Following relief of obstruction by either surgery you will experience an immediate improvement in urinary flow but irritative symptoms such as frequency, urgency and nocturia may take three, and sometime up to six months to settle.
The resolution of these symptoms depends on the degree of pre-operative detrusor instability: that is, bladder instability caused by the chronic outflow obstruction. Sometimes, medication will be necessary during recovery.
15% of men with chronic detrusor instability prior to surgery continue to have symptoms post-operatively and may require ongoing medication in the form of transdermal patches.
However, all obstructive symptoms will be relieved by surgery.
Blood in the urine is quite common and may persist for three months, particularly for men on blood thinning medication.
Transurethral prostatectomy and bladder neck incision do not cause erectile dysfunction. They are not associated with damage to the nerves that control the erectile tissue.
They do cause retrograde ejaculation. Men still have a normal feeling of orgasm; ejaculatory fluid is passed with the first post-ejaculatory void of urine.