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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Genitourinary

Robotic-Assisted Radical Prostatectomy (6302)

Robotic-Assisted Radical Prostatectomy (6302) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Genitourinary

6302

Robotic-Assisted Radical Prostatectomy

This surgery is one treatment for prostate cancer. The prostate gland is removed. The lymph
nodes in the pelvis and lower abdomen may be biopsied.


Surgery Risks

▪ Infection
▪ Bleeding
▪ Loss of bladder control, this may be short or, rarely, long term.
▪ Problems with erections (in 10-30% of cases). This depends on many factors.
▪ Rectal injury
▪ Scarring at the bladder neck.

Before Surgery

Try to be in the best condition for surgery.
▪ Exercise
▪ Eat a healthy diet
▪ Take iron pills, if ordered.
The day before surgery, you will need to do a bowel prep to clean out your bowels. You will be
given a handout and directions for this.

After Surgery

Your abdomen may look like this…..

▪ Plan to stay in the hospital for one
night. Your ride home can be more
comfortable if you sit on 1-2 pillows.
Have your driver keep these in the car.
▪ The urine catheter will stay in for 7-10
days.
▪ Your nurse will teach you how to take
care of your catheter and urine bags
before you leave the hospital.

Activity While in the Hospital

▪ You may be out of bed soon after
surgery.
▪ Moving and walking helps you to recover.
▪ Pain pills will make it easier for you to move.
▪ You will be asked to walk 4 times a day and sit in a chair for each meal.

Home Care

▪ You may shower, but no tub baths, swimming or hot tubs while the catheter is in and
until your wounds are healed. This is often 10-14 days.
▪ You may climb stairs and take short walks several times a day.
▪ Nothing strenuous such as jogging, aerobics, or running, for the first 4 weeks. Slowly
increase weekly.
▪ Do not lift over 20 pounds for the first 3 weeks.
▪ Expect your urine to be light cherry to pink. It will clear over time.
▪ Drink at least 8 to 10 (8 oz.) glasses of fluid each day while you have the catheter in.
After the catheter is out, you can decrease to 6 to 8 glasses of fluid daily.
▪ For the first 4-5 days after surgery, eat small meals throughout the day. Avoid eating
large meals as this may cause bloating.
▪ No driving for 2 weeks and while you are on narcotic pain medicine.
▪ When you go home, you will be given antibiotics, pain pills, and stool softeners.
▪ Do not strain, avoid constipation.
▪ No intercourse for 6 weeks.
▪ No biking for 8 weeks after surgery. This includes mobile bikes, stationary bikes, or
recumbent bikes.

When to Call the Doctor

▪ Temperature over 100.4 θ F by mouth, for two readings taken 4 hours apart.
▪ Shaking chills.
▪ Increasing redness, swelling, or warmth of an incision.
▪ Pus or excess blood from an incision.
▪ Pain not controlled by pain pills.
▪ Swelling, tenderness or pain in your feet, legs, calves, or thighs.
▪ Catheter is not draining.
▪ Large blood clots or bloody urine you cannot see through.
▪ If you have shortness of breath or chest pain. Call 911.

Follow-up

One Week after Surgery

At this clinic visit you will have your wounds checked. We will talk with you about your final
pathology report. Be sure to bring your list of questions.

We will do a voiding trial. We will fill your bladder with saline through the catheter. Then, we
will remove the catheter and have you urinate what was put into your bladder.

After the catheter is out expect to have dribbling or loss of urinary control, this most often occurs
when going from lying to standing. Please bring some adult diapers with you for this visit. You
will start to do Kegel exercises a few days after the catheter is out. These can help strengthen the
muscles that control urination. You will be given directions on how to do this exercise.

Phone Numbers

UW Health Urology 608-263-4757
UW Health at The American Center Urology 608-440-6464
UW Health One South Park Urology 608-287-2900

After Hours, Nights, Weekends, and Holidays, the clinic number is answered by the paging
operator. Ask for the Urology Doctor on call. Leave your name and phone number with the area
code. The doctor will call you back.

Toll Free: 1-844-607-4800

Your urology doctor is _________________

The Spanish version of this Health Facts for You is #7092.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 7/2015 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6302.