ROBOTIC PROSTATE SURGERY DISCHARGE INSTRUCTIONS

Robotic Prostate Surgery Discharge Instructions

  • Resume your preoperative medications, with the exception of aspirin or aspirin-containing products, unless the physicians have instructed you otherwise. You can resume these in 5 days.
  • For the week following surgery, we suggest to take the following regular around the clock medications for 3 – 4 days to optimize pain control and minimize inflammation:
  • Tab. Paracetamol (Crocin) 650mg every 8 hours
  • Tab. Ibuprofen (Brufen) 400mg every 8 hours. Make sure to take this tablet with food as this medication can cause stomach irritation.
  • You may shower or take a bath 48 hours after surgery.
  • We encourage resuming activity levels after your surgery. This includes daily walks. Climbing stairs is ok. No strenuous exercise or heavy lifting greater than 5 kg for 6 weeks after surgery.
  • Constipation can be a common complaint after these procedures. To prevent this and to prevent straining, you should take Syp. Cremaffin or Syp. Looz 30 ml at bedtime for 1 week after discharge. Considering the anesthesia and surgery, it may take a few days to have a bowel movement. If you are someone who is very regular with bowel movements, do not worry. Good hydration, high fiber diet and yogurt (to replenish the bowel’s normal bacteria) are also highly useful.
  • The urinary catheter is usually kept in place for a period of 7 – 10 days after surgery. In order to prevent infection, you should clean the area where it enters the penis, with soap and water twice a day. There is no need to apply any ointment or medication there.
  • Swelling of the scrotum and penis is very common after this surgery. It occurs due to lymph node dissection during the surgery and does not cause any long-term problem. If swelling of the scrotum occurs, elevate scrotum by wearing a scrotal support or supportive underwear. Additionally, you may elevate the scrotum up with a folded towel while in bed. You can expect this to resolve over the next couple of weeks.
  • At the time of discharge you will be given a date for catheter removal. You will be admitted to day care and kept in the hospital for a few hours after catheter removal to ensure that you are emptying your bladder well. You will be provided with an adult diaper for controlling the leakage of urine that is likely to occur after catheter removal. Begin drinking lots of water that morning. After the catheter is removed, you will be asked to stay until you have urinated 1-2 times. A bladder ultrasound will be done if required to confirm that you are emptying well.
  • Please report to the emergency for any of the following: fevers greater than 100.4°F or chills, severe abdominal pain, nausea or vomiting, chest pain or shortness of breath.

DISCHARGE FORM
  • On the day of your catheter removal, We will plan to discuss your:
  • Final pathology report
  • Inspect all incisions
  • Assess your recovery