#Prostatectomy Preparation Prior to Surgery and Aftercare



Ten days before surgery:

All treatment with Aspirin ® or other anticoagulants should be suspended (warfarin, Plavix ®, etc.). All of the preoperative examinations should be done: laboratory exams, chest X-ray, and cardiovascular evaluation. If diabetic, estop taking, tablets of the oral hypoglycemic type (Glibenclamide, Metformin, etc.) 48 h before surgery.

The day before surgery: Have a light breakfast at 9 am .Starting at noon; take one-half of a bottle (50 ml) of undiluted oral laxative (Fleet Fosfoda®) followed by several and unpleasant taste of the laxative. Three hours after taking the first dose, take the remaining half of Thais laxative, also followed by the sweetened drinks. This oral laxative, also followed by the sweeting drinks. This Boral laxative will cause increase bowel movements in order to clean the intestine for the day of the operation.

For supper, have clear liquids such as water, juice, or tea; consuming liquid is acceptable, if thirsty, until midnight. Antihypertensive drugs should not be suspended nor should the time they are habitually taken be altered. Even on the morning of the day of the surgery, this medication should be taken with a small quantity of water (just a sip).
Finally, pack luggage for the hospital stay: take comfortable pants with an elastic waist, a shirt with buttons (which can be opened in front), and a bathrobe.

The day of surgery:

A full fast all day is required. If necessary, take only the anty-hypertensive medication with a sip of water.

The first hours after surgery: In the first hours the patient might feel cold, as well as some paint at the incision sites. This is easily controlled with painkillers.

A very common feeling is the discomfort produced by the presence of the catheter inside the urethra of the patient; generally this is perceived as an irritation or an intermittent desire to urinate without being able to, but the sensation is, mild an transitory. This is a normal effect due to the surgery and catheter in the urethra and bladder. The feeling disappears completely after a few hours. Family members and person accompanying the patient play an important role in the first hours after the operation to help control anxiety. If more intense discomfort occurs, the medical personnel should be notified.

Extract from Prostate Cancer: A Patient’s Guide.