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What is a TURP? 

Transurethral resection of the prostate (TURP) is a surgical procedure to remove part of the prostate gland that is blocking urine flow. The prostate sits around the urethra (the tube that carries urine from the bladder), and when it enlarges, it can restrict urine flow.

During TURP, a telescope and a specialized loop are inserted through the urethra to remove the central part of the prostate in small pieces using electric current (diathermy). This creates a wider channel for urine to flow more easily. A temporary bladder catheter is usually placed at the end of the procedure to help drain urine and flush out blood clots. 

What to expect after surgery 

After TURP, most men experience improved urine flow almost immediately. You may have a catheter in place for 1–7 days, and your urine can appear bloody for 24–48 hours after catheter removal. Mild burning, frequency, and urgency are common and usually settle within a few days. Some men may notice retrograde ejaculation, where semen passes back into the bladder rather than outwards. Your final biopsy results from the removed tissue take 2–3 weeks and will be communicated to you and your GP.  

Pain and recovery 

Mild pain or burning when urinating is common, especially in the first few days after catheter removal. Over-the-counter or prescribed pain relief can help. Recovery typically takes 2–3 weeks before most men feel ready to return to work, with 3–4 weeks recommended if your job is physically demanding. Symptoms of an overactive bladder, such as urgency or frequent urination, may take up to three months to fully settle. Pelvic floor exercises can help with temporary urinary control issues. 

Looking after yourself 

  • Drink twice your usual fluids for the first 24–48 hours to flush your urinary system 
  • Avoid heavy lifting or strenuous activity during the recovery period 
  • Continue any prescribed medications and antibiotics as directed 
  • Perform pelvic floor exercises to improve bladder control 
  • Monitor urine output and colour; mild bleeding can occur 10–14 days after discharge due to scabs separating.  

Red flags – when to seek medical attention 

Contact your GP or seek urgent care if you experience:  

  • Severe bleeding or passing blood clots 
  • Unable to pee 
  • Signs of infection such as fever, chills, or worsening pain 
  • Persistent or worsening burning, frequency, or urgency despite medication 

Who to contact  

After reading this information, if you have any concerns, please contact:  

Frimley park hospital

  • surgical helpline 07990528061 for advice between 7am-8pm Monday-Sunday.  

Wexham Park hospital surgical helpline:  

If you are feeling unwell, have pain, fevers, or any concerns please present to your local A&E department.  

Contact us

If you have any queries relating to this information, please contact the Urology service.

About this information

Service:
Urology

Reference:
Z/020

Approval date:
22 June 2026

Review date:
1 June 2029

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Important note 

This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.