Surgical Short Stay Procedures (hospital stay of 24 to 48hrs) TUEVP (Prostate transurethral resection rollerball vaporization)The prostate is a small gland, with age, the prostate often increases in size and compresses the urethra making it more difficult for the bladder to empty. Your voiding (urinating) difficulty has been determined to be due to obstruction by the prostate (Benign Prostate Hperplasia or BPH). The transurethral rollerball vaporization of the prostate in performed with an instrument called a resectoscopy, passed through the urethra. NO skin incision is required. The prostate core causing obstruction is removed in small pieces, which are then flushed out of the bladder. Bleeding is controlled with cautery by electric current. At the end of the operation, a catheter is passed through the penis into the bladder. A water solution is often used to flush the bladder to wash out any blood.
Post Operative Instructions Drink 4 to 6 glasses of water daily to flush any blood out of the urine until urine runs clear of blood.
There will be an increase of blood in your urine if you are taking any type of blood thinners post operatively (ei: ASA, Warfarin, Coumadin, Plavix)
There is a small risk of infection requiring treatment with antibiotics. Symptoms of infection may include fever, frequent urination with burning and/or odor to urine. Please contact the office if you are experiencing any of the above.
You may feel the need to urinate frequently for a while after the surgery, but this should improve over time. This is part of the healing process.You may have blood in your urine for up to 4 to 6 weeks following surgery. You may be instructed to avoid strenuous activity for about 3 weeks following TUR. Erectile Dysfunction (Penile Prosthesis) Surgery is now performed to correct many problems due to erectile dysfunction. A few men, with blood vessel blockage preventing adequate filling of the penil will benefit from surgery to improve circulation. Flexible or inflatable rods can be implanted surgically in the penis to maintain stiffness. Post operative Instruction Most times you will be discharged home with the penile prosthesis semi inflated. This adds in the healing process.
The scrotum area can be swollen and bruised. This is normal. If the swelling persists and the incision because tender to touch and redness occurs with pus like drainage, this could be an indication of infection. Call your urologist office to inform them.
You will have an incision in the scrotum with metal surgical clips in place. These clips will be removed by the office nurse 10 to 14 days post operative.
The incision must be clean daily with warm water and soap and then dried off. Using a cotton ball, wipe incision gentle with hydrogenperioxide and afterwards, apply polysporin to incision. This reduces the chance of getting an infection to the incision site.
DO NOT attempt to inflate or deflate the penile prosthesis until you have your follow up appointment with your urologist. The prosthesis needs approximately 6 to 8 weeks to heal and settle with your tissue. If you attempt to use the prosthesis, there is a high chance of breaking the prosthesis, then more surgery would be required to fix it. In Patient Procedures (Hospital stay of more the 2 days) Radical Retropubic Prostatectomy Radical prostatectomy involves the complete removal of the prostate and its attached semen glands, the seminal vesicles, with the aim of curing prostate cancer. This option is appropriate for men with localized prostate cancer, good general health and a life expectancy of at least ten years. Pre-operative Preparation A “bowel prep” may be recommended before your surgery. The prostate lies immediately next to the bowel. In the rare event of a bowel injury during surgery, a clean bowel may reduce the risk of serious complications. Your urologist will instruct you on the form of bowel prep required.
It is best to stop taking aspirin, ibuprofen, blood thinners and any vitamin or herbal supplements for a least one week prior to surgery to reduce the risk of bleeding.
You will be contacted by the blood donation clinic to donate autologist blood for procedure.
You will be instructed to see the Nurse Continence Advisor to learn Kegel pelvic floor exercises prior to procedure. This reduces the chances of getting urinary incontinence after surgery. Post Operative Instructions You will discharged home from hospital approximately 3 to 5 days after surgery. You will go home a foley catheter insitu and surgical metal clips at the incision site. The nurse will contact you at home to make appointments for the surgical clips to be removed in 14days and the catheter will also get removed 3 weeks after the surgery.
The incision must be clean daily with warm water and soap and then dried off. Using a cotton ball, wipe incision gentle with hydrogenperioxide and afterwards, apply polysporin to incision. This reduces the chance of getting an infection to the incision site.
I incision become swollen, tender to touch and redness occurs with pus like drainage from incision site, this could be an indication of infection. Simple Prostatectomy A simple prostatectomy is a surgical procedure done to remove part or all of the prostate gland. This procedure is most commonly performed to treat a condition known as benign prostatic hyperplasia (BPH), which is an enlarged prostate gland. Men who are suffering blocked urine flow because of an enlarged prostate, or BPH, may be considered for this surgery. Usually, it is done on men who cannot be successfully treated with medications. The choice of procedure depends on the size of the enlarged prostate. If the gland is less than 100 grams, a minimally invasive procedure such as a transurethral resection of the prostate (TURP) may be used. If the prostate is larger than 100 grams, a simple prostatectomy is often chosen. Pre-Operative Preparation A “bowel prep” may be recommended before your surgery. The prostate lies immediately next to the bowel. In the rare event of a bowel injury during surgery, a clean bowel may reduce the risk of serious complications. Your urologist will instruct you on the form of bowel prep required.
It is best to stop taking aspirin, ibuprofen, blood thinners and any vitamin or herbal supplements for a least one week prior to surgery to reduce the risk of bleeding. Post Operative InstructionsYou will discharged home from hospital approximately 3 to 5 days after surgery. You will go home a foley catheter insitu and surgical metal clips at the incision site. The nurse will contact you at home to make appointments for the surgical clips and catheter to be removed in 10 to 14 days.
The incision must be clean daily with warm water and soap and then dried off. Using a cotton ball, wipe incision gentle with hydrogenperioxide and afterwards, apply polysporin to incision. This reduces the chance of getting an infection to the incision site.
I incision become swollen, tender to touch and redness occurs with pus like drainage from incision site, this could be an indication of infection.
Kidney Pyeloplasty Pyeloplasty is the surgical reconstruction or revision of the renal pelvis to drain and decompress the kidney. In nearly all cases, the goal of pyeloplasty surgery is to relieve a uretero-pelvic junction (UPJ) obstruction. Post Operative Care You will be in the hospital for approximately 5 to 7 days. You will go home with surgical slips insitu. These clips are holding the incision together.
The incision must be clean daily with warm water and soap and then dried off. Using a cotton ball, wipe incision gentle with hydrogenperioxide and afterwards, apply polysporin to incision. This reduces the chance of getting an infection to the incision site.
I incision become swollen, tender to touch and redness occurs with pus like drainage from incision site, this could be an indication of infection.
You will see blood in your urine for 4 to 6 weeks after the surgery. This is normal and we ask you to increase your water intake to flush it out of your system.
The office nurse will contact you with a time and date to get these clips removed 14 days post surgical date. Nephrectomy ( Simple or Radical) Surgery to remove an entire kidney, nearby adrenal gland and lymph nodes, and other surrounding tissue.
Simple nephrectomy is indicated in patients with irreversible kidney damage due to symptomatic chronic infection, obstruction, calculus disease, or severe traumatic injury. Simple nephrectomy is also indicated to treat renovascular hypertension due to noncorrectable renal artery disease or severe unilateral parenchymal damage caused by nephrosclerosis, pyelonephritis, reflux dysplasia, or congenital dysplasia of the kidney.
Radical nephrectomy is the treatment of choice for localized renal cell carcinoma (RCC). In certain circumstances, radical nephrectomy is also indicated to treat locally advanced RCC and metastatic RCC.
Post Operative Care You will be in the hospital for approximately 5 to 7 days. You will go home with surgical slips insitu. These clips are holding the incision together. The incision will either be on the side of the kidney that is removed or across your abdomen.
The incision must be clean daily with warm water and soap and then dried off. Using a cotton ball, wipe incision gentle with hydrogenperioxide and afterwards, apply polysporin to incision. This reduces the chance of getting an infection to the incision site.
I incision become swollen, tender to touch and redness occurs with pus like drainage from incision site, this could be an indication of infection.
You will see blood in your urine for 4 to 6 weeks after the surgery. This is normal and we ask you to increase your water intake to flush it out of your system.
The office nurse will contact you with a time and date to get these clips removed 14 days post surgical date. Percutaneous Nephrolithotomy Percutaneous Nephrolithotomy is a surgical procedure in which kidney stones are removed using a scope passed through a small skin incision made in the flank or the back into the kidney containing stones.
The procedure is usually recommended for patients with kidney stones which are too large or numerous for shock wave lithotripsy, in which stones are broken up non-surgically. The procedure involves two major steps. The first is establishing a tract or access path into the kidney containing the stones, and the second is stone fragmentation and removal using special operating instruments. Post Operative Care A hospital stay of one to three nights is usually all that is required. In some patients a longer hospital stay is necessary.
Recovery from percutaneous stone removal is usually rapid. Patients may return to normal but not excessively strenuous activity as soon as they leave hospital. Return to work is usually possible within a week after discharge from hospital.
You may be asked to take antibiotics after percutaneous stone removal. Usually antibiotics are only taken for a week or less. - PLEASE NOT FOR ALL PROCEDURES BOOKED, PLEASE INFORM DR. POMMERVILLE’S OFFICE IF YOU ARE TAKEN BLOOD THINNERS SUCH AS WARFARIN, COUMADIN, PLAVIX OR ASA AS YOU NEED TO BE GIVING INSTRUCTION AS TO WHEN YOU NEED TO STOP THIS MEDICATION.
- A FOLLOW UP APPOINTMENT WILL BE ARRANGED FOR YOU 6-8 WEEKS POST OPERATIVELY. BIOPSY PATIENTS WILL BE SEEN APPROXIMATELY 2 WEEKS POST OPERATIVELY.
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