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These are general instructions. Your urologist will discuss with you further specifics about your care before and after the procedure. |
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GENERAL PRE-OPERATIVE INSTRUCTIONS |
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Do not take any valuables to the hospital
Do not have anything to eat or drink after midnight prior to your procedure.
Certain procedures require a bowel prep. This may include drinking phospho-soda or using an enema: this will be reviewed in the office
Please hold anti-inflammatories (Motrin, Ibuprofen, Celebrex) at least 5 days prior to surgery.
Please hold coumadin/warfarin, Plavix, Vitamin E supplements at least 7 days prior to surgery.
Please hold Aspirin at least 10 days prior to surgery.
Please hold Plavix at least 7 days prior to surgery.
Please arrive at the hospital two hours prior to the procedure.
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OPEN RADICAL NEPHRECTOMY |
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Staples are usually removed within 7-10 days
It is OK to shower but do not scrub the incision
Avoid heavy physical activity and constipation for 6 weeks
Eat small frequent meals for 14 days until bowel movements regularize
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LAPAROSCOPIC NEPHRECTOMY |
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Avoid heavy exercise or constipation for at least 2 weeks.
Eat small frequent meals for 14 days until bowel movements regularize
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OPEN RADICAL PROSTATECTOMY |
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It is OK to shower but do not scrub the staple line
Staples will be removed in 7-10 days
The catheter will be removed in approximately 2 weeks
Avoid exercise and constipation for 6 weeks
OK to resume/attempt sexual activity at 6 weeks
Perform Kegel muscle exercises as soon and as often as possible after the catheter is removed.
The first PSA is obtained at 6 weeks after surgery
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ROBOTIC PROSTATECTOMY |
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It is OK to shower but do not scrub the incision lines
Avoid heavy lifting and constipation for 4 weeks
The catheter is removed after 1-2 weeks
Perform Kegel muscle exercises after catheter is removed
OK to resume/attempt sexual activity at 4 weeks
The first PSA is obtained at 6 weeks after surgery
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CYSTOCELE / RECTOCELE |
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The catheter and vaginal packing are left in over night. The next morning, cut off the colored knob at the end of the catheter with a scissor and allow ½ oz of water to squirt out. When the water is done squirting, remove the catheter and the gauze.
Over the morning go to the bathroom as you would normally, but come tot the office at 1 or 2pm (will be coordinated by the office) to check bladder function.
“Couch rest” for 48hr
Avoid work for 1-2 weeks depending on work and discomfort.
Avoid constipation
No heavy lifting for 2-4 weeks
No baths/pools/sex for 6 weeks
Expect vaginal discharge for 1-2 weeks
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SLING (transobturator or retropubic) |
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“Couch rest” for 48hr
OK to go back to work after 48hr (if non-strenuous)
Avoid constipation
No heavy lifting/heavy exercise for 2 weeks
No baths/pools/sex for 6 weeks
Expect vaginal discharge for 1-2 weeks
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ESWL (Shock Wave Lithotripsy) |
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Expect blood in urine for 24-48hr
Drink plenty of fluids
Strain urine for stone fragments and save
Get follow-up KUB x-ray at next appointment-coordinate with office
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HYDROCELE / VASECTOMY |
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Expect bruising/swelling and ache for 48hrs
Use ice for 48hr
No shower for 48hr
May resume work after 48hr if non-strenuous
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URETEROSCOPY |
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Expect blood in urine and burning with urination for 1-7 days
Drink plenty of fluids
Do not pull the stent string until instructed
If stent is to be removed in office-we will schedule followup
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GREENLIGHT LASER TURP |
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The catheter is usually left in over night.
If you go home with the catheter, remove it at 7 AM the morning following surgery. Come to the office in the afternoon to assess bladder function
Expect blood in the urine for about 2 weeks.
Expect some urgency/frequency and burning with urination for 2-8 weeks
Occasionally, prostate debris may pass in the urine after 2 weeks.
Avoid heavy lifting and constipation for 2 weeks.
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TURBT (Bladder Tumor Resection) |
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Follow instructions for GreenLight Laser TURP.
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A catheter is used for draining urine at all times. It can be left in for short or long durations. Sometimes it is left in post-operatively for bladder rest, sometimes it is placed for urinary retention, or for a variety of reasons. Most catheters are made of natural latex, but for those allergic, silicone catheters are used.
Most standard catheters have a main drainage spout and a balloon port. The balloon is usually inflated with 10-30ml of water that inflates the balloon at the tip of the catheter that prevents the catheter from slipping out. The balloon port varies in color depending on the size of the catheter. Standard catheters are known as “two-way” catheters. A “three-way” catheter is typically a larger caliber catheter with a third inflow port used to wash the bladder of blood if present or sometimes after surgery.
A leg bag is a smaller bag that drains urine, and can be strapped to the leg and worn under clothes. It typically holds 500ml of urine or less. The bedside bag is much larger with a longer tube that can be used at night, and has greater capacities of 1000 ml or more.
Simply washing of the catheter with soap and water is fine. Showering is OK. Baths should be avoided. Do not wash it down with rubbing alcohol or Vaseline. KY jelly or other water-based jellies can be applied at the point where the catheter enters the penis to help lubricate this area that can get irritated. It is normal to see some mild yellowish discharge at the site where the catheter exits the penis. This is the body’s normal reaction to a foreign element being present. Good hygiene will lead to odor control.
At the bottom of the collection bag is a either a spigot or a clip. Stand over the toilet and carefully aim the spigot or clip into the toilet prior to empying.
Whether male or female, sex should be avoided if a catheter is in place.
In order to remove the catheter (on the direction of the physician), simply use a kitchen scissor to cut off the colored knob. This will release the balloon water which will squirt out. Only AFTER all the water is done squirting is it OK to pull out the catheter. It does not need to be jerked out, but a simple pulling motion is most comfortable. Often, patients can remove it in the shower in case urine or blood will follow catheter removal.
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