Principles of the Procedure
This procedure is performed to remove the obstructive component of the prostate to improve bladder emptying and urine flow. A cystoscopy is performed and the obstructing prostate tissue is resected from the inside. The resected prostate chips are removed, leaving the capsule of the prostate behind. A catheter is inserted at the end of the procedure and the bladder is irrigated overnight in hospital. The catheter is usually then removed the following day.
You will be admitted on the day of the procedure. You will need to have a recent urine (within 2 weeks of the surgery) to ensure that you do not have a urine infection. No other specific preparation is needed apart from fasting about 6 hours prior to the surgery. You should continue to take your usual medications unless directed otherwise by your Urologist or his anaesthetist. Please inform us if you are taking any anticoagulant (blood thinning) medication.
Expected Post-Operative Recovery
Following removal of the catheter, your bladder volume will be measured via ultrasound after voiding to ensure that it is emptying properly before you are discharged home. Occasionally the bladder emptying may be slow, requiring temporary re-insertion of a catheter for a couple of days. After removal of the catheter, some stinging when passing urine is sometimes experienced, this settles down after about 24 hours.
Some blood staining of the urine can occur after you go home, though this almost always settles by keeping your oral intake of fluids up.
Risks – as per your discussion with your Urologist
Irritative urinary symptoms
Bladder or urethral injury