Instructions after Benign Prostatic Hypertrophy (BPH) Surgery
Including laser ablation, transurethral resection or open simple prostatectomy for BPH
- Drink at least 2 liters of clear, decaffeinated beverages daily to help protect the remaining kidney from harm. The patient may return to their normal diet after passing gas from below or having bowel movements. Otherwise, continue clear liquids and walk often to stimulate bowel function.
- No driving for 1 week (2 weeks if surgery involved skin incisions). This includes no long sitting periods for longer than one hour without stopping and walking around as a passenger. This instruction is to protect you from forming blood clots in the legs as well as reacting to traffic in a manner that will disrupt your incision closure.
- You may expect intermittent blood tinged urine for at least 3-4 weeks following the surgery due to continued healing of the prostate. This ill be exacerbated if a catheter is left in place. Please stay hydrated to flush the bladder continuously and follow all other directions for physical limitations, medication changes and preventive measures.
- The patient may shower immediately unless there is a skin incision where a shower is accepted on the second day after surgery (if surgery were on Wednesday, then you may shower on Friday). No bathing (sitting in water) until the catheter is removed or for 10 days following the surgery, whichever occurs later. This instruction is to allow your incisions to heal without infection.
- No heavy lifting more than 10 pounds for 4 weeks to allow incisions inside and outside of your body to heal without strain.
- Minimize trips up and down stairs to 2-3 times daily by planning ahead. Please only attempt one step at a time as falling on the stairs could be very dangerous.
- The doctor will typically see you 3 weeks after surgery unless we need to perform a voiding trial (catheter removal) or evaluate a skin incision. In that case, during the next week after your surgery, we will arrange an appointment to include discussion of pathology, evaluation of incisions and to answer any other questions that may come up.
- Return to daily activities will be on a patient to patient basis and assessed during your follow up appointments.
- Discharge medications typically include pain medication (Vicodin 1-2 tablets every 4-6 hours as needed for pain) and a stool softener (Colace 100 mg orally 2 times a day). These medications may be changed appropriately based on patient allergies and effectiveness. Antibiotics may be appropriate and determined on an individual basis.
- If you experience fever more than 101 F, have nausea and vomiting, have uncontrolled pain, have bleeding or redness at the incision site suspicious for infection, please call the office for help immediately. Also, if you are voiding with great difficulty, passing large blood clots or unable to evacuate the bladder, please call the office for help immediately.