Robotic Laparoscopic Radical Prostatectomy

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Discharge Instructions for 
Robotic Laparoscopic Radical Prostatectomy 
(Removal of prostate due to prostate cancer)

  • The patient may eat a normal balanced diet once passing gas or bowel movement is appreciated. He should refrain from constipating foods but otherwise, has no restrictions. I recommend small frequent meals with adequate hydration (1.5 liters a day of clear, non-caffeinated
  • The patient will be discharged home on an antibiotic (typically Cipro 250mg orally twice a day unless the patient has a drug allergy to it), pain medication (Vicodin 1-2 tablets every 4-6 hours only as needed for pain), and a stool softener in case the pain medication causes constipation (Colace 100 mg orally twice a day for at least one week after narcotics are stopped). Ibuprofen products (Advil, Aleve, Motrin) are acceptable in most cases if the narcotics are no longer necessary. However, call our office for confirmation for your individual case.
  • Patient may shower on the second day following surgery (ie. If surgery was performed on Monday, the patient may shower on Wednesday). We recommend no bath as long as the catheter is in place.
  • Plain soap and warm water to incisions and the catheter only.
  • No driving for 2 weeks and no lifting more than a large phone book (10 pounds) for 2 weeks. Stairs are OK on a limited basis.
  • ALWAYS keep slack in the Foley catheter to minimize trauma to the urinary muscle that will provide control after the catheter is removed in our office.
  • It is normal for occasional urine to leak AROUND the catheter as long as it is still running THROUGH the catheter as well. This finding is due to a bladder spasm which is a good sign for bladder recovery. These spasms will likely stop after the catheter is removed at the appropriate time.
  • Do NOT allow anyone to remove the catheter if the patient has to visit an Emergency Room without express permission by the surgeon. It may require another procedure to replace it.
  • Generally, the Foley catheter will be removed in the office one week after discharge. At that time, we will also review Kegel exercises to speed recovery of urinary control. The erectile rehabilitation program will also be discussed and initiated in the appropriate patient during this visit.

Call our office if the catheter is not draining, if the patient has a temperature greater than 101 degrees Fahrenheit, if there is uncontrollable pain,nausea or any other concerns.