Transurethral Resection of the Bladder: What to Expect at Home (2024)

Your Recovery

You have had a transurethral resection of the bladder. Your doctor removed abnormal tissue.

You may have a small tube called a catheter in your urethra to help prevent blockage of the urethra. When the bleeding from surgery has stopped, the tube is removed. You may go home the same day or stay in the hospital for a day or so.

You may feel the need to urinate frequently for a while after the surgery, but this should improve with time. It may burn when you urinate. Drink lots of fluids to help with the burning. Your urine also may look pink for up to 2 to 3 weeks after surgery. This is because there may be blood in it.

You may have to avoid strenuous activity and heavy lifting for about 3 weeks after your surgery.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to feel better as quickly as possible.

How can you care for yourself at home?

Transurethral Resection of the Bladder: What to Expect at Home (1)Activity

  • Rest when you feel tired. Getting enough sleep will help you recover.
  • Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.
  • Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for about 3 weeks, or until your doctor says it is okay.
  • For about 3 weeks, avoid lifting anything that would make you strain. This may include heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, a vacuum cleaner, or a child.
  • Ask your doctor when you can drive again.
  • You may shower and take baths when your doctor says it is okay.
  • Ask your doctor when it is okay for you to have sex.

Transurethral Resection of the Bladder: What to Expect at Home (2)Diet

  • You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.
  • Drink plenty of fluids (unless your doctor tells you not to).

Transurethral Resection of the Bladder: What to Expect at Home (3)Medicines

  • Your doctor will tell you if and when you can restart your medicines. He or she will also give you instructions about taking any new medicines.
  • If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
  • Take pain medicines exactly as directed.
    • If the doctor gave you a prescription medicine for pain, take it as prescribed.
    • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
  • If you think your pain medicine is making you sick to your stomach:
    • Take your medicine after meals (unless your doctor has told you not to).
    • Ask your doctor for a different pain medicine.
  • If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Transurethral Resection of the Bladder: What to Expect at Home (4)

Call 911 anytime you think you may need emergency care. For example, call if:

  • You passed out (lost consciousness).
  • You have chest pain, are short of breath, or cough up blood.

Call your doctor or nurse advice line now or seek immediate medical care if:

  • You have pain that does not get better after you take pain medicine.
  • You have signs of infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the area.
    • Pus draining from the area.
    • A fever.
  • You are unable to urinate.
  • You are sick to your stomach or cannot drink fluids.
  • You have severe burning and pain when you urinate that doesn't improve.

Watch closely for any changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter W216 in the search box to learn more about "Transurethral Resection of the Bladder: What to Expect at Home".

Current as of: March 1, 2023

Author: Healthwise Staff

Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Christopher G. Wood MD, FACS - Urology, Oncology & Brian D. O'Brien MD - Internal Medicine

Transurethral Resection of the Bladder: What to Expect at Home (2024)

FAQs

What to expect after transurethral resection of the bladder? ›

You may feel the need to urinate frequently for a while after the surgery, but this should improve with time. It may burn when you urinate. Drink lots of fluids to help with the burning. Your urine also may look pink for up to 2 to 3 weeks after surgery.

Can you go home after a TURBT? ›

You might go home on the same day of your operation. But sometimes you have to stay in overnight or for a couple of days. You usually have it under general anaesthetic, which means you are asleep. In some hospitals, you may have a spinal anaesthetic instead of a general anaesthetic.

What precautions should be taken after TURBT? ›

It is important for you to avoid prolonged sitting. You should avoid sexual activity during this time. Also, avoid driving. The danger is not so much the driving, but it may delay you from urinating if you have the urge; and, "holding" urine may cause bleeding.

How do I prepare for a TURBT procedure? ›

How do you prepare for a TURBT?
  1. Not eat anything for eight hours before the procedure (fast).
  2. Stop taking medications before the procedure or take them with just a sip of water. ...
  3. Arrange for someone to drive you home after the procedure.
  4. Take a bath or shower before you go in for the procedure.
Nov 27, 2023

How long does it take to heal inside after TURP surgery? ›

After a TURP, the cavity left in the prostate will take between 8 to 12 weeks to heal completely and the full benefits of the procedure appreciated.

What can you not do after bladder surgery? ›

Contact your doctor if these symptoms last for more than a few weeks. Strenuous activity and heavy lifting should be avoided for around three weeks after your surgery. This means you should not lift grocery bags, children, pets or other things that cause you to strain until your doctor tells you that it is okay to.

Will I have a catheter after a TURBT? ›

Plan to rest for a few days after your TURBT. You may have a catheter left in your bladder after the procedure to allow your bladder to empty and heal. This may need to be kept in for several days if bleeding continues.

How long do I need a catheter after TURBT? ›

Almost all patients will go home with a catheter that will remain for 2-4 days based on the depth and size of resection. Antibiotics will be necessary throughout this time. The catheterization allows for bladder wall healing, and a patient will typically remove it on their own at home with our instruction.

What is the most common complication of TURBT? ›

Postoperative bleeding is the most common complication. A greater rate of complications of TURBT was associated with patient age, size of tumor, location of tumor, surgeon experience, resection time, and completion of tumor resection.

Is it OK to walk after TURBT? ›

It is recommended that you take it easy for the 24 hours following surgery as you may still have some residual effects from the anesthesia. You will only be able to perform light activity (i.e. walking) for 7-10 days after surgery. Do not strain, squat, or lift anything greater than 10 lbs. during that time.

What do you need after bladder surgery? ›

You will probably need pain medicine for 1 to 2 weeks. You can expect your urostomy (stoma) to be swollen and tender at first. This usually improves after 2 to 3 weeks. You may notice some blood in your urine or that your urine is light pink for the first 3 weeks after surgery.

Can I drive after transurethral resection? ›

Increase fluids if you notice the urine becoming more bloodstained. Alcohol is permitted in moderation. Try to reduce drinking after 6-8pm so you do not have to get up during the night. Driving: Do not drive for the first two weeks after the operation.

Is transurethral resection painful? ›

You shouldn't experience any severe pain, but there may be some discomfort and bladder spasms (contractions) from the catheter, which is left in place because your urethra (the tube that carries urine out of the body) will be swollen and sore. Before you're discharged, you'll be given advice about your recovery.

What medication is given after TURBT? ›

For mild discomfort or moderate pain after surgery, take acetaminophen (Tylenol). Follow the dose instructions on the label. Most patients do not need prescription pain medicine after a TURBT. But, your doctor may prescribe the drug Norco after this surgery.

How painful is TURBT? ›

Most men do not have much pain after this surgery. You may feel like your bladder is full. You may feel pressure, spasms, or burning, until your catheter is taken out. If you have pain or discomfort in the surgery area, your nurse will give you pain control medication to help.

How long does it take for bladder to return to normal after TURP? ›

You may have some urine leakage (incontinence). This should get better over time. You should have close-to-normal bladder control within 3 to 6 months.

What are the do's and don'ts after TURP surgery? ›

What is the recovery time for TURP? It takes four to six weeks to fully recover from TURP. Don't lift heavy objects, do strenuous exercise or have sex until your healthcare provider says it's safe to do so.

How is the quality of life after TURP surgery? ›

Social life, family life and mental status were not influenced, but the physical status of 21 (26%) of the patients was decreased by the operation and hospital stay. Over all, 78% of the patients could maintain a good quality of life in post-TURP.

How long does painful urination last after TURP surgery? ›

Recovery from surgery should take about three weeks. Symptoms such as frequent or painful urination may continue for a while. They should lessen in the first six weeks. If there is blood in your urine, lie down and drink a glass or two of fluid.

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