The nurse is preparing an adult male for a transurethral resection of the prostate (TURP). Which statement by the client indicates a need for further teaching by the nurse?

  • “My urine may change color because of bleeding.”
  • “I will need to drink water frequently.”
  • “I will have a dressing where the surgeon cuts.”
  • “I will have a catheter in place after surgery.”
Number 3 is correct.
A TURP is done by means of a scope introduced through the urethra so there is no incision. The color of the urine will change according to how much bleeding occurs after surgery. The most common type of bleeding is from a venous source resulting in dark burgundy coloration with dark clots. This type of bleeding will typically stop on its own. Bright red urine with bright red clots is considered more aggressive and may require intervention. Drinking water will help flush the kidneys and/or bladder of bacteria and clots. A catheter is typically inserted after a TURP.