to hollow out the
prostate in order to improve urine flow and bladder emptying
In turn this should
decrease the urgency and frequency to go to the toilet during the day and
There is a period of time
for the bladder to adjust.
OPERATIVE TIME: It takes about one hour
TYPE OF ANAESTHETIC: General or Spinal Anaesthetic
LENGTH OF STAY: usually 2 nights
night will be with a catheter in the penis to drain blood and wash out the
catheter is usually removed the second night in hospital and you will be kept
in hospital until the urine flow and bladder emptying is satisfactory (usually
PAIN POST SURGERY: is usually minimal but patient may feel like
they need to pass urine or use bowels because of the catheter tube (best to try
relax and ignore the false signals).
WHAT CAN HAPPEN AFTER
(usually intermittent for at least 2 weeks)
operative urgency (the bladder still thinks it has to push vigorously against
the obstructing prostate to pass urine – approx. 6 weeks)
Burning on voiding
have problems emptying bladder because of poor bladder contraction.
tissue in the penis tube (urethra)
of prostate (if occurs usually after 10 years)
urine (from strenuous activity)
requiring transfusion or return to theatre
DRUGS GIVEN IN HOSPITAL and
Laxatives (Lactulose, Coloxyl & Senna): to prevent constipation and straining
which can lead to acute and prolonged bleeding post surgery.
Antibiotics: to prevent or treat infection.
They may sometimes cause a stomach upset or diarrhoea.
Take probiotic yogurt or Yakult at the
Lignocaine gel: Local anaesthetic gel to decrease irritation
from the catheter at the tip of the penis.
Ditropan (oxybutynin) or Oxytrol patch: These medications work on the bladder to
decrease its sensitivity and hyperactivity.
Required because initially post surgery, the bladder
may still think it has to push vigorous against the prostate obstruction which
has been removed by the surgery.
drugs can cause dry mouth, eye, skin; constipation, skin rash (patch).
It can sometimes decrease the
contraction of the bladder and make it difficult to void.
Ural: decreases urine acidity to
decrease burning on voiding.
WHAT TO DO AFTER DISCHARGE
lifting, strenuous activity, exercise or straining for bowels for at least two
weeks post op.
drinking caffeine drinks (coffee, tea,) and alcohol as they can stimulate the
bladder and produce urgency.
slowly and with food.
1.5L of water a day – Don’t over drink.
activity for about 4 to 6 weeks.
hold on for 2 to 3 hours between voids so the bladder is full first.
This will allow the bladder to fill so
a proper flow can be achieved.
Initially post op urinary urgency and frequency can lead to a poor flow
simply because there is not much to pass.
Be aware of sub-conscious urges to go to the toilet even though bladder
is not full.
Eg. Hearing running water, washing hands, watering garden, washing
Strong urges to void as
you physically get closer to home or to the bathroom.
blood thinners and fish oil tablets until instructed by Dr. Tong (usually
between 1 to 2 weeks post op)
PLEASE NOTE OCCASSIONALLY ABOUT 4
TO 6 WEEKS POST OP WHEN THE BLEEDING HAS ALL SETTLED, THERE CAN BE SUDDEN SHORT
TERM RECURRENCE OF BLEEDING WHEN THE SCAB INSIDE THE PROSTATE (WHERE WE
OPERATED) SHEDS OFF.
IF THIS HAPPENS PLEASE REST,
WITHHOLD ANY BLOOD THINNERS AND DRINK PLENTY OF WATER AS THIS SHOULD SETTLE BY
ITSELF WITHIN 24 HOURS.
OP REVIEW WITH DR TONG IS IN ABOUT 6 TO 8 WEEKS.