Surgical traume

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sparkeyone
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Joined: Wed Jul 31, 2013 11:08 pm
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by sparkeyone on Fri Nov 15, 2013 1:58 am

Surgical traume

At the end of Sept i underwent a turp, Prior to the surgery I told the consultant registrar that i had been self catheterization with a 14f and i was concerned that a 27f would cause trauma to my penile urethra. He told me if the consultant would abort the procedure. I again stated my problem at the pre-op to be told that the surgeon would perform dilation. After the op when the nurse took the catheter out the catheter had stuck to trauma caused to the length of my penis during the surgery and bleed for two more days requiring re admittance to the hospital.I still feel discomfort when urinating and for some time after.' Is their anything that can be done to restore my penis back to how it was?. I also have ed and i think that the was damage to muscles and nerve. Will this right it self and if so how long will it take?

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Philippa Aslet
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Joined: Mon Nov 12, 2012 2:41 pm
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by Philippa Aslet on Sun Nov 17, 2013 11:02 pm

Re: Surgical traume

Evening

A TURP (trans urethral resection of prostate) is a very common operation performed to reduce the blockage caused by an enlarged prostate. It is normal to have a catheter left in place after the procedure as there is often bleeding immediately after the op and this can carry on for some days. If a narrow gauge catheter is left in such as a 14 then it would quickly block with the debris and blood so we routinely use much bigger catheters which do not usually cause any damage but are uncomfortable. They do not stay in for long but do mean we can keep the catheter patent and draining. The prostrate is a vascular little organ so as I said bleeding immediately after the operation and for some time after is very common and shouldn't cause alarm.

When the catheter is removed is can be quite uncomfortable and can feel quite sore but this should should settle quite quickly. If your op was in September and you still have blood in the urine or pain when passing urine then you should see your GP. It may be something as simple as a residual infection which can be easily treated. In the meantime keep the fluids up.

With regard to the ED. I am assuming you refer to erectile dysfunction. Did you have any issues prior to your surgery? There is a small risk of affecting the quality of the erection with this operation. Things do sometimes improve with time but that depends on the cause of the ED. Most men after a TURP will also have retrograde ejaculation often described as a dry orgasm. This doesn't affect the quality of erection.

I think you need a trip to the GP or back to the urologist who undertook the TURP so that you can address these concerns.

I hope that helps.
Philippa Aslet
Senior Urology Specialist Nurse

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