Your catheter is very important to allow healing of the bladder and urethra. You may use either leg bags or external bags. Drain before the bag gets too full. The tip of the penis may get sore from the catheter rubbing it. Use plain soap and water to wash this area daily or more often as needed. You may apply neosporin or bacitracin ointment daily and as needed.
Your incision is sealed from outside bacteria within two days of surgery. Nonetheless, you should protect it from dirt and soiling for the first ten days or so. The incision will be tender for the first week and the edges should NOT be pulled apart. The steri-strips should be left on for at least 10-14 days, if possible. After this period, you may remove the steri-strips. If a NEW area of redness or swelling occurs, please let us know.
You may return to your normal diet. Alcohol, spicy foods, and drinks with caffeine may cause some irritation or sense of the need to void despite the fact that the catheter is emptying the bladder. If these foods do not bother you, however, there is no reason to avoid them in moderation. More importantly, keep your urine flowing freely. Drink plenty of fluids during the day (8-10 glasses). The type of fluid (except alcohol) is not as important as is the amount. Water is best, but juices, coffee, tea, soda are all acceptable.
Your physical activity is to be decreased especially during the first two weeks after surgery. During this time, use the following guidelines:
The rectum and prostate are next to each other and any very large and hard stools that require straining to pass can cause bleeding. You may take stool softeners (i.e. Colace, Surfak, etc.) as needed. A bowel movement every other day is reasonable. Use a mild laxative if needed and call if you are having problems. (i.e. MOM 2-3 tbsp. Or 2 Dulcolax tabs). Patients sometimes develop diarrhea probably secondary to antibiotics. You may use Kaopectate as directed (avoid Imodium). If it persists, please call.
You should resume your pre-surgery medication(s) unless told not to. You may be discharged with Iron tablets to build up your blood count. These may cause constipation, and will cause dark stools. You will also be discharged with some narcotic pain pills for post-operative pain control from the incision and catheter. Tylenol (acetominophen) or Advil (ibuprofen) which have no narcotics may be used if the pain is not too bad (and you can tolerate those medications!).
You may shower upon discharge. Avoid baths until the incision heals.
You will need a follow-up appointment in approximately 2 weeks. Call the office and schedule an appointment. Most people will not have good urinary control at first. Come to the office with a small supply of adult diapers (ATTENDS or DEPENDS) that can be purchased at many stores (i.e. Walmart, Walgreens, Kmart, drug stores, etc.)
Pelvic muscle exercises strengthen the group of muscles called the pelvic floor muscles. These muscles relax and contract under your command to control the opening and closing of your bladder/sphincter. When these muscles are weak, urine leakage may result. However, you can exercise them and in many cases, regain your bladder control.
You need to build the strength and the endurance of your muscles. THIS REQUIRES REGULAR EXERCISE.