You’re leaving the clinic after a prostatectomy and wondering what to expect in the period following the procedure. Here’s a clear, practical, and reassuring guide to the essential steps to take, precautions to consider, and the usual medical follow-up after a prostatectomy.
Arrival at home and organization
You can return home the same day, the following morning, or later, depending on the medical team’s decision. The goal is to organize a safe and comfortable return home as possible.
Urinary catheter and urine management
You will most likely leave with a urinary catheter . It’s a small tube that comes out through the penis and allows urine to drain during the healing process.
- A small, discreet bag will be attached to the catheter for the day. You will empty it in the toilet approximately every two hours, as if you were going to urinate.
- For the night, you will be provided with a second, larger pouch to connect to the small pouch, in order to avoid getting up and to promote a good night’s sleep.
- The probe is usually removed by a home nurse on the 7th postoperative day. This procedure is painless and risk-free.
Leaks after probe removal
It is common to experience minor urinary leakage after catheter removal. Anticipate this by purchasing panty liners and opt for briefs or boxer shorts, as the liners adhere better to them.
Scars and skin care
You will have five small scars in a horizontal line at the level of your navel. They are protected by waterproof dressings for the first few days.
- You can shower after the procedure.
- Avoid prolonged baths which can hinder healing.
- From the 3rd day onwards, remove the dressing and leave the scars exposed to the air.
- Disinfect the scars morning and evening with betadine and monitor the appearance of the wounds.
- The stitches or staples are usually removed by a nurse on the 7th day, without pain.
Compression stockings and anticoagulation
To reduce the risk of phlebitis, the anesthesiologist recommends wearing compression stockings . Wear them while the catheter is in place, then you can remove them.
You will also receive anticoagulant injections to be administered daily for three weeks. A nurse can come to your home to administer these injections if necessary.
Pain, constipation and medication
You will be prescribed medication for pain and constipation. Rest is essential for a good recovery. If you experience significant discomfort, contact the healthcare team.
Physical activity, work and sexuality
- Rest and restrictions : no significant physical exertion, no heavy lifting, no weight training and no abdominal exercises for 6 weeks.
- Time off work : generally between 4 and 6 weeks depending on your job and your recovery.
- Sexuality : abstinence for 4 weeks, even if erections return. Intercourse may cause significant pain during orgasm during the initial period.
Medical monitoring and oncological assessment
Six weeks after the procedure, an appointment with the urologist allows for a review of:
- the general condition,
- urinary continence,
- the quality of erections,
- the final analysis of the prostate and the staging of the cancer if applicable.
PSA levels become undetectable immediately after a therapeutic prostatectomy. Subsequently, clinical monitoring and PSA testing are performed every 6 months for 15 years.
Practical checklist before heading out
- Urinary bags, small and large for nighttime use.
- Panty liners and suitable underwear (briefs or boxers).
- Compression stockings.
- Anticoagulant injections for 3 weeks and nurse contact details if necessary.
- Treatments for pain and constipation.
- Disinfectant for scars (betadine) and dressings if needed.
- Urology department contact numbers in case of fever, severe pain, unusual bleeding or urinary difficulties.
Reassuring messages
Most post-operative procedures are simple and well-tolerated. Removal of the catheter and the sutures or staples are painless. If you follow the activity precautions and prescribed follow-up, recovery is usually without complications.
In summary
After a prostatectomy, home organization, urinary catheter management, scar care, wearing compression stockings, anticoagulant injections, rest, and medical follow-up are key elements for optimal recovery. Anticipate your supplies, adhere to any restrictions on strenuous activity, and schedule your follow-up appointments with your urologist.
If you have specific questions about your situation, do not hesitate to contact your healthcare team for personalized advice.