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What to expect
Return to activity
Follow up schedule
When to go to emergency
What to expect
- Improved urinary flow, pressure, bladder emptying
- Blood in urine is common for 2-4 weeks after surgery (this may be intermittent) but may take longer to resolve
- Urinary frequency and urgency (urinating often and in a hurry) as well as nocturia (waking at night time) typically takes longer to improve and most patients will settle within 3 months. In some circumstances these symptoms may persist. Some patients may benefit from bladder re-training with a pelvic floor physiotherapist
- Burning and stinging with urination – this may last for days or even weeks after surgery. This does not usually indicate infection but is part of the healing process. Ural (available over-counter at chemist) may assist in alleviating symptoms.
- Ejaculation changes – retrograde (dry) ejaculation is common (90%), expected and if it occurs is permanent. This is not dangerous
Return to activity
- Driving – no driving for 2 weeks following surgery
- Work – you will require some time off work. The duration will depend upon your occupation. You should discuss this with your surgeon prior to surgery to arrange a certificate
- Lifting – avoid heavy lifting or straining to open bowels for at least 4 weeks after surgery to minimize chance of secondary bleeding
- Activities – walking is fine and encouraged after surgery. Strenuous activity including running, gym, golf, cycling and swimming should be avoided for 4 weeks
- Sex – avoid for 4 weeks
Follow up schedule
- Routine follow up is conducted after 6-8 weeks to allow healing and time for symptoms to stabilize
When to go to emergency
- Unable to urinate – this may be due to secondary bleeding and clots. This can occur within the first month or so after surgery
- Fever, chills or shakes – this may indicate infection