the complications of transurethral resection of the prostate (TURP)?

Sep 27, 2023 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Common complications following transurethral resection of the prostate (TURP) include hematuria, urinary incontinence, infection, urethral stricture, etc. Hematuria: patients may experience bleeding again if the surgical wound has not fully healed or healing is delayed. It is important to closely monitor changes in urine color and avoid prolonged sitting or physical labor. If bleeding occurs, prompt medical attention at a hospital is necessary.

Generally, transurethral resection of the prostate (TURP) refers to a surgical procedure in which a resectoscope is used to locate and remove part of the prostate gland. Common postoperative complications of TURP include hematuria, urinary incontinence, infection, urethral stricture, and retrograde ejaculation. Specific details are as follows:

1. Hematuria: In most cases, if the surgical wound has not fully healed or healing is slow, bleeding may recur. Patients should closely monitor changes in urine color and avoid prolonged sitting or strenuous physical activity. If bleeding occurs, prompt medical attention is required.

2. Urinary incontinence: During surgery, if the resected glandular tissue is close to the location of the sphincter muscle, thermal injury or damage to the sphincter may occur, leading to temporary urinary incontinence. After surgery, patients are advised not to hold urine. If incontinence develops, follow medical advice to take medications such as solifenacin succinate tablets or tolterodine tartrate tablets to improve symptoms.

3. Local infection: After surgery, the prostatic fossa typically presents a large wound surface. Poor personal hygiene post-surgery may lead to local infection. Patients should keep the surgical area clean and avoid touching it with dirty hands to prevent bacterial infection. If bacterial infection occurs, anti-infective treatment with antibiotics such as erythromycin ointment or mupirocin ointment should be administered under medical guidance.

4. Urethral stricture: During the healing process, scar tissue may form at the surgical site, resulting in narrowing of the urethra. This often causes difficulty or straining during urination. Patients should follow medical advice for active treatments such as urethral dilation or internal urethrotomy to relieve the condition.

5. Retrograde ejaculation: During the procedure, part of the internal urethral sphincter may be removed, potentially causing incomplete closure of the internal sphincter and continuous communication between the urethra and bladder. During sexual activity after surgery, semen may flow backward into the bladder. Although patients may feel ejaculation, no fluid exits through the urethra. This generally has minimal impact on daily life and does not cause significant discomfort. It usually does not pose major concerns unless the patient desires fertility.

Patients are advised to maintain healthy lifestyle habits, avoid overexertion and staying up late, and quit smoking and alcohol consumption to minimize bodily irritation and promote recovery. If any discomfort arises, timely medical consultation and standardized treatment under professional guidance are recommended to facilitate recovery.

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