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Suprapubic Prostatectomy


Suprapubic prostatectomy is surgery to remove part or all of your prostate gland. Your prostate gland is found below your bladder and surrounds the top of your urethra. Your urethra is a tube that carries urine from your bladder to the outside of your body. You may need suprapubic prostatectomy if you have an enlarged prostate.



  • Antibiotics help prevent an infection.
  • Prescription pain medicine may be given. Ask how to take this medicine safely.
  • Blood thinners help prevent blood clots. Blood thinners may be given before, during, and after a surgery or procedure. Blood thinners make it more likely for you to bleed or bruise.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her 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 healthcare provider as directed:

You may need to return to have your catheter removed. You may also need tests to check if you bladder empties completely when you urinate. Write down your questions so you remember to ask them during your visits.

Care for your catheter as directed:

You may be sent home with a catheter in place. The catheter is a tube put into your bladder to drain urine into a bag. Keep the bag below your waist. This will prevent urine from flowing back into your bladder and causing an infection or other problems. Also, keep the tube free of kinks so the urine will drain properly. Do not pull on the catheter. This can cause pain and bleeding and may cause the catheter to come out. Caregivers will remove the catheter as soon as possible to help prevent infection. Ask how to care for your catheter.

Help decrease urine leakage:

  • Drink liquids as directed. Ask your healthcare provider how much liquid to drink each day and which liquids are best for you. You may need to limit liquids to help you leak urine less. Do not drink caffeine.
  • Do kegel exercises as directed. Kegel exercises help strengthen your pelvic muscles and improve bladder control. Ask for information about kegel exercises.
  • Maintain a healthy weight: Ask your healthcare provider how much you should weigh. You are more likely to leak urine if you are overweight. Ask him to help you create a weight loss plan if you are overweight.

Return to your usual activities as directed:

Rest when you need to while you heal after surgery. Slowly start to do more each day. Return to your daily activities as directed. You may be able to return to your daily activities in 4 to 6 weeks.

Contact your healthcare provider if:

  • You have a fever or chills.
  • Your wound is red, swollen, or draining pus.
  • You have bright red blood in your urine, or your urine is cloudy and smells bad.
  • Your urine stream becomes slower than normal, or you are urinating only small amounts.
  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You feel lightheaded, short of breath, and have chest pain.
  • You cough up blood.
  • Your leg feels warm, tender, and painful. It may look swollen and red.
  • Blood soaks through your bandage.
  • You feel the urge to urinate, but no urine comes out.
  • You have pain in your lower back or abdomen that does not go away.
  • Your scrotum becomes swollen.

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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.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Learn more about Suprapubic Prostatectomy (Discharge Care)

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