Turp instructions

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Preoperative/Postoperative Instructions for 

Transurethral Resection of the Prostate (TURP) Patients

Day Before Surgery -

You may have a regular diet until midnight.

Do not eat or drink anything after midnight.

Your surgeon may have you give yourself an enema.

Day of Surgery (Before surgery)-

Your surgeon may have you give yourself an enema.

Report to day surgery (Family Surgical Waiting Room, 1st Floor, STC), at the prearranged 

appointment time.

Leave valuables at home, but bring any comfort items as you see fit.

Do not eat or drink anything (if you have been asked to take medications on the morning of surgery,

you may do so with a small sip of water).

An IV will be placed in the preoperative area.

Day of Surgery (After Surgery)-

Anticipate being admitted, at least overnight, for observation.

Your diet will be advanced as tolerated.

Take at least three deep breaths and cough every two hours for the next few days.

A catheter will may remain in your bladder to drain your urine.  An irrigant solution may be

connected to your catheter to keep the urine clear.

Your urine may have some blood.  Drink plenty of fluids to keep your urine clear 

(10-12 cups of water/day).

Your catheter will remain until the bleeding subsides and your surgeon deems it appropriate to be

removed, usually 1-2 days, but possibly longer depending on your situation.

You may bladder discomfort or a sensation of fullness.  This usually indicates bladder spasms.

Your nurse will make sure your bladder is draining properly, and may provide you with medications

to help with these symptoms. 

When the catheter is removed you may experience burning with urination. Medicines can 

prescribed to help with these symptoms.

Notify your nurse or surgeon if you are experiencing excessive bleeding, temperature above 101,

severe pain or the inability to void.

Your nurse will provide you with follow-up instructions.

You may perform limited/non-strenuous activities as tolerated until released by your physician.  

Do not lift anything heavier than 10 pounds.

Your return appointment is


Desk:  3A (254-724-2577)

Day Surgery 

(Mon.-Fri.  6am-9pm)



Rev. 11/27/06

After Hours/Emergency

Call Hospital Operator at

1-254-724-2111 ask for 

Urology Resident on call.

After Discharge:

You may go home with prescriptions for pain, burning, stool softener, antibiotics.

You may resume your normal diet, high in fiber (fruits and vegetables).

Drink 10 glasses of water daily.

Walk 4 times daily.

Continue foot pumping exercises while sitting.

No heavy lifting over 10 lbs. for 4 weeks.

No driving for at least 24 hours and not taking narcotic pain medication.

Call the clinic for any fever over 101 F, increased pain, nausea/vomiting, increasing voiding 

difficulties, increasing blood or clots in the urine, or other concerns.

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