Post-Transurethral Resection of Prostate: Urination Issues After Surgery - Urology

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Post-Transurethral Resection of the Prostate (TURP) is a common surgical procedure performed to alleviate symptoms associated with benign prostatic hyperplasia (BPH). While many patients experience significant improvement in urinary function following the surgery, some may encounter issues such as difficulty urinating or a feeling of incomplete bladder emptying, even months after the procedure.
In your case, experiencing a recent increase in difficulty with urination, requiring more effort and increased fluid intake, could be attributed to several factors. First, it is essential to consider that the surgical site may still be healing. After TURP, the prostate tissue is removed, which can lead to swelling and inflammation in the surrounding areas. This inflammation can cause temporary changes in urinary function, including increased urgency, frequency, and difficulty initiating urination.

Another possibility is the formation of scar tissue at the surgical site, which can lead to urethral stricture. This condition occurs when the urethra narrows due to scar formation, making it more challenging for urine to flow freely. Symptoms of urethral stricture can include a weak urine stream, straining to urinate, and a sensation of incomplete bladder emptying.

Additionally, it is crucial to rule out other complications such as urinary tract infections (UTIs), which can also cause changes in urination patterns. UTIs can lead to increased urgency, frequency, and discomfort during urination. Given your increased fluid intake of 2000-3000cc per day, it is essential to monitor for any signs of infection, such as fever, chills, or unusual discharge.

To assess the current status of your healing and to determine if there are any complications, it is advisable to follow up with your urologist. They may recommend several diagnostic tests, including:
1. Urinalysis: This test can help identify any signs of infection or blood in the urine.

2. Post-void residual (PVR) measurement: This test measures the amount of urine left in the bladder after urination, which can indicate how well the bladder is emptying.

3. Urodynamic studies: These tests assess how well the bladder and urethra are functioning and can help identify issues such as bladder overactivity or urethral obstruction.

4. Cystoscopy: This procedure involves inserting a thin tube with a camera into the urethra to visualize the bladder and urethra directly, allowing the doctor to check for any abnormalities, such as strictures or lesions.

In summary, while it is not uncommon to experience changes in urination after TURP, it is essential to communicate these symptoms to your healthcare provider. They can conduct the necessary evaluations to determine the underlying cause and recommend appropriate treatment options. Early intervention can help prevent further complications and improve your overall urinary function.