Bleeding after transurethral resection of the prostate

Prostatic hyperplasia is a common disease among the elderly and is also a multiple-occurring disease. In addition to early symptoms, patients can use medication for treatment. Due to the particularity of the disease, some patients will undergo transurethral resection of the prostate, but after this operation, there will be symptoms of short-term bleeding and difficulty urinating in the early stages. After the operation, you must pay attention to recovering well over a period of time.

Prostatic hyperplasia is a common disease among the elderly. In addition to medication for early-stage and mild-symptom patients, transurethral resection of the prostate (TURP) is the most commonly used and effective method.

After transurethral resection of the prostate, the patient's preoperative dysuria symptoms will be significantly improved, but some patients will have some complications. In order to reduce the occurrence of complications, the following issues should be paid attention to by patients:

1. Transurethral resection of the prostate is not like open surgery for prostatectomy. There is no direct suture of the wound during the operation. The wound surface of the prostate fossa after transurethral resection is relatively large. Although there is no obvious bleeding for a while, there is often a small amount of bleeding in the prostate fossa in the early stage, especially after strenuous activities such as straining to defecate, riding a bicycle and other activities. Obvious bleeding may occur, which is manifested as macroscopic hematuria and even accompanied by blood clots. Therefore, within three months after the operation, you should pay attention to keeping your bowels open, eat more fruits and vegetables, honey or oral laxatives, avoid riding a bicycle and warm water baths, avoid more strenuous activities such as going up and down stairs and running, and drink plenty of water, avoid drinking alcohol and spicy food. After a few months, the prostate fossa will slowly be covered by the bladder mucosa, and the bleeding of the prostate fossa will be significantly reduced.

2. Some patients have smooth urination in the early stage after surgery, but have difficulty urinating after a period of time. The more common reason is urethral stenosis (but less than 5%), because the electroresection during surgery can cause urethral damage. At this time, you should return to the hospital as soon as possible to see a doctor for urethral dilation. Other reasons include bladder neck contraction and stenosis, inflammatory edema, or the presence of residual glands. You should see a doctor as soon as possible.

2. TURP generally does not affect sexual desire and sexual function, but most patients will experience retrograde ejaculation, that is, semen is ejaculated into the bladder during sexual climax and discharged from the body with urine. However, there is still pleasure, so there is no need to worry. You can have sex two to three months after the operation.