TUIP – making incisions inside the prostate to open up and relieve bladder-neck/outlet
Changes in Your Urine
After surgery, you will have blood in your urine. Your urine will begin to clear in 2-4 days but
you may notice some bleeding for up to 6 weeks. It takes the prostate this length of time to heal.
You may have cloudy urine and irritation or burning when you pass urine. You may have some
dribbling of urine at first. This often clears up in the first couple of days. You may also have
urinary urgency or frequency for some time. Medications may be needed to calm down the
You will go home 1-2 days after surgery. You may or may not go home with a catheter in place.
Things to Do to Reduce Bleeding
1. Drink when thirsty.
2. Avoid letting your bladder get too full. Such fullness causes pressure on your prostate.
Urinate at least every 4 to 5 hours or sooner if you feel the need. You can expect to pass ½
cup to 2 cups (150-450 ml.) of urine at one time.
3. Avoid constipation. Straining can result in increased bleeding. It is important that you do
not strain with bowel movements. Adding fruits and vegetables as well as fiber to your diet
will help prevent constipation. Your provider may order a stool softener or a mild laxative.
1. First 2 days, after you leave the hospital, you will be at home. Limit your activity.
Do not lift anything over 15 pounds.
Avoid heavy work.
Do not ride in or drive a car except for the ride home from the hospital.
3 – 7 days: Start with short walks, and short car rides; increasing these as you feel better. It
is OK to drive short distances after 7 days, if not on a narcotic.
urine one or two times about a week after surgery. This is nothing to be alarmed by and it
usually stops on its own. You may have sex after the third week. Do not be alarmed if no
fluid appears on ejaculation. At ejaculation, the fluid may go into the bladder and be passed
in the urine. Also, after 3 weeks, it is OK to ride a bike, riding lawn mower, or a horse as
long as you are comfortable.
When to Call the Doctor
You pass large blood clots
Temperature is more than 100.4
F by mouth for 2 readings taken 4 hours apart
Your first follow-up visit will be made for you before you go home.
After Hours, Nights, Weekends, and Holidays, the clinic number is answered by the paging
operator. Ask for the Urology Doctor on call. Leave your name and phone number with the area
code. The doctor will call you back.
Toll Free: 1-844-607-4800
Your medical record number _____________________________
Your urology doctor is Dr. ______________________________________
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 7/2015. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#4257