Perineal Prostatectomy

WHAT YOU SHOULD KNOW:

A perineal prostatectomy is surgery to remove your prostate gland.


CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

Surgery may increase your risk for bleeding or an infection. Nerves, organs, or tissues near your prostate may be injured during surgery. After surgery, you may leak urine and bowel movements. Urine leakage may be short-term or permanent. You may have trouble having an erection or ejaculating. You may get a blood clot in your leg. This may become life-threatening.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Pressure stockings may be placed on your legs to help prevent blood clots.

  • An enema is given to help clean out your bowel.

  • Antibiotics are given to help prevent a bacterial infection.

  • Anesthesia is medicine to make you comfortable during the surgery. Healthcare providers will work with you to decide which anesthesia is best for you.

    • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Regional anesthesia is injected to numb the body area where the surgery will be done.

  • A blood transfusion may be needed if you lose too much blood during surgery.

During your surgery:

Your healthcare provider will make an incision between your scrotum and anus. He will move layers of skin, tissue, and muscle to get to your prostate. Your healthcare provider will cut your prostate gland away from your urethra (tube that drains urine from your bladder). He will reattach your bladder to your urethra and place a catheter to drain urine. Your healthcare provider may make another incision in your abdomen and remove lymph nodes. The incision will be closed with stitches and covered with a bandage. Your prostate gland will be sent to a lab for testing.

After your surgery:

You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be taken to your hospital room.

  • Caregivers may help you get out of bed to walk on the day after your surgery. Ask caregivers if there are exercises that you can do in bed. Exercise helps blood move through your body and may help prevent blood clots. Call for a caregiver before you get out of bed for the first time. If you feel weak or dizzy while standing up, sit or lie down right away and call for a caregiver.

  • A Foley catheter will drain and collect your urine. Keep the bag of urine below your waist and do not let the tubing kink. This will help prevent an infection. Do not pull on the catheter. This could cause pain and discomfort.

  • A drain will be removed once your incision stops draining blood and fluid.

  • You will be able to drink liquids and eat certain foods once your stomach function returns after surgery. You may be given ice chips at first. Then you will get liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then be given soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.

  • Medicines:

    • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

    • Bowel movement softeners are given to make it easier to have a bowel movement and treat or prevent constipation.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Perineal Prostatectomy (Inpatient Care)

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