Preoperative/Postoperative
Instructions for
Transurethral Resection of the Prostate (TURP) Patients
Day Before Surgery -
•
You may have a regular diet until midnight.
•
Do not eat or drink anything after midnight.
•
Your surgeon may have you give yourself an enema.
Day of Surgery (Before surgery)-
•
Your surgeon may have you give yourself an enema.
•
Report to day surgery (Family Surgical Waiting Room, 1st Floor, STC), at the prearranged
appointment time.
•
Leave valuables at home, but bring any comfort items as you see fit.
•
Do not eat or drink anything (if you have been asked to take medications on the morning of surgery,
you may do so with a small sip of water).
•
An IV will be placed in the preoperative area.
Day of Surgery (After Surgery)-
•
Anticipate being admitted, at least overnight, for observation.
•
Your diet will be advanced as tolerated.
•
Take at least three deep breaths and cough every two hours for the next few days.
•
A catheter will may remain in your bladder to drain your urine. An irrigant solution may be
connected to your catheter to keep the urine clear.
•
Your urine may have some blood. Drink plenty of fluids to keep your urine clear
(10-12 cups of water/day).
•
Your catheter will remain until the bleeding subsides and your surgeon deems it appropriate to be
removed, usually 1-2 days, but possibly longer depending on your situation.
•
You may bladder discomfort or a sensation of fullness. This usually indicates bladder spasms.
Your nurse will make sure your
bladder is draining properly, and may provide you with medications
to help with these symptoms.
•
When the catheter is removed you may experience burning with urination. Medicines can
prescribed to help with these symptoms.
•
Notify your nurse or surgeon if you are experiencing excessive bleeding, temperature above 101,
severe pain or the inability to void.
•
Your nurse will provide you with follow-up instructions.
•
You may perform limited/non-strenuous activities as tolerated until released by your physician.
Do not lift anything heavier than 10 pounds.
Your return appointment is
_________________________________________
Desk: 3A (254-724-2577)
Day Surgery
(Mon.-Fri. 6am-9pm)
1-254-724-2003
1-800-725-8463
Rev. 11/27/06
After Hours/Emergency
Call Hospital Operator at
1-254-724-2111 ask for
Urology Resident on call.
After Discharge:
•
You may go home with prescriptions for pain, burning, stool softener, antibiotics.
•
You may resume your normal diet, high in fiber (fruits and vegetables).
•
Drink 10 glasses of water daily.
•
Walk 4 times daily.
•
Continue foot pumping exercises while sitting.
•
No heavy lifting over 10 lbs. for 4 weeks.
•
No driving for at least 24 hours and not taking narcotic pain medication.
•
Call the clinic for any fever over 101 F, increased pain, nausea/vomiting, increasing voiding
difficulties, increasing blood or clots in the urine, or other concerns.