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WHAT YOU NEED TO KNOW:
A transurethral prostatectomy is surgery that is done to remove part or all of your prostate gland. This surgery is also called transurethral resection of the prostate (TURP).
- Pain medicine: You may be given a prescription medicine to decrease pain. Do not wait until the pain is severe before you take this medicine.
- Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your healthcare provider. Do not stop taking your medicine unless directed by your healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.
- Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.
Follow up with your primary healthcare provider or urologist as directed:
You may need to return to make sure you do not have an infection, or to have your Foley catheter removed. Write down your questions so you remember to ask them during your visits.
Foley catheter care:
A Foley catheter is a tube put into your bladder to drain your urine into a bag. Keep the bag of urine well below your waist. Lifting the urine bag higher will make the urine flow back into your bladder, which can cause an infection. Do not pull on the catheter. This may cause pain and bleeding, and the catheter may come out. Do not let the catheter tubing kink, because this will block the flow of urine. Ask for more information about how to care for yourself when you have a Foley catheter in place.
After surgery, you may leak urine and have trouble controlling when you urinate. Ask for more information about the following ways to help decrease urine leakage:
- Avoid caffeine: Caffeine can cause problems with bladder control and increase your need to urinate.
- Do pelvic floor muscle exercises: Pelvic floor muscle exercises may help improve your bladder control, if you leak urine. These exercises are done by tightening and relaxing your pelvic muscles. Ask how to do pelvic floor muscle exercises, and how often to do them.
- Limit your liquids: Drink smaller amounts of liquid throughout the day. Do not drink before bedtime. Ask if you should decrease the amount of liquid you drink each day. This may help you control your bladder.
- Wear a pad or adult diapers: These may help to absorb leaking urine and decrease the odor.
Ask when it is okay for you to return to work and activities, or to have sex.
Contact your primary healthcare provider or urologist if:
- You have a fever.
- You have new or more blood in your urine.
- You have trouble starting to urinate, or have a weak stream of urine when you urinate.
- You feel like you have a full bladder, even after you urinate. You may also leak urine.
- You often wake up during the night to urinate. You may also feel the need to urinate right away.
- You feel pain and burning when you urinate.
- You feel pain or pressure in your lower abdomen.
- Your urine looks cloudy, and smells bad.
- You have trouble getting an erection or ejaculating.
- You have questions or concerns about your condition or care.
Seek care immediately or call 911 if:
- You urinate little or not at all.
- You have severe abdominal or back pain.
- You are dizzy or confused.
- You have abdominal pain, nausea, and vomiting.
- Your heartbeat is slower than usual.
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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.