Pre-Operative Care

  • Do not have anything to eat or drink after midnight prior to your procedure.
  • Some procedures require a bowel prep. This may include drinking phospho-soda or using an enema, this will be reviewed in the office.
  • Please hold anti-inflammatories (Motrin, Ibuprofen, Celebrex) at least 5 days prior to surgery.
  • Please hold coumadin/warfarin, Plavix, Vitamin E supplements at least 5 days prior to surgery.
  • Please hold Aspirin at least 5 days prior to surgery.
  • Please hold Plavix at least 5 days prior to surgery.
  • The hospital will tell you what time to arrive for your surgery.

Post-Operative Care

The following post-operative care procedures are listed for reference, please contact your physician with any concerns.

 


 

Brachytherapy (seeds)

Please contact your physician.

 


 

Nephrectomy (laparoscopic)

  • No lifting of heavy objects for 6 weeks
  • Best to eat small but frequent meals for 14 days

 


 

Circumcision

  • Drink plenty of fluids
  • No tub baths 7 - 10 days
  • Apply Neosporin Ointment to bandage, dressing can be removed according to doctors orders. 
  • Restricted activity, no heavy lifting for 2 weeks

 


 

Orchiopexy

  • You will have a button sewn to the outside of scrotum, do not remove.
  • Restricted activity for 2 weeks.

 


 

Cystectomy (open)

  • No lifting of heavy objects for 6 weeks
  • Best to eat small but frequent meals for 14 days

 


 

Prostate Biopsy (template)

  • Blood in urine 2 - 3 weeks
  • Urination urgency and frequency 2 - 3 weeks
  • May have trouble starting urination

 


 

Cystocele

  • The catheter and vaginal packing is left in overnight. Follow directions on removing the gauze and catheter. 
  • Rest for 48 hours
  • Avoid work for 1 - 2 weeks
  • Avoid constipation
  • No heavy lifting for 2 - 4 weeks
  • No tub baths, pools or sex for 6 weeks
  • Vaginal discharge is common for 1 - 2 weeks

 


 

Prostatectomy (open radical)

  • Staples may be removed in 7 - 10 days
  • Do not scrub incision 
  • The Catheter may be removed in 2 weeks
  • No exercise for 6 weeks
  • Avoid heavy lifting for 6 weeks
  • Avoid constipation for 6 weeks
  • You may attempt or resume sexual activity at 6 weeks
  • Ask your doctor when he would like for your next PSA to be drawn
  • Perform Kegel (http://www.mayoclinic.com/health/kegel-exercises/WO00119) muscle exercises as soon and as often as possible after your catheter has been removed.

 


 

ESWL (Shock Wave Lithotrispy)

  • Blood in the urine is common for 24 - 48 hours
  • Drink plenty of fluids

 


 

Prostatectomy (robotic)

  • Do not scrub incision
  • Avoid heavy lifting for 4 weeks
  • The catheter is removed in 1 - 2 weeks
  • You may attempt or resume sexual activity at 4 weeks
  • Perform Kegel (http://www.mayoclinic.com/health/kegel-exercises/WO00119) muscle exercises as soon and as often as possible after your catheter has been removed.

 


 

Green Light Laser TURP

  • The catheter is usually left in over night
  • Blood in the urine for about 2 weeks is common.
  • Burning, a feeling of urgency and frequency is common for 2 - 8 weeks

 


 

Sling (transobturator)

  • Couch rest for 48 hours
  • It is okay to go back to work after 48 hours if non strenuous
  • No heavy lifting or exercising for 2 weeks
  • No tub bath, sex for 6 weeks
  • Vaginal discharge is common for 1 - 2 weeks
  • Avoid constipation

 


 

Hypospadius Repair

  • Drink plenty of fluids
  • No tub baths 7 - 10 days
  • Apply Neosporin Ointment to bandage, dressing can be removed according to doctors orders. 
  • Restricted activity, no heavy lifting for 2 weeks

 


 

Sling (retropubic)

  • Couch rest for 48 hours
  • It is okay to go back to work after 48 hours if non strenuous
  • No heavy lifting or exercising for 2 weeks
  • No tub bath, sex for 6 weeks
  • Vaginal discharge is common for 1 - 2 weeks
  • Avoid constipation

 


 

Inguinal Hernia Repair

  • No tub baths for 2 weeks
  • No heavy lifting for 2 - 4 weeks
  • Restricted activity 2 - 4 weeks

 


 

TURBT (bladder resection)

  • The catheter is usually left in overnight Blood in the urine for about 2 weeks is common.
  • Burning, a feeling of urgency and frequency is common for 2 - 8 weeks

 


 

Meatoplasty

  • No tub baths for 1 - 2 weeks
  • May have burning and stinging upon urination 1 - 7 days

 


 

Ureteroscopy

  • Blood in the urine as well as burning is common for up to 7 days
  • Drink plenty of fluids
  • Do not pull the stent string until you are instructed to do so.
  • Schedule your appointment with the office for stent removal

 


 

Nephrectomy (open radical)

  • Staples may be removed in 7 - 10 days
  • Do not scrub incision
  • No lifting of heavy objects for 6 weeks
  • Avoid constipation for 6 weeks
  • Best to eat small but frequent meals for 14 days