Discharge Instructions for Radical Prostatectomy
You had a procedure called radical prostatectomy (removal of the entire prostate and surrounding tissues). This sheet will help you know what to do following surgery.
Activity
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Don’t drive until your healthcare provider says it’s OK. This is usually after your catheter is removed and you are no longer taking pain medicine.
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For the first 2 weeks after surgery, limit physical activity. This will allow your body to rest and heal.
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Talk to your healthcare provider before going back to your normal activity level.
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Don’t lift anything heavier than 10 pounds until your healthcare provider says it’s OK.
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Avoid long car rides.
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Avoid climbing stairs and strenuous exercise. Don’t mow the lawn or use a vacuum cleaner.
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Take naps if you feel tired.
Home care
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Avoid constipation:
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Eat fruits, vegetables, and whole grains.
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Unless directed otherwise, drink 6 glasses to 8 glasses of water a day (enough to keep your urine light colored). This will also help keep a healthy flow of urine.
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Use a laxative or a stool softener if your healthcare provider says it’s OK.
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Take care of your catheter. Ask for an information sheet and training before leaving the hospital:
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Keep the catheter well secured.
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Use either leg bags or external (straight drainage) bags, or both.
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Empty your bag when it’s half full. You may notice some blood in the bag. This is normal after surgery and while the catheter is in place.
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Use plain soap and water to wash the catheter and the head of your penis daily, or more often if needed.
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Return to your normal diet.
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Shower as usual.
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Be sure to finish the antibiotics that your doctor prescribed.
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Be sure to take pain medicine if needed and as prescribed.
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Consider wearing sweat pants while you have the catheter. They may be more comfortable than other pants.
Follow-up
Make a follow-up appointment as directed.
When to call your healthcare provider
Call your healthcare provider right away if you have any of the following:
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Fever above 100.4°F (38°C) or shaking chills
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Heavy bleeding, clots, or bright red blood from the catheter
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Catheter that falls out or stops draining
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Foul-smelling discharge from your catheter
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Redness, swelling, warmth, or pain at your incision site
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Drainage, pus, or bleeding from your incision
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Trouble breathing
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Hives or rash
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Nausea and vomiting
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Diarrhea