Dr. Anup Ramani is one of the best Uro oncologist, Surgeon in Mumbai, India providing Robotic Surgery and Treatment for Prostate Cancer, Kidney Tumor Surgery/Stone Removal, Urinary Bladder Cancer and Adrenal Gland Treatment, Enlarged Prostate Surgery and treatment, Penis Cancer/Partial Penectomy/Robotic Pyeloplasty Surgery and Treatment.
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How to Incorporate Exercise into Your Recovery After TUR-P Surgery for Enlarged Prostate

11 Dec
By Dr. Anup Ramani

Transurethral Resection of the Prostate (TUR-P) is a common surgical procedure to treat enlarged prostate symptoms, such as difficulty urinating, weak urine flow, or frequent urination. Incorporating exercise during the recovery phase can significantly enhance healing, improve physical well-being, and restore normal activities more quickly. However, it’s crucial to approach post-surgical exercise cautiously, gradually building intensity while following medical advice.

This guide outlines effective strategies to integrate exercise into your recovery after TUR-P surgery, with a focus on improving outcomes and avoiding complications.

Understanding TUR-P Surgery and Recovery

TUR-P surgery is widely performed as part of enlarged prostate treatment in India and globally. It involves removing part of the prostate that is blocking the urinary flow. Recovery typically spans 4 to 6 weeks, with patients advised to gradually resume daily activities, including exercise.

URS (Ureteroscopic Stone Removal)

URS uses a ureteroscope to locate and remove stones from the urinary tract. This procedure is effective for stones in the ureter and requires minimal downtime, making it a popular choice among patients.

Key Benefits of Exercise During Recovery

  • Enhances circulation, reducing the risk of blood clots.
  • Improves muscle strength, particularly in the pelvic floor.
  • Helps regain bladder control and reduce incontinence.
  • Supports overall physical and mental health.

When to Start Exercising After TUR-P Surgery

Recovery after enlarged prostate surgery should be approached in phases to allow proper healing:

  1. First 1–2 Weeks Post-Surgery:
    • Focus on rest and gentle movement to prevent stiffness.
    • Avoid strenuous activities or heavy lifting.

2. Weeks 3–4:

    • Begin light exercises such as walking or gentle stretches.
    • Gradually increase activity levels as per your doctor’s advice.

3. Week 5 and Beyond:

    • Incorporate pelvic floor exercises and low-impact activities.
    • Slowly transition to more vigorous exercises if permitted by your doctor.
TUR-P surgery

Safe Exercises to Include During Recovery

1. Walking

Walking is a simple yet effective way to enhance blood circulation, reduce stiffness, and build stamina during recovery.

  • Start with short walks around your home or garden.
  • Gradually increase the duration to 20–30 minutes daily.
  • Avoid uneven terrain to prevent strain or injury.

2. Pelvic Floor Exercises (Kegel Exercises)

These exercises strengthen the pelvic muscles, improving bladder control and reducing post-surgical incontinence.

  • Tighten the muscles used to stop urine flow, hold for 5 seconds, then release.
  • Perform 10 repetitions, 3 times a day.
  • Ensure you’re not contracting abdominal or thigh muscles while performing Kegels.

3. Gentle Stretches

Stretching exercises maintain flexibility and improve overall comfort:

  • Perform seated or standing stretches targeting the lower back and legs.
  • Avoid any stretches that involve bending or twisting at the waist.

4. Deep Breathing Exercises

Deep breathing promotes relaxation, reduces stress, and supports circulation:

  • Sit or lie down comfortably.
  • Inhale deeply through your nose, hold for 3 seconds, then exhale slowly.
  • Repeat 5–10 times daily.

Exercises to Avoid During Recovery

  • Heavy Lifting: Avoid lifting objects heavier than 5–10 pounds during the first 6 weeks.
  • Strenuous Activities: Refrain from jogging, cycling, or intense workouts that put pressure on the pelvic area.
  • High-Impact Sports: Activities like basketball, soccer, or running should be postponed until fully cleared by your doctor.
  • Sit-Ups or Abdominal Crunches: These can strain the surgical site and delay healing.

The Role of Exercise in Managing Recovery Challenges

Post-TUR-P recovery often includes managing symptoms like incontinence or weak pelvic muscles. Incorporating targeted exercises can address these challenges effectively:

  1. Reducing Incontinence

Pelvic floor exercises are particularly beneficial in regaining bladder control. Regular practice strengthens the muscles responsible for holding urine, reducing leaks or urgency.

  1. Minimizing Fatigue

Light activities like walking combat post-surgical fatigue, which is common after enlarged prostate surgery in India. Gradual movement improves energy levels and reduces the risk of blood clots.

  1. Alleviating Pain and Discomfort

Gentle stretches and deep breathing help alleviate stiffness and discomfort without risking the surgical site.

Tips for Incorporating Exercise Safely

  1. Start Slowly:
    Gradually increase exercise intensity and duration to avoid complications.
  2. Listen to Your Body:
    Stop any activity if you feel pain, discomfort, or excessive fatigue.
  3. Follow Medical Advice:
    Consult your doctor before starting or modifying your exercise routine.
  4. Stay Consistent:
    Aim for short, regular sessions rather than long, infrequent workouts.
  5. Stay Hydrated:
    Drink plenty of water, but be mindful of your fluid intake if experiencing incontinence.

Importance of Professional Guidance

Patients recovering from enlarged prostate surgery in Mumbai or elsewhere often benefit from professional guidance:

  • Physiotherapists: Help design a safe, tailored exercise plan.
  • Medical Teams: Provide specific recommendations based on your recovery progress.
  • Support Groups: Connect with others recovering from TUR-P surgery for shared experiences and motivation.

Enlarged Prostate Treatment in Mumbai: A Recovery-Friendly Option

Mumbai is a leading destination for enlarged prostate treatment in India, offering:

  • World-Class Facilities: Hospitals equipped with state-of-the-art technology for TUR-P surgery and recovery.
  • Expert Surgeons: Experienced specialists in enlarged prostate surgery ensure optimal care and outcomes.
  • Comprehensive Aftercare: Supportive recovery programs, including physiotherapy and nutritional guidance.
Best Uro-Oncologist in Mumbai, India for Advanced Robotic Surgery - Dr. Anup Ramani

Conclusion

Incorporating exercise into your recovery after TUR-P surgery for an enlarged prostate is a vital part of regaining strength and improving overall well-being. With a gradual approach, targeted exercises like walking and pelvic floor strengthening, and guidance from your healthcare team, you can ensure a smooth and effective recovery. Whether you’re undergoing enlarged prostate surgery in Mumbai or another location, a consistent and safe exercise routine can significantly enhance your healing journey.

FAQs About TUR-P surgery

Light activities like walking can begin after the first week, while more intensive exercises should be introduced gradually over 4–6 weeks.

Walking, pelvic floor exercises, gentle stretches, and deep breathing are ideal for recovery after TUR-P surgery.

Avoid heavy lifting, high-impact sports, and exercises that strain the abdominal area until fully cleared by your doctor.

Regular pelvic floor exercises (Kegels) can strengthen the muscles responsible for bladder control.

Mumbai offers expert surgeons, advanced technology, and comprehensive recovery support, making it a preferred destination for prostate surgery.

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  3. The Rise of Robotic Urology in Mumbai: A Game-Changer for Patient Care and Outcomes
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Dr. Anup Ramani is one of the best Uro oncologist, Surgeon in Mumbai, India providing Robotic Surgery and Treatment for Prostate Cancer, Kidney Tumor Surgery/Stone Removal, Urinary Bladder Cancer and Adrenal Gland Treatment, Enlarged Prostate Surgery and treatment, Penis Cancer/Partial Penectomy/Robotic Pyeloplasty Surgery and Treatment.

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PARTIAL PENECTOMY
  • Partial penectomy is done in cases where glans and distal penis is involved with carcinoma. 
  • Partial penectomy is a type of organ-preserving surgery. Preservation of sexual and micturational function depends on the surgical dissection and reconstruction of residual urethra.
Kidney Stone Removal
  • Patients who develop stones in the kidney or ureter, often experience severe pain.
  • This condition usually needs a procedure to remove the kidney stones.
  • This procedure is called ureteroscopy and is performed very commonly.
  • It does not require any cuts and hence it is painless.
  • The procedure is performed with an endoscope inserted through the penis under spinal anesthesia.
  • The scope is inserted through the penis into the kidney and stones are dissolved with a laser.
  • The procedure takes about 40-50 minutes. 
  • A catheter (urine pipe) is kept after the procedure to drain the bladder. A stent is kept in the kidney at the same time.
  • Patient is mobile and walking in the room the same evening.
  • Hospital stay is one night and patient is discharged the next day after removal of the catheter.
  • Patient has to come back after six weeks to remove the stent in the kidney.
  • Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
  • We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
  • Men with an enlarged prostate, which is a normal ageing changes, often experiencing difficulty passing urine. This condition usually needs a procedure to trim the prostate and relieve the blockage.
  • This procedure is called TURP and is performed very commonly.
  • It does not require any cuts and hence it is painless.
  • The procedure is performed with an endoscope inserted through the penis under spinal anaesthesia.
  • The overgrown prostate is dissolved with a laser bloodlessly.
  • The procedure takes about 40 minutes.
  • A catheter (urine pipe) is kept after the procedure to drain the bladder.
  • Patient is mobile and walking in the room the same evening.
  • Hospital stay is two nights and patient is discharged with the catheter, which is removed after 4 days.
  • Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
  • We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
ROBOTIC ADRENALECTOMY FOR ADRENAL GLAND TUMOUR

  • Robotic adrenalectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.

  • Once the anesthesia is done, and patient positioned, three micro cuts (3mm each) are made in the patient’s abdomen.

  • The arms of the Da Vinci robot are connected to the cuts via ports (tubes).

  • Dr. Ramani then sits in the controlling console to perform the surgery.

  • On an average, a robotic adrenalectomy takes one hour.

  • The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.

  • A urine catheter and bag to drain the bladder is inserted during surgery.

  • A tiny drain pipe may be inserted in the surgical side of the abdomen, connected to a bag.

  • Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.

  • The drain pipe, if kept, is removed in the room on day 2 after surgery.

  • The catheter is removed on day two after surgery.

  • Total hospital stay for robotic adrenalectomy is 4 nights (including night before surgery).

  • Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.

RETURN TO ACTIVITY

  • On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home. Almost all patients are back to work within 2 weeks of surgery.

  • Heavy activities like running, weight lifting can be resumed after a month

FOLLOW UP AFTER SURGERY

  • Follow up after an adrenalectomy is in the form of CT scans, once a year for 5 years.
    Local patients usually meet Dr. Ramani after two weeks to discuss report.

  • Outstation patients are counselled on a phone consultation.

ROBOTIC SURGERY FOR BLADDER CANCER
  • Dr. Ramani is one of the very few surgeons in India who has the expertise to perform a robotic surgery for bladder cancer, which includes removing the urinary bladder and reconstructing a new bladder robotically.
  • Robotic radical cystectomy is an extremely sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.
  • Once the anaesthesia is done, and patient positioned, six micro cuts (3mm each) are made in the patient’s abdomen.
  • The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
  • Dr. Ramani then sits in the controlling console to perform the surgery.
  • On an average, a robotic radical cystectomy with an ileal conduit takes 3-4 hours.
  • The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
  • A urine catheter and bag to drain the new bladder is inserted during surgery.
  • Two tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
  • Patient is kept nil-by-mouth for 4 days after surgery with IV supplementation of patient’s daily requirements of calories, fats, carbohydrates, proteins and electrolytes.
  • The drain pipes are removed in the room on day 3-5 after surgery.
  • Total hospital stay for radical cystectomy is 8 nights (including night before surgery).
  • Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
  • On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home.
  • Almost all patients are back to work within 6 weeks of surgery. Heavy activities like running, weight lifting can be resumed after two months.
FOLLOW UP AFTER SURGERY

  • Follow up after a radical a cystectomy is in the form of CT scans, once a year for 5 years.

  • Histopathology report: Local patients usually meet Dr. Ramani after two weeks to discuss report.

  • Outstation patients are counselled on a phone consult. Depending on the report, patient may or may not need chemotherapy after surgery.

  • If chemo is needed, patients may choose to get it done with a medical oncologist of their choice or avail the services of one of the four medical oncologists on our team.

ROBOTIC RADICAL/PARTIAL NEPHRECTOMY FOR KIDNEY CANCER
  • Robotic partial nephrectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications. Robotic radical (total) nephrectomy is
  • relatively easier but still requires significant experience to consistently deliver results.
  • Once the anaesthesia is done, and patient positioned, five micro cuts (3mm each) are made in the patient’s abdomen.
  • The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
  • Dr. Ramani then sits in the controlling console to perform the surgery.
  • On an average, a robotic radical nephrectomy takes one hour and a robotic partial nephrectomy takes about an hour and half.
  • The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
  • A urine catheter and bag to drain the bladder is inserted during surgery.
  • A tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
  • Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.
  • The drain pipe is removed in the room on day 3 after surgery. The catheter is removed on day two after surgery.
  • Total hospital stay for radical/partial nephrectomy is 4 nights (including night before surgery).
  • Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
  • On the day of discharge, patient is totally self- sufficient. 
  • They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home. 
  • Almost all patients are back to work within 2-3 weeks of surgery.
  • Heavy activities like running, weight lifting can be resumed after a month.
FOLLOW UP AFTER SURGERY
  • Follow up after a radical/partial Nephrectomy is in the form of CT scans, once a year for 5 years.
  • Local patients usually meet Dr. Ramani after two weeks to discuss report. 
  • Outstation patients are counselled on a phone consultation.