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Type of Surgery:  Laser Prostatectomy (HOLEP)

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 Hospital Recovery

You will have a urinary catheter for about 1-2 days

Once your urine clears up (no longer blood stained, no large clots or tissue debris), the catheter will be removed

You will be observed in hospital for up to 12 hours after this to ensure that you are able to void without a catheter (this process is called Trial Of Void, TOV)

If you are able to void, you will be discharged home (without a catheter).
If you have problems passing urine after surgery, the catheter will be reinserted and you will go home with it for another 1-2 weeks.

To prevent blood clots in your legs, you will be given blood thinning injections in your abdomen and are required to wear tight stockings

 Expect

Some burning sensation on urination

Sense of urgency

Bladder spasm pain

 After Discharge

Drink lots of fluids (non alcoholic)

Expect decreasing blood and tissue voided

Caring for your catheter
- empty your catheter when its full
- tape the tube to your thigh and strap the bag to your leg to avoid pulling on it

Walk and do some light physical activity but avoid heavy exercise/lifting

 Contact your GP if

You develop sudden unexplained shortness of breath after surgery or redness or tenderness over your calf (blood clots)

There is no urine flowing from your catheter and you feel that your bladder is full ( blocked catheter)

You have fever, shakes, chills

You have severe pain and are passing bright red blood-stained urine

 Your next appointment

On discharge the nurses will give you an appointment to see the urologists in about 1-2 weeks after surgery

 Total Recovery Time

Resuming work:
- 2 weeks (office work)
- 6 weeks (manual work)

Resuming sexual activity
- 4-6 weeks

 Need for further treatment

Laser surgery is relatively new and there is no information to date on retreatment rates

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