Periodic blood and tissue discharge long after TURP

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I had a laser TURP procedure 22 months ago.  Recovery was routine ( several days of discomfort and spasms) and post procedure urinarion was good.  However, some months after the procedure, I had infrequent occurrences of psaaing blood and tissue during urination.  This has occurred 8-10 times.  It sometimes impairs urination until the tissue passes.  Latest occurrence was today.  Have others experienced similar issues?

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  • Posted

    I'm not 100% sure this is relevant to your case but I had FLA in July this year. I was passing tissue for quite a while after, an unusual experience similar to passing a small bladder stone, surprising but not painful . No blood though apart from very early stage.

    I felt this was fairly normal as the tissue from the ablation has to go somewhere. I've not experienced it for quite a while now.

    I hope the same thing happens to you and it passes.

    Pete

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  • Posted

    Allen:

    I've had three TURP procedures over that past 5.5 years. The most recent one was done three months ago. One was a GL, two were traditional TURP - so I've had some experience with the procedures and the post procedure period. It seems that your hematuria 22 months post TURP procedure is well outside of norms. The literature on TURPs indicate that sloughing can continue for up to 6 months post procedure. Of course everyone is different. However, your 22 month window seems well beyond the typical case. One possibility is that you are experiencing a urethral stricture which is essentially scar tissue in your urethra. It could have formed as a result of TURP or post TURP as the result of strenuous activity or any number of circumstances. Scar tissue is "friable" and less flexible than normal tissue. It can fissure during physical activity and cause bleeding. This bleeding will eventually "scab over" and heal though is susceptible to further fissuring and cycle continues. The scab will eventually slough off and will be noticeable during urination. 

    Subsequent to my three TURP's, I sloughed scar tissue up to 12 weeks post procedure. Never any beyond that timeframe. It might be wise to consult with your urologist for further evaluation. A cystoscopy may be in order to obtain a better view of your urethra. It's a relatively benign procedure and will provide a better view of your plumbing. 

    Experiencing hematuria is always a bit unsettling especially since a little blood goes a long way in coloring urine. Nevertheless, it's a condition that should be investigated further because it can lead to more serious consequences such as retaining urine and flow blockage. Seems like a trip to your urologist would be prudent.

    Best of luck further investigating and resolving your situation.

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    • Posted

      allen- what you describe is exactly what im going through! I had my 2nd turp april 2017. NEEDED 2nd turp because of obstructive scar tissue and bleeding . For18 months i was good then all of a sudden (the first pee after ejaculation) a clot came out with blood . Blood lasted for 2 or 3 urinations . Now this cycle is happening regularly after ejaculation. Painful for a few days after each incident! Do I need a 3rd turp ? Thinking an artery pops every time any pressure put on it! Seeing my urologist next week! JOHN

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  • Posted

    I had a tissue discharge 10 days after my bipolar/button TURP. This thread has informed me that this is routine for many patients.

    Thank you for sharing your information.

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