Prostate Procedure – Patient Discharge Instructions

Catheter – Due to post-treatment swelling, a urinary catheter is necessary for a period of time after treatment. PLEASE SEE “INSTRUCTIONS FOR CATHETER CARE” FOR MORE INFORMATION.

Discomfort – Normal reactions to the procedure are: bloody urine for the first 2 to 3 days (clearing gradually), need to urinate more frequently and with greater urgency, bladder spasm, and some soreness in the lower abdomen.

Self-care

  • Have someone drive you home. You may eat as soon as you feel ready. Rest for the remainder of the day. Normal activities can be resumed as soon as you feel up to it.
  • Do not engage in strenuous activity until the catheter is removed.
  • Drink pleny of fluids (water or juice is best) to keep the catheter draining well and keep the urine diluted.
  • You can take a shower. Avoid baths until the catheter is removed.
  • Take care of your catheter as described in the “Urinary Catheter Care Instructions”.
  • Take medications as prescribed.

Call the office if: (508-771-9550)

  • A fever above 101 degrees develops.
  • If your urine is cloudy, foul smelling, or has bright red blood in it.
  • If you develop a pus-like discharge around the catheter at the tip of the penis.
  • The catheter becomes blocked or does not drain.
  • Pain in your lower back or abdomen that you did not have before.
  • The scrotum or testicles become painful or swollen.
  • Continuous bladder spasms occur.

Long-term Expectations: You may experience increased urgency and frequency of urination in the weeks following the procedure, this is a normal reaction. The full benefit of the procedure may not be felt until 8-12 weeks after the procedure.

Pre-Procedure Instructions Prostate Procedure (TUNA/TUMT)

Please call the office it you are unable to keep the appointment.

Your doctor is scheduling you for a Prostate Procedure to treat your BPH. The goal of the treatment is to reduce the size of your prostate and alleviate your current symptoms. The prostate gland is heated by way of a treatment catheter inserted through the urethra. The tissue that has been causing the symptoms is then destroyed. This will improve your urination. During the procedure, you may experience an uncomfortable sensation of heat and a moderate or strong urge to urinate. This is a “false” urge as the urinary bladder will be empty. This discomfort will be minimizes by the medication you will be taking. Although this sensation is annoying, it normally goes away when the treatment ends. Medication is administered prior to and during the procedure. For this reason you should NOT drive home after the treatment as you may feel drowsy.

  1. Empty your bowels the morning of the procedure. Use a Fleets enema 2-3 hours before the procedure (which can be found at a local drugstore).
  2. Eat a light meal the morning of the procedure. Limit your fluids, but continue to drink small amounts of fluid, avoid alcohol.
  3. Arrange for transportation to and from the procedure. The treatment will take 30-60 minutes; there may be additional time required for preparation.
  4. Plan to get some rest and do NOT perform any strenuous activities following the procedure for the first couple of days.
  5. Take the three (3) sample medications given to you (2 anti-inflammatory and 1 antibiotic 1) at_____________________on the day of the procedure.
  6. Bring the two (2) prescription medications that you have filled with you to the office (Valium and Percocet). You will be instructed as to when to take them.
  7. Blood thinners and aspirin products must be stopped for five 5) (days prior to the procedure. You may resume blood thinners and aspirin products on the day following the procedure as long as the urine is clear.
  8. Wear loose clothing and shoes, as you will need to remove pants.

Urinary Catheter Care Instructions

What is a catheter?

Urinary catheters (Foley catheters) are flexible tubes placed into the bladder to drain urine. After a Prostate Procedure, the catheter also helps keep the urethra open during healing. The urethra is the “water channel” connecting the bladder to the outside of the body. The catheter is anchored in place by a soft, water filled balloon at the tip. A drainage bag is placed on the outside end of the catheter to collect the urine. One type is a leg bag, which is a smaller drainage device suitable for daytime use. The other type of drainage bag is a larger drainage device (down drain) that may be used during the night.

How to wear the leg bag

The leg bag is attached with elastic bands to the leg. A leg bag is usually worn during the day since it fits discreetly under pants, and is easily emptied in the toilet. Remember to keep tension OFF the penis, do not allow the catheter bag to pull or tug on the penis.

When the bag is full

When the leg bag fills, it gets heavier and you will feel the elastic bands stretch. It is important not to let the bag get too full, the leg bag contains about half a liter. Empty the bag in the toilet by opening the valve in the bottom of the bag and let the urine pour out. Be aware to close the valve after emptying the bag. It is important to always wash your hands afterwards.

During the night

Your doctor may give you a larger urine receptacle bag for night time. Before going to bed, you disconnect (and empty) the leg bag and connect the larger bag to the catheter. The larger bag can prevent having to get up during the night to empty. It is disconnected in the morning and can be replaced with the smaller, more concealable leg bag for daytime.

Personal hygiene is important!

You may shower with the catheter in place. Wash the area where the catheter enters the penis twice daily with soap and warn water. Always wash your hands before and after handling your catheter.

Urine Testing pre-TUMT/TUNA Procedure

One week (7 days) before your scheduled procedure, please have a urinalysis and culture performed. You may either come to the office for this test or go to a C-Lab, whatever is more convenient for you.

The purpose of this test is to ensure that you do not have a urinary tract infection at the time of your procedure. If your test is postitive for an infection an antibiotic will be ordered for you before your scheduled procedure.

If you have a catheter in place an appointment will be made for you one week (7 days) before your scheduled procedure with Robert Marcolini PAC. At that time he will determine if a specimen or antibiotics are needed.

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Comprehensive Urologic Care in a Local Setting