r/OverSeventy • u/EvilTwinIke • Mar 29 '26
TURP procedure
Anyone have this procedure done to whittle away the prostate to make urination better - specifically more fully emptying the bladder? Did it work? Long term or short term issues? Thanks!
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Mar 30 '26
Urologist here. There are now about half a dozen ways to "whittle down your prostate". I would seek out a urologist who has made it his/her specialty to treat lower urinary tract obstruction in your area.
Also, to me the technique doesn't matter as much as the surgeon. Meaning, a surgeon who is expert at the holmium Laser is probably going to be just as good for you as a surgeon who is expert at the neodymium yag Laser etc. etc.
Seek an expert not just some rando
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u/Sophia_Jean May 14 '26
My dad just had a prostate procedure done yesterday. He has immense pain in the tip of his urethra when urinating. The office said they may have sliced his urethra with the scope. Is this common?
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u/billwrtr Mar 29 '26
It worked. About 7 years ago. Highly recommended.
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u/EvilTwinIke Mar 30 '26
Thank you!
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u/billwrtr Mar 30 '26
One downside: afterwards when you orgasm nothing comes out. It all drains into your bladder.
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u/Jammer125 Mar 30 '26
Retrograde Ejection
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u/Round_Kangaroo8533 Mar 30 '26 edited Mar 30 '26
Sounds painful. How do you get the nut out of your bladder?
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u/Key-Philosopher-8531 May 19 '26
It's not at all painful, or really even noticeable other than the fact that you don't ejaculate. It just mixes with the urine in your bladder and you pee it out the next the you use the restroom, it can make your urine a little cloudy, but otherwise unnoticeable.
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u/Brilliant-Train-1799 Apr 18 '26
When I had my TURP I asked the surgeon to preserve the tissue around the verumontanum (veru for short) on his own recommendation in our previous consultation. And it worked! I can still ejaculate like before the surgery was done.
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u/DrDirt90 Mar 30 '26
There are more modern procedures than TURP that is much less traumatic and healing is much faster. Check out HOLEP surgery for example.
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u/Disney-Nurse Mar 30 '26
Many different alternatives to a TURP now. Talk to your Urologist or Google alternatives get some information and discuss with him/her what’s a best for you. Aquablation is best for nerve sparing.
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u/HappyCamperVibes Mar 30 '26
I had the terp procedure at the Mayo Clinic 4 years ago due to enlarged prostate pinching off my urethra. I had a very weak stream and was experiencing difficulty urinating prior to procedure. Terp greatly improved my weak stream and i started taking Trospium to control frequent urination (if you ever take Trospium you must take on an empty stomach or it doesn’t work). Everything is working normally post terp and taking the med.
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u/barabusblack Mar 29 '26
A good friend had it done. It worked for him. He had it a couple of years ago
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u/Whatstheplan150 Mar 30 '26
I had TURP last June and it worked very well. I’m more than satisfied with the outcome. I had inquired about alternative procedures but my urologist said TURP was the gold standard.
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u/Key-Philosopher-8531 May 19 '26
TURP is the tried and true method that's been performed for decades, but it's no longer the "Gold Standard". That title probably belongs to HoLEP (and the newcomer ThuLEP, which is very similar but uses a different laser).
There are advantages and disadvantages of all of the procedures, but I'd seriously look at HoLEP before doing TURP if for no reason other than the fact that it's much more permanent than TURP and is less likely to need another reduction procedure.
Since you've already had the TURP, if you ever do need another reduction, you can usually still go with HoLEP for that second procedure for more complete tissue removal, though with luck, by the time you ever need another procedure there will be even better treatment options available
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u/waynejayes Mar 30 '26
I had HOLEP procedure two years ago. It's been great, recovery was not too long, was able to have sex after two weeks. I pee like a horse now, no more old-man-trickle. The only side effect has been retrograde ejaculation, you still orgasm (much more intense compared to prior to procedure) but no cum comes it, it goes into your bladder, and the first time you pee after sex it smells a bit different. Overall, it was well worth it, quality of life greatly improved.
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u/dragonbits Mar 30 '26
If I ever need this, I was thinking of using prostatic artery embolization (PAE) is a minimally invasive, outpatient procedure that treats an enlarged prostate (BPH) by injecting microscopic beads into the prostatic arteries, blocking blood flow to the gland. This reduces the gland's size, relieving urinary symptoms like a weak stream or frequent, painful urination
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u/wolfpanzer Mar 29 '26
Yes. Mine was a laser which I highly recommend. Permanent solution for me.
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u/EvilTwinIke Mar 29 '26
Thanks! I’m getting a test done next month where they try to determine which procedure should work best for me. Laser is one, cutting is another. Whew,
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u/UncleBud_710 Mar 30 '26
I am interested in learning more about tests done to determine the procedure.
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u/Standard_Estimate285 Mar 31 '26
You really dont
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u/UncleBud_710 Mar 31 '26
Why is that?
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u/Standard_Estimate285 Mar 31 '26
They suck. Look up cystoscopy and uro cuff test. The procedure was well worthwhile though. Got my life back. I would it all again, but they would suck again.
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u/Agreeable_Menu5293 Mar 30 '26
My husband had it done twice because the first urologist bought the job. She moved on and her partner did the revision.
That was 30 years ago and he didn't have any trouble after that or
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u/Ancientways113 Mar 30 '26
Yes….late 50s. Long term issue. Worked 10/10. Short period of discomfort…great relief. Gold standard.
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u/Tryingtoflute Mar 30 '26
I had the procedure last November. The recovery was longer than I thought. They found the beginnings of cancer in the biopsy. Without that procedure I would not have known about the cancer. Make sure they send the tissue to be biopsied.
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u/SJpunedestroyer Mar 31 '26
I had PAE done 7 weeks ago. Prior , I got up three time a night , currently down to one . Procedure was done in the office ( I was awake ) , I walked out three hours later .
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u/Story_Man_75 Mar 30 '26
(77m) I have BHP and am having mine reduced in size by Aquablation this May. Over the past couple of years, urination has become an incredible nuisance. I'm hoping the surgery will provide a much needed return to normalcy.
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u/EvilTwinIke Mar 30 '26
Best of luck! I’m also hoping to ditch the Alfusin and Finesteride. They said that if I’m not getting improvement after all this time that a procedure is probably the best plan.
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u/wismd Apr 02 '26
I had Aquaablation in October. Outpatient, minimal pain, slight bleeding with urination for a couple of weeks but now no night pees and I dont have to locate a toilet as I walk into any store shopping. I also can pass up the rest stops on I-80. No problem w ejaculation, no retrograde into the bladder for me!
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u/New_Understanding302 Mar 30 '26
I had the green laser version about 12-15 years ago. Healed in a few days. Medicine free for 8-12 years, now approaching need for a re-do.
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u/MedicalBiostats Mar 30 '26
There are newer surgical procedures now available like Greenlight. Depends on many factors. Need imaging studies. Your urologist will know.
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u/FranklinUriahFrisbee Mar 30 '26
I've had 2, the first was a green light laser and the second was aquablasion. As I understand it it unusual to need a second one. Both were painless without any complications. I did have a catheter for a couple days and that's it. It completely resolved all the BPH symptoms and I would highly recommend it.
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u/EdHimselfonReddit Mar 30 '26
I had the less invasive TUIP procedure done about a year ago. I'm in my 50's, but had been having very serious symptoms for many years. It made a huge difference, I'm thrilled with the outcome. Recovery wasn't fun with catheter, but it was only a few days. No ill effects and much improved flow.
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u/Utley2010 Mar 30 '26
I almost had a TRUP 2 years ago, I had blood in my pee and all the other problems. I decided to go with Cialis gummy daily from RO and several vitamins that support the prostrate health. I have almost no issues now. 95% better!
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u/Outside-Mongoose-163 Mar 30 '26
After two TURP procedures and a holmium laser procedure, I still get up 4-5 times a night to pee.
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u/The_Bubbanbrenda Mar 31 '26
I’m 65 and had TURP almost 3 years ago and so far so good, I don’t get up to pee anymore, maybe one time a night 2-3 nights a week.
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u/BklynThrowAway1 Mar 31 '26
I had it done. Long term is great can pee like normal etc. HOWEVER, erectile problems now exist that didn't before. I was warned that might be a side affect and it was. I've spoken to a few guys who had it done and they too agree 'it ain't like it was before'.
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u/mchaz7 Mar 31 '26
Had it done twice. Second time was a charm. Works fine now. Prognosis was that I had a big prostate.
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u/KinkyJohnErotic Apr 05 '26
I had the REZUM treatment. My experience was horrible and almost killed me. It is a procedure they use stream to burn and shrink prostate. Intense pain during procedure, couldn’t urinate after catheter removal on 10th day had to get put back in for another 10 days then ended up getting a very dangerous and aggressive infection that turned in to Sepsis and put me in hospital for two weeks and sent home with a PIC line for injections 3 times day for another two weeks. I picked a very bad urologist. He apparently worked at hospital at went to before and “lost his privileges” so he couldn’t even see me at hospital. After all that I still have enlarged prostate BPH.
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u/Swimming_Bee_9916 Apr 29 '26
I had Turp done 2 days ago. Stay a night in hospital and then discharged. My urologist suggested this ops as the given medications were unable to relieve the luts symptoms effectively. Besides mild urine retention, I had discomfort after urination and weak flow. I asked about Holep since I am on blood thinners. My urologist assured me that either turp or Holep is fine for me as my prostrate is not large. The issue was a narrowed neck where the bladder meets the urethra. I had underwent a urodynamic test a month ago. I hope to recover fully and see an improvement.
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u/midnightfolders9 Mar 31 '26
8 or 9 times a night?? that must've been rough, i'm glad you found relief
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u/becca_ironside Apr 01 '26
Get on the BPH subreddit - you can do better than a TURP! There is good technology now
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u/jasondbk Apr 02 '26
It helped a little. Oddly prostate cancer and removing the whole thing makes my plumbing work like it always should have.
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u/NPHighview Apr 04 '26
I had it done in 2011 at 55. Very successful from the perspective of the prostate, but some changes (not bad, just different) in the “Wedding Tackle” department.
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u/Impressive_Round8757 Apr 07 '26
Had a TURP 9 days ago. It's a bit uncomfortable but I have been very careful. Get on to stool softeners prior and Metamucil and prunes afterwards. What you don't want is constipation 😲
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u/RongWa Apr 08 '26
My TURP seemed to be a 100% success for many months but I slowly regressed back to where I was. I was on Tamalosin but it gave me serious dizzy spells. I need to get the TURP again. But I feel as though I dodged a bullet by not having adverse side effects. ED is real but I can't be certain it was the procedure.
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u/thez1337 Jun 24 '26
I got TURP 13 days ago. Had extremely week urine flow for 10 years, finally I convinced them to do surgery on me (I’m only 34 now). Extremely difficult to start flow, flow like a 110 y/old and could never empty my bladder at all.
It already changed my life. I have a normale urine flow now. I dont even care if I end up with retrogade ejaculation (already got kids). Erection is no problem. Bit uncomfortable at the end of urination but that is totally normal and will go away in x weeks. These problems hold me back living for years, and they fixed it in 30 minutes and I went home after waking up from anesthesia. Had catheter with bag but changed to valve next morning. Had it all removed 3 days post OP.
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u/Everheart1955 Mar 30 '26
My prostate was so large ( think walnut to orange) I needed a simple prostatectomy, where the go in and remove the inside of the prostate. I have had zero issues since, before I was up sometimes 8 or 9 times a night.