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.
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.
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.
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.
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 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.
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.
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.
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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