Radical Retropubic Prostatectomy

Radical Retropubic Prostatectomy is the surgical removal of the prostate through and abdominal incision. This surgical procedure is performed in the hospital. Hospital stay is 2-4 days.

During your time in the hospital

  • You will experience incisional discomfort; your pain will always be in control.
  • You will have a drain in place, to drain any excess fluids.
  • You will have a catheter in place.
  • You will be expected to be up and walking as soon as possible.
  • Your diet will be gradually increased.

After the hospital:

  • Dressing: there will be an abdominal dressing which will need to be changed at home daily and as needed.
  • Drain: The drain will stay in place for up to 10-14 days and will be removed in the office.
  • Staples: your incision will be closed utilizing staples; these will be removed in 10-14 days in the office.
  • Catheter: will remain in place for 3 weeks after surgery. The catheter will be removed in the office, it is recommended that you bring a Depend Brief with you as you may be incontinent (unable to control your urine). It may take many months after surgery before you are able to control your urine.
  • VNA: occasionally your doctor will order VNA to come to your home to assist with the dressing changes and catheter care.
  • Prescriptions will be provided before discharge from the hospital.
  • The office will call to arrange your office visits.

Activities:

  • Walking is encouraged.
  • No driving for 1 week after surgery, may ride as a passenger.
  • No lifting more than 15lbs for 2 weeks. After 4 weeks may lift up to 30lbs.
  • Showering after staples are removed.

Supplies:

You will need to purchase these supplies at your local pharmacy BEFORE your surgery

  • Sterile 4×4’s (gauze sponges)
  • ABD pads
  • Non-sterile gloves
  • Paper tape
  • Depend Briefs

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Comprehensive Urologic Care in a Local Setting