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Type of Surgery:  Radical Prostatectomy (Open)

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 Hospital Recovery

You will have a urinary catheter, drain tubes and a few drips in your arms for fluid and pain relief after surgery

To prevent blood clots from forming in your leg after surgery, you will be given blood thinning injections in your abdomen and are required to wear tight stockings.

 Expect

Some pain over the wound

To go home with a urine catheter for about 10-14 days

 After Discharge

You will have the urinary catheter for up to two weeks after surgery whilst your urinary tract heals – DO NOT allow anyone to remove your catheter without consulting your urologist first

Caring for your urinary catheter:
- empty your catheter when its full
- drink plenty of fluids
- make sure the tubing is strapped/taped to your leg or thigh securely

Do some light physical activity (Walking) to prevent blood clots

 Contact your GP if

You develop 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 high fever, shakes, chills

You have severe pain not relieved by prescribed medication

 Your next appointment

On discharge the nurses will give you an appointment to see the urologists in about 4 weeks after surgery, when results of the laboratory analysis (histology) of your prostate should be available. Your first PSA test will be done 2 weeks before your next outpatient appointment (3 months after surgery). You will be seen every 3 months for a year, every 6 months for 5 years and then annually for 15 years.

 Total Recovery Time

Resuming work + sexual activity : 6-8 weeks

 Need for further treatment

Some patients require Radiation Therapy 2-3 months after surgery to reduce the chances of the cancer growing back. It is usually given over 6-7 weeks.

Radiation Therapy may also be given to patients with rising PSA on follow up.

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