Friday, July 11, 2008

HEALTH TEACHING FOR PATIENT POSTOPERATIVE TURP


POSTOPERATIVE INFORMATION

This information to give you advice on what to expect after the operation and when you leave the hospital.you may already have been given information from the urology doctor during your preadmission clinic appointment.

WHAT WILL HAPPEN IMEDIATELY AFTER SURGERY?

1.After operation you will have an intravenous drip in your arm to give you fluid to make sure you don't get dehydrated.

2.you will have a catheter in your penis to drain urine out of your bladder into a bag.an irrigation drip (saline) will be attached to the catheter to wash any blood or tissue out of the bladder.your urine will look red at first but will gradually become lighter in colour.

3.It is important for you to drink plenty to help keep the urine clear and prevent the catheter becoming blocked.the nurses looking after you will keep the irrigation flowing and will unblock the catheter if the need arises.they will also ensure that the catheter is kept clean.

WHAT WILL HAPPEN DURINE THE FIRST FEW DAYS?

1.Once you are up and about which is usually the day after the operation the nurse will teach you how to care for the catheter.

2.when the urine is clear or very light pink and you have opened your bowels to the catheter will be removed and you should be able to pass urine normally.the catheter is usually removed 2-4 days after the operation

3.It is usual to want to pass urine frequently when the catheter is first removed and you may find it difficult to control at first.it is important therefore to practice pelvic floor exercises which will help you to hold onto your urine for longer

4.The ward nurses will scan your bladder with a portable scanner to make sure that your bladder is emptying properly before the docto allows you to leave the hospital.

5.An out-patient appoinment will be made for you to see the urology doctor in about 6 weeks to ensure that you are well and your urinary problems have resolved.


WHAT WILL HAPPEN AFTER I GO HOME?

1.It is advisable during the 2 weeks after you are sent home to rest as much as possible and not carry out any heavy lifting.if you are employed,you can resume work about 4 weeks after the operation.

2.Sometimes betwen 10-14 days after your operation you may experience bleeding in your urine.this is due to the scab coming away form the healing tissue.if this happens,drinking more fluids will wash away the blood and avoid clothing.

3.If you experience any burning pain when passing urine or have a fever this could mean you have a urinary infection which will need to be treated with antibiotics by your doctor.

4.You will be able to resume sexual intercourse 2 weeks after the operation, however when you ejaculate there is a strong possibility that the semen will up into the bladder instead of out through the peni.this is called retrograde ejaculation and should have been discussed with you before operation.if this happen it means you will be infertile,but otherwise you will not be harmed by it.


taken from urology nurse specialist

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