{"id":2694,"date":"2026-03-10T11:30:39","date_gmt":"2026-03-10T11:30:39","guid":{"rendered":"https:\/\/berkanresorlu.com.tr\/?p=2694"},"modified":"2026-10-13T16:11:04","modified_gmt":"2026-10-13T16:11:04","slug":"what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed","status":"publish","type":"post","link":"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/","title":{"rendered":"TURP Prostate Surgery: Procedure, Benefits, Risks, and Recovery"},"content":{"rendered":"<p>Closed prostate surgery is a surgical method performed through the urinary tract using minimally invasive techniques in the treatment of benign prostate enlargement or some prostate diseases. Compared to open surgery, it causes less tissue damage and the recovery process is generally shorter.<\/p>\n<p>In answer to the question of how closed prostate surgery is performed, the procedure is generally carried out by entering through the urethra with the help of endoscopic devices, and the enlarged prostate tissue is removed in a controlled manner. Laser or resection techniques may be used, which reduces the risk of bleeding and increases surgical precision.<\/p>\n<p>Among the advantages of closed prostate surgery, shorter hospital stay, low infection risk, and rapid return to daily life stand out. In addition, since no surgical incision is needed, it provides a cosmetic advantage and the postoperative pain level is generally lower.<\/p>\n<p>The recovery process after closed prostate surgery varies depending on the patient\u2019s general health condition, but most individuals can return to normal activities within a few days. Compliance with doctor recommendations, fluid consumption, and regular check-ups play an important role in reducing the risk of complications.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#What_Is_Closed_Prostate_Surgery\" >What Is Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Differences_Between_Closed_Prostate_Surgery_and_Open_Prostate_Surgery\" >Differences Between Closed Prostate Surgery and Open Prostate Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#What_Are_the_Types_of_Closed_Prostate_Surgery\" >What Are the Types of Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#What_Is_TURP_Closed_Prostate_Scraping_Surgery\" >What Is TURP (Closed Prostate Scraping) Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#What_Is_HoLEP_Holmium_Laser_Prostate_Surgery\" >What Is HoLEP (Holmium Laser) Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Differences_Between_Laser_Prostate_Surgery_and_TURP\" >Differences Between Laser Prostate Surgery and TURP<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Who_Is_Closed_Prostate_Surgery_Suitable_For\" >Who Is Closed Prostate Surgery Suitable For?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#How_Is_Preparation_Before_Closed_Prostate_Surgery\" >How Is Preparation Before Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#How_Is_Closed_Prostate_Surgery_Performed\" >How Is Closed Prostate Surgery Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#How_Long_Does_Closed_Prostate_Surgery_Take\" >How Long Does Closed Prostate Surgery Take?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#What_Is_the_Recovery_Process_Like_After_Closed_Prostate_Surgery\" >What Is the Recovery Process Like After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#What_Should_Be_Considered_in_the_First_Days_After_Closed_Prostate_Surgery\" >What Should Be Considered in the First Days After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#When_Does_Urination_Improve_After_Closed_Prostate_Surgery\" >When Does Urination Improve After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#How_Long_Do_Burning_and_Frequent_Urination_Last_After_Closed_Prostate_Surgery\" >How Long Do Burning and Frequent Urination Last After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#When_Does_Sexual_Life_Begin_After_Closed_Prostate_Surgery\" >When Does Sexual Life Begin After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Do_Ejaculation_Problems_Retrograde_Ejaculation_Occur_After_Closed_Prostate_Surgery\" >Do Ejaculation Problems (Retrograde Ejaculation) Occur After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Does_Closed_Prostate_Surgery_Affect_Erection\" >Does Closed Prostate Surgery Affect Erection?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Does_Urinary_Incontinence_Occur_After_Closed_Prostate_Surgery\" >Does Urinary Incontinence Occur After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Possible_Risks_and_Complications_of_Closed_Prostate_Surgery\" >Possible Risks and Complications of Closed Prostate Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Does_Regrowth_Occur_After_Closed_Prostate_Surgery\" >Does Regrowth Occur After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Is_Medication_Required_After_Closed_Prostate_Surgery\" >Is Medication Required After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#When_Is_the_Follow-Up_Examination_Performed_After_Closed_Prostate_Surgery\" >When Is the Follow-Up Examination Performed After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#How_Should_Nutrition_and_Fluid_Consumption_Be_After_Closed_Prostate_Surgery\" >How Should Nutrition and Fluid Consumption Be After Closed Prostate Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/berkanresorlu.com.tr\/en\/what-are-tur-p-closed-prostate-surgeries-and-why-are-they-performed\/#Exercise_and_Return_to_Daily_Life_After_Closed_Prostate_Surgery\" >Exercise and Return to Daily Life After Closed Prostate Surgery<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Closed_Prostate_Surgery\"><\/span>What Is Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Closed prostate surgery is a minimally invasive surgical method aimed at eliminating obstructions in the urinary tract caused by problems such as enlargement or narrowing of the prostate gland. This treatment is performed with smaller incisions compared to open surgery and generally provides a faster recovery process. The prostate is a gland located at the outlet of the urinary bladder in men and tends to enlarge with age. This enlargement can obstruct urine flow, causing various complaints and negatively affecting quality of life. Closed prostate surgery offers an effective solution for such urinary tract obstructions and symptoms. The surgeon removes or reduces prostate tissue using special endoscopic devices and advanced instruments such as laser technology. These methods include techniques such as TURP (Transurethral Resection of the Prostate) and HoLEP (Holmium Laser Enucleation of the Prostate). Closed prostate surgery shortens patients\u2019 hospital stay and reduces the risk of postoperative complications. It is generally performed under general or spinal anesthesia, and most patients can return to normal life within a few days after surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Differences_Between_Closed_Prostate_Surgery_and_Open_Prostate_Surgery\"><\/span>Differences Between Closed Prostate Surgery and Open Prostate Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The main difference between closed prostate surgery and open prostate surgery is the surgical approach and recovery process. While open prostate surgery is performed through a larger incision in the abdominal or groin area, the closed method is performed by entering through the urinary tract with endoscopic devices. Therefore, the risk of bleeding is generally lower in closed surgeries and the hospital stay is shorter. In open surgery, direct access to the tissue is provided, while in closed methods the procedure is performed through imaging systems. These differences significantly affect the patient\u2019s postoperative comfort and risk of complications. Both methods have advantages and disadvantages, and the method to be chosen is determined according to the patient\u2019s specific condition. Closed surgeries are especially preferred for small and medium-sized prostates, while open surgery may sometimes be considered in large prostate volumes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Types_of_Closed_Prostate_Surgery\"><\/span>What Are the Types of Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Closed prostate surgery can be performed using different techniques and technologies. Each technique is based on the principle of removing or reducing prostate tissue, but the devices and energy sources used are different. TURP is one of the classic closed prostate surgery techniques and has been used for many years. Laser-assisted methods, on the other hand, have become more preferred especially in recent years with developing technology. The decision is made by evaluating criteria such as the advantages of each method, patient profile, prostate volume, and the surgeon\u2019s experience. In this section, we will take a closer look at what basic techniques such as TURP and HoLEP are. Laser technologies provide high energy at different wavelengths to cut or vaporize prostate tissue, allowing the tissue to be removed in a more controlled manner.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_TURP_Closed_Prostate_Scraping_Surgery\"><\/span>What Is TURP (Closed Prostate Scraping) Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>TURP means transurethral resection of the prostate and is one of the best-known methods of closed prostate surgery. In this technique, the surgeon inserts a resectoscope through the urinary tract and removes prostate tissue by scraping it with a special loop wire. With partial removal of the prostate tissue, obstruction in the urinary tract decreases and the patient feels relieved. TURP is a method that has been successfully applied to thousands of patients over the years and is considered reliable by many urology specialists. Bleeding control is provided during surgery, and the removed tissue sample can later be examined under a microscope. TURP provides effective treatment in relatively medium-sized prostates and offers lasting relief for most patients.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_HoLEP_Holmium_Laser_Prostate_Surgery\"><\/span>What Is HoLEP (Holmium Laser) Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>HoLEP is a closed prostate surgery method performed using Holmium laser energy. In this technique, the benign enlarged part of the prostate is enucleated with the help of laser, meaning it is separated from its capsule and removed. Holmium laser energy helps reduce bleeding while cutting the tissue, and thus blood loss during the operation remains at lower levels. HoLEP provides effective results especially in large-volume prostates and can provide permanent improvement for many patients. Compared to the classic TURP method, its tissue removal capacity is higher and patients can usually recover in a shorter time.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Differences_Between_Laser_Prostate_Surgery_and_TURP\"><\/span>Differences Between Laser Prostate Surgery and TURP<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The main difference between laser prostate surgery and TURP (Transurethral Resection of the Prostate) is the way prostate tissue is removed and the energy technology used. In the TURP method, the surgeon mechanically cuts and scrapes prostate tissue using electrical energy with the help of a resectoscope placed through the urinary tract. This method is a classic technique that has been applied for many years and whose effectiveness has been proven. In laser prostate surgery, prostate tissue is vaporized with a high-energy laser beam or completely separated from its capsule. The laser energy serves both to cut the tissue precisely and to seal the vessels at the same time, preventing bleeding. Therefore, laser methods offer a safer option especially for patients with a high risk of bleeding or those using blood-thinning medications.<\/p>\n<p>Laser surgery generally provides advantages such as shorter catheterization time after surgery, less pain, and faster discharge. However, TURP is still accepted as the gold standard because it does not require device and laser equipment, has extensive surgical experience, and is widely performed in many centers. Both methods strengthen urine flow, eliminate obstruction, and improve quality of life. However, which technique will be applied is determined according to the size of the prostate, the patient\u2019s general health condition, bleeding risk, and the surgeon\u2019s experience. Although laser technology stands out as a modern alternative, a TURP surgery performed by experienced hands can still produce extremely successful results.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Who_Is_Closed_Prostate_Surgery_Suitable_For\"><\/span>Who Is Closed Prostate Surgery Suitable For?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Closed prostate surgery is generally a suitable treatment option for patients who do not respond to medication, have difficulty urinating, or whose quality of life decreases due to urinary tract obstruction. It is especially preferred in men with benign prostate enlargement (BPH). In addition, conditions such as stone formation in the urinary bladder, frequent urinary tract infection, or residual urine in the bladder may also create the need for surgery. Age alone is not a determining factor; what matters is whether the general health condition is suitable for surgery. In special conditions such as heart disease, diabetes, or use of blood-thinning medication, laser-based closed surgery methods may be preferred because the risk of bleeding is lower with these techniques. The urology specialist determines the most appropriate method by evaluating factors such as the patient\u2019s general condition, prostate volume, and severity of complaints.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Preparation_Before_Closed_Prostate_Surgery\"><\/span>How Is Preparation Before Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Patients must undergo a detailed evaluation before closed prostate surgery. First, urine flow tests, ultrasound, and blood tests are performed to examine the size of the prostate, urinary bladder function, and general health condition. In the preoperative period, blood-thinning medications are usually stopped for a certain period. Discontinuation or replacement of these medications must be done under doctor supervision. The patient is informed about the fasting period before surgery and is usually asked to come to the hospital on an empty stomach on the morning of surgery. The type of anesthesia (spinal or general) is determined in advance and the patient is informed. In addition, preventive antibiotics may be started before surgery against the risk of infection. During this process, the patient is advised to regulate water consumption and nutrition and to ensure that the bowels are empty. These preparations allow the operation to proceed more safely and smoothly.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Closed_Prostate_Surgery_Performed\"><\/span>How Is Closed Prostate Surgery Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Closed prostate surgery is a surgical procedure performed by entering through the urinary tract. Therefore, there is no external incision on the body. During surgery, the surgeon advances a special endoscopic device called a resectoscope or a laser probe through the urinary canal to reach the prostate. An enlarged image is obtained with the camera system, and thus the enlarged part of the prostate is removed precisely. In the TURP method, a wire loop working with electric current cuts and removes prostate tissue in small pieces. In HoLEP or other laser techniques, a high-energy laser beam vaporizes prostate tissue or separates it from its capsule. The removed tissue is taken into the bladder and then removed with a special system. When the procedure is completed, a urinary catheter is placed in the bladder. This catheter empties the bladder for a few days and helps remove blood clots.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Long_Does_Closed_Prostate_Surgery_Take\"><\/span>How Long Does Closed Prostate Surgery Take?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The duration of closed prostate surgery varies depending on the method used, the size of the prostate, and the surgeon\u2019s experience. On average, TURP surgeries take between 45 and 90 minutes. In laser-based methods such as HoLEP, the duration may be slightly longer because the tissue is completely removed. However, this difference does not negatively affect the patient\u2019s postoperative comfort. While the procedure can be completed in as little as 30 minutes in smaller prostates, it may extend up to 2 hours in very large prostates. Since the patient is under anesthesia during the surgery, no pain is felt. After the operation, patients are generally kept under observation in the hospital for 1 to 3 days.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_the_Recovery_Process_Like_After_Closed_Prostate_Surgery\"><\/span>What Is the Recovery Process Like After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The recovery process after closed prostate surgery usually progresses comfortably and quickly. Patients can often get up within a few days after surgery and return to daily activities in a short time. In the first days, mild burning, stinging, a small amount of bleeding in the urine, or a frequent urge to urinate are quite normal. These symptoms indicate that the surgical area has entered the healing process. The urinary catheter is usually removed on the 2nd or 3rd day, and the patient is discharged when they can urinate on their own. During this period, drinking plenty of fluids, reducing the risk of infection, and regularly using the medications recommended by the doctor are very important to support the body\u2019s recovery.<\/p>\n<p>In the first weeks after surgery, heavy lifting, standing for long periods, or dietary habits that may cause constipation should be avoided. Consuming fiber-rich foods, drinking enough water, and paying attention to rest speed up recovery. On average, most patients fully recover within 3 to 4 weeks and return to normal life. However, the doctor\u2019s approval must be awaited for activities such as sexual intercourse, heavy sports, or long journeys.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Should_Be_Considered_in_the_First_Days_After_Closed_Prostate_Surgery\"><\/span>What Should Be Considered in the First Days After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The first days after closed prostate surgery are the most critical period of the body\u2019s recovery and healing process. During this process, drinking plenty of fluids helps the bladder function regularly and the urinary tract stay clean. Usually, a urinary catheter remains in place for the first 2\u20133 days; during this time, cleanliness of the catheter and its surrounding area should be done carefully to reduce the risk of infection. After the catheter is removed, mild burning, stinging, or a frequent urge to urinate while urinating is normal and usually decreases within a few days. However, if excessive blood in the urine, dark-colored clots, or inability to urinate are noticed, a doctor should be consulted without delay.<\/p>\n<p>To ensure a smooth recovery process, constipation should be avoided, and fiber-rich foods should be preferred for this. Strenuous movements, straining, and heavy lifting may increase the risk of bleeding. In the postoperative period, smoking and alcohol consumption negatively affect both blood circulation and tissue repair; therefore, it is recommended to avoid them for at least a few weeks. Driving is usually possible after a few days, but if painkillers that affect reflexes are being used, this period should be extended. Patients working in physically demanding jobs should allocate more time for rest for the surgical area to heal completely.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Does_Urination_Improve_After_Closed_Prostate_Surgery\"><\/span>When Does Urination Improve After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>After closed prostate surgery, urination usually improves significantly within the first few days; however, flow is not expected to return to \u201ccompletely normal\u201d immediately in every patient. Recovery of the bladder muscles, which have become tired and thickened due to long-term obstruction, may take time. During this adaptation period, burning, stinging, and frequent urination may be seen; complaints gradually decrease in most cases within the first two to four weeks and urine flow becomes more regular. Drinking plenty of fluids, staying away from caffeine and alcohol for a while, and emptying the bladder at regular intervals without overfilling it support recovery.<\/p>\n<p>Bladder and pelvic floor exercises recommended by the doctor may increase the speed of recovery. Nevertheless, if problems such as a feeling of incomplete emptying, very weak flow, or blockage with clots persist for a long time, the follow-up appointment should not be postponed. In the evaluation, causes such as infection, urethral irritation, or rarely seen stricture are ruled out; if necessary, the process is put back on track with short-term medication adjustments or simple interventions.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Long_Do_Burning_and_Frequent_Urination_Last_After_Closed_Prostate_Surgery\"><\/span>How Long Do Burning and Frequent Urination Last After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>After closed prostate surgery, complaints of burning and frequent urination usually decrease significantly within the first two to four weeks, and bladder function gradually returns to normal. These complaints arise from postoperative sensitivity of the mucosa in the urinary tract, irritation due to catheter use, and temporary irritation caused by scabs shed from the healing tissue. In larger prostates, in those with pre-existing overactive bladder, or in individuals whose healing progresses slowly, this period may extend a few more weeks; nevertheless, most patients feel significant relief by the end of the first month. Drinking plenty of water, staying away from caffeine and alcohol for a while, avoiding constipation, and using the relieving medications given by the physician according to the instructions increase comfort.<\/p>\n<p>If complaints increase instead of gradually decreasing, or if fever, foul-smelling urine, intense clots, or significant difficulty urinating accompany them, doctor control is required in terms of infection or another problem. Frequent urination at night is related to the adaptation process of the bladder muscles to the new flow conditions and usually improves within a few weeks with patience.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Does_Sexual_Life_Begin_After_Closed_Prostate_Surgery\"><\/span>When Does Sexual Life Begin After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The process of returning to sexual life after closed prostate surgery varies depending on the patient\u2019s general recovery speed and the type of surgery. It is generally recommended to wait 4 to 6 weeks after surgery. This period is necessary for the operation area to heal completely and for the urinary tract to regain normal function. Having sexual intercourse in the early period may cause both physical pain and risk of bleeding. Therefore, sexual activity should not be started without doctor approval. In laser techniques such as HoLEP, this period may be shorter in some patients because tissues heal faster. However, each patient\u2019s recovery process is different; therefore, personal medical recommendations should be prioritized. In addition, a temporary decrease in sexual desire may be seen after surgery. This condition is related both to the stress of the postoperative period and the body\u2019s process of regaining balance. It is usually observed that sexual desire returns to normal within a few weeks.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Do_Ejaculation_Problems_Retrograde_Ejaculation_Occur_After_Closed_Prostate_Surgery\"><\/span>Do Ejaculation Problems (Retrograde Ejaculation) Occur After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>One of the most common sexual side effects after closed prostate surgery is retrograde ejaculation. This condition is defined as semen going into the bladder instead of coming out during ejaculation. In this condition, patients experience the feeling of ejaculation, but semen does not come out and is expelled from the body with urine. Retrograde ejaculation is not harmful to health, but it is an important issue for men who plan to have children. In closed surgeries such as TURP and HoLEP, the probability of this condition occurring is approximately between 60\u201380%. The reason is that the angle of the semen exit pathway changes during surgery and the internal sphincter muscle relaxes. This complication is usually permanent, but it may partially improve in some patients. It is known that with the development of laser technologies, this rate has decreased and more protective techniques can be applied. Therefore, it is important for patients to be informed about this issue before surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Does_Closed_Prostate_Surgery_Affect_Erection\"><\/span>Does Closed Prostate Surgery Affect Erection?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Closed prostate surgery is not a procedure that directly impairs erectile function. This is because the nerves or vessels are not directly affected during this surgery. However, temporary erection problems may occur in some patients in the postoperative period. The reason for this is usually postoperative stress, anxiety, temporary hormonal changes, or medications used. Once the recovery process is completed, sexual functions are expected to return to normal. Especially laser methods such as HoLEP are quite advantageous in terms of preserving erectile functions thanks to their nerve-sparing properties. Nevertheless, factors such as advanced age, diabetes, heart disease, or smoking may also affect erection quality. Some medication treatments or lifestyle changes applied under doctor supervision help this process recover faster. To maintain a healthy sexual life after surgery, one should be patient and allow time for physical healing.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Does_Urinary_Incontinence_Occur_After_Closed_Prostate_Surgery\"><\/span>Does Urinary Incontinence Occur After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Urinary incontinence after closed prostate surgery is generally a temporary condition and is mostly seen in the first weeks immediately after surgery. The reason for this is temporary weakening of the muscles around the prostate during surgery and the time required to regain the urinary retention reflex. This condition completely improves within a few weeks in most patients. Especially in surgeries performed with the HoLEP technique, the urinary retention muscles are preserved, which significantly reduces the risk of permanent urinary incontinence. However, this period may be slightly longer in elderly patients or people with pre-existing bladder weakness. Pelvic floor exercises (Kegel exercises) are extremely effective in strengthening urinary control. Although rare, permanent urinary incontinence due to nerve or muscle damage may occur. In such a case, special treatment methods are applied by a urology specialist.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Possible_Risks_and_Complications_of_Closed_Prostate_Surgery\"><\/span>Possible Risks and Complications of Closed Prostate Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Although closed prostate surgery has a high safety profile in modern medicine, it carries certain risks as with every surgical procedure. The most common problems include temporary urinary incontinence, burning-stinging while urinating, mild blood in the urine, and urinary tract infection. In some patients, retrograde ejaculation, in which semen goes into the bladder instead of out, may occur; while this is important for those with reproductive plans, it is generally not harmful to health. Rarely, urethral stricture may develop and cause difficulty in urine flow again; in such a case, additional interventions such as endoscopic dilation may be required. Although the risk of bleeding is low in laser-based techniques, the need for blood transfusion may arise as a very low possibility, especially in large prostate volumes.<\/p>\n<p>Another rare complication specific to the TURP procedure is transurethral resection (TUR) syndrome, which develops when the fluids used during surgery mix with the blood; thanks to modern devices, isotonic irrigation fluids, and experienced teams, this risk has significantly decreased today. In addition, systemic complications such as anesthesia-related reactions, blood clots in the leg veins, and pulmonary embolism are theoretically possible, although very rare. To minimize all these risks, detailed preoperative evaluation, correct timing of blood-thinning medication regulation, careful fluid-bleeding control during surgery, and close postoperative follow-up are essential; compliance with antibiotic protection recommended by the doctor and attention to hygiene rules also significantly reduce the risk of infection.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Does_Regrowth_Occur_After_Closed_Prostate_Surgery\"><\/span>Does Regrowth Occur After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Closed prostate surgery provides significant relief by eliminating the enlarged tissue narrowing the urinary canal; however, since the entire prostate gland is not removed, the possibility of regrowth in the following years is not completely zero. Clinical observations show that this possibility generally ranges between five and fifteen percent. The speed and timing of regrowth are affected by individual variables such as the patient\u2019s age, hormone profile, hereditary predisposition, metabolic status, and lifestyle. Especially in those who have surgery at a younger age, the remaining glandular tissue may regain volume over the years; therefore, even if symptoms have improved, not neglecting planned follow-up examinations is the key to long-term success.<\/p>\n<p>HoLEP, one of the modern laser-based techniques, offers an advantage in terms of long-term permanence because it enucleates prostate tissue down to the capsule level and significantly reduces the risk of regrowth. However, no method can completely eliminate future hormonal and biological changes. Therefore, regular PSA monitoring, urine flow evaluation, and ultrasound follow-up when necessary are recommended after surgery. When early warning signs are noticed, the problem can be controlled before it grows through medication adjustments, lifestyle optimization, and, if deemed appropriate, minimal additional interventions; thus, the relief achieved can last for years.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_Medication_Required_After_Closed_Prostate_Surgery\"><\/span>Is Medication Required After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>After closed prostate surgery, most patients no longer need long-term medications aimed at shrinking the prostate because the tissue narrowing urine flow has been surgically removed. However, in the early recovery period, antibiotics may be prescribed to reduce the risk of infection, painkillers to control pain and burning sensation, and medications that facilitate urination for a short time. These treatments help the bladder rebalance after surgery and increase recovery comfort.<\/p>\n<p>In some patients, if prostate inflammation, bladder irritation, or sensitivity in the urinary tract develops in the weeks following surgery, the doctor may recommend additional treatments with duration and dose adjusted individually for the patient. In patients using blood thinners, when medications will be stopped and restarted must be planned by the physician. The need for medication in the long term is evaluated depending on the success of the surgery, persistence of complaints, and whether prostate tissue grows again over the years; therefore, it is important not to neglect regular follow-up appointments.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Is_the_Follow-Up_Examination_Performed_After_Closed_Prostate_Surgery\"><\/span>When Is the Follow-Up Examination Performed After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The first follow-up after closed prostate surgery is usually performed 2\u20133 weeks after discharge. In this examination, urine flow test, ultrasound, and general recovery evaluation are performed. The doctor checks whether urination function has returned to normal and whether any complications have developed. Afterwards, regular check-ups once a year are recommended. PSA testing may also be performed during these check-ups because cancer screening remains important since the prostate tissue is not completely removed. In addition, the patient is informed about lifestyle, dietary habits, and fluid consumption. Regular follow-up ensures early detection of possible problems and increases the long-term success of the surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Should_Nutrition_and_Fluid_Consumption_Be_After_Closed_Prostate_Surgery\"><\/span>How Should Nutrition and Fluid Consumption Be After Closed Prostate Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The postoperative nutrition plan directly affects the speed and comfort of recovery. Fiber-rich vegetables, fruits, legumes, and whole grains regulate bowel movements and reduce the risk of constipation; this also lowers the internal pressure on the surgical area. Consuming 2\u20132.5 liters of water spread throughout the day helps keep the urinary tract clean and prevent clot formation. Reducing fluid slightly in the evening prevents sleep interruption by reducing the number of times waking up to urinate at night. Caffeinated and carbonated drinks and alcohol should be limited during the recovery period because they may irritate the bladder mucosa. Keeping salt consumption at a reasonable level supports general recovery by preventing edema and blood pressure fluctuations.<\/p>\n<p>Meeting protein needs adequately accelerates tissue repair; fish, eggs, yogurt, and soft meat options are well tolerated during this period. Very spicy, very fatty, or fried foods may increase gastrointestinal sensitivity in the first weeks, so light and balanced cooking methods should be preferred. Supplements recommended by the doctor, especially nutrients involved in immunity and healing processes such as vitamin D, B12, zinc, and vitamin C, may be used according to personal needs. The aim in nutrition is to ensure regular bowel function without straining the bowels, maintain hydration, and provide quality fuel to the body\u2019s repair mechanisms; this approach makes the postoperative period more comfortable and safe.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Exercise_and_Return_to_Daily_Life_After_Closed_Prostate_Surgery\"><\/span>Exercise and Return to Daily Life After Closed Prostate Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Rest is a priority in the first 24\u201348 hours after surgery; however, remaining completely inactive slows blood circulation and delays recovery. Therefore, with physician approval, it is usually appropriate to start short and frequent walks at home from the 2nd\u20133rd day. Walking duration and distance are gradually increased day by day; care should be taken to stay at a pace that does not force breathing or interrupt speaking. During the first 4\u20136 weeks, heavy lifting, sudden turning-bending movements, running up stairs, high-intensity sports, and prolonged fixed sitting should be avoided. Kegel exercises targeting the pelvic floor muscles play a key role in regaining urinary control; when performed regularly and with the correct technique, leakage complaints decrease significantly. Drinking enough water and eating fiber-rich foods to prevent constipation increase the comfort of exercises; avoiding straining in the toilet reduces pressure on the surgical area.<\/p>\n<p>Return to daily life is planned according to the individual and the physical load of the job. Desk workers can often start work in a controlled manner within 1\u20132 weeks; for jobs performed standing, bending, or carrying weight, a longer recovery interval is required. Driving should be considered after the catheter is removed and when there is no need for painkillers, and when sudden braking-reflex situations can be managed safely. If symptoms such as increased pain during exercise, noticeable blood in the urine, a feeling of blockage with clots, fever, or progressively worsening burning occur, activity should be stopped immediately and the physician should be informed. Regular walking at an appropriate pace, breathing exercises, and pelvic floor exercises support not only physical recovery but also postoperative psychological well-being, ensuring a healthy return to daily routine.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Closed prostate surgery is a surgical method performed through the urinary tract using minimally invasive techniques in the treatment of benign prostate enlargement or some prostate diseases. Compared to open surgery, it causes less tissue damage and the recovery process is generally shorter. In answer to the question of how closed prostate surgery is performed, [&#8230;]\n","protected":false},"author":1,"featured_media":2693,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-2694","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"_links":{"self":[{"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/posts\/2694","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/comments?post=2694"}],"version-history":[{"count":3,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/posts\/2694\/revisions"}],"predecessor-version":[{"id":5180,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/posts\/2694\/revisions\/5180"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/media\/2693"}],"wp:attachment":[{"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/media?parent=2694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/categories?post=2694"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/berkanresorlu.com.tr\/en\/wp-json\/wp\/v2\/tags?post=2694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}