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Prostate resection - minimally invasive - discharge

Laser prostatectomy - discharge; Transurethral needle ablation - discharge; TUNA - discharge; Transurethral incision - discharge; TUIP - discharge; Holmium laser enucleation of the prostate - discharge; HoLep - discharge; Interstitial laser coagulation - discharge; ILC - discharge; Photoselective vaporization of the prostate - discharge; PVP - discharge; Transurethral electrovaporization - discharge; TUVP - discharge; Transurethral microwave thermotherapy - discharge; TUMT - discharge; Water vapor therapy (Rezum); Urolift

Description

You had minimally invasive prostate resection surgery to remove part of your prostate gland because it was enlarged. This article tells you what you need to know to take care of yourself as you recover from the procedure.

When You're in the Hospital

Your procedure was done in your health care provider's office or at an outpatient surgery clinic. You may have stayed in the hospital for a night.

What to Expect at Home

You can do most of your normal activities within a few weeks. You may go home with a urine catheter. Your urine may be bloody at first, but this will go away. You may have bladder pain or spasms for the first 1 to 2 weeks.

Self-care

Drink plenty of water to help flush fluids through your bladder (8 to 10 glasses a day). Avoid coffee, soft drinks, and alcohol. They can irritate your bladder and urethra, the tube that brings urine from your bladder out of your body.

Eat a normal, healthy diet with plenty of fiber. You may get constipation from pain medicines and being less active. You can use a stool softener or fiber supplement to help prevent this problem.

For the first few weeks after surgery, take only the medicines your provider has told you to take.

You may take showers. But avoid baths if you have a catheter. You can take baths once your catheter is removed. Make sure your provider clears you for baths to make sure your incisions are healing well.

You will need to make sure your catheter is working properly. You will also need to know how to empty and clean the tube and the area where it attaches to your body. This can prevent infection or skin irritation.

After your catheter is removed:

You will return to your normal routine over time. You should not do any strenuous activity, chores, or lifting (more than 5 pounds or more than 2 kilograms) for at least 1 week. You can return to work when you have recovered and are able to do most activities.

When to Call the Doctor

Contact your provider if:

While you have a urinary catheter, call your provider if:

Related Information

Enlarged prostate
Retrograde ejaculation
Urinary incontinence
Prostate resection - minimally invasive
Indwelling catheter care
Kegel exercises - self-care
Urine drainage bags
Suprapubic catheter care
Enlarged prostate - what to ask your doctor
Urinary catheters - what to ask your doctor

References

Abrams P, Chapple C, Khoury S, Roehrborn C, de la Rosette J; International Consultation on New Developments in Prostate Cancer and Prostate Diseases. Evaluation and treatment of lower urinary tract symptoms in older men. J Urol. 2013;189(1 Suppl):S93-S101. PMID: 23234640 pubmed.ncbi.nlm.nih.gov/23234640/.

Benjamin TGR, Kreshover JE. Simple prostatectomy. In: Bishoff JT, Kavoussi LR, Kayoussi N, Bishoff T, eds. Atlas of Laparoscopic and Robotic Urologic Surgery. 4th ed. Philadelphia, PA: Elsevier; 2023:chap 30.

Han M, Partin AW. Simple prostatectomy: open and robot assisted laparoscopic approaches. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 147.

Helo S, Welliver C, McVary KT. Minimally invasive and endoscopic management of benign prostatic hyperplasia. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 146.

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Review Date: 4/1/2023  

Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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