Robot Assisted Prostatectomy Information

Dressings:
All dressings can be removed 48 hours after surgery. The stitches (if present) will dissolve over time or they will be removed at the time of the follow-up appointment. You may have “glue” over your incisions that will peel off in time. If there is any skin separation, wash it off with sterile/distilled water gently and cover with a gauze pad to be sure it is clean. You may place antibiotic ointment such as Bacitracin, Neosporin or Triple antibiotic ointment over the incision as needed. Some redness around the incisions is normal.

Foley Catheter:
The catheter is necessary to allow proper healing following your surgery. No one should manipulate or remove the catheter without discussing this with your urologist first. Please refer to separate catheter instruction sheet for further details.

Pain control:
You will generally be given a prescription for a narcotic. Do not drive, make important decisions or do anything dangerous if you are taking narcotics. Often, extra strength Tylenol or Motrin will give excellent pain relief. Please do not take aspirin for one week after the procedure and no blood thinners such as Plavix or Coumadin for one week after the procedure.  If issues regarding blood thinners were not addressed at the time of surgery, please call and ask. Narcotics can cause constipation. If this occurs, take whatever works for you. Milk of Magnesia, prune juice, Miralax, Dulcolax or Magnesium Citrate are a few options.

You may have occasional shoulder pain for the first day or two.  It is because of positioning on the table and carbon dioxide gas used to inflate your abdomen during the surgery.  This pain will go away.

Activity:
Light activity is recommended for the first 4-6 weeks. Do not lift anything over 10 pounds. Do not perform lunging or extreme bending motions of your legs. You may walk up and down stairs but refrain from heavy exercise for 4 weeks. No cycling or pressure between the scrotum and anus for 6 months.  A good rule of thumb is that if it hurts, don’t do it. Daily walking is encouraged.

Food:
Eat what you feel like. Sometimes after surgery people are not hungry or don’t eat much. We recommend eating 4-5 small meals daily. As long as you are able to eat/drink without nausea or vomiting, this is fine.  Start slowly.

Fever:
Call if there is a fever over 101 degrees.

Bathing:
You may shower 48 hours after the procedure. If the dressings are not off by then, they can gently be removed. No baths or swimming while the foley catheter is indwelling.

Driving:
Do not drive if you are taking narcotics or have the foley catheter indwelling. We just want you to be sure you will not be in pain and have an accident or hurt yourself or anyone else. If you question the ability to drive, please wait until you are comfortable that you can do so safely.

Follow up:
Please call the day after surgery or the next business day to arrange an appointment for 7-10                           days. You may be scheduled to undergo a X-ray study prior to your follow-up appointment. The office will provide further instructions for this.

If you have any questions before that, please call the office for further information/instructions.

Sincerely,

Urologic Specialists of Northwest Indiana