GreenLight PVP Postoperative Instructions

Medications (if you are on these before surgery):

a) Alpha blockers: Flomax (tamsulosin), Rapaflo (silodosin), Uroxatral (alfuzosin), terazosin

  • Okay to stop 3 days after surgery, however continuing them for 1 month can help with recovery

b) 5 alpha reductase inhibitors: Avodart (dutasteride), Proscar (finasteride)

  • Continue taking until your Urologist says it’s okay to stop as these medications may reduce postoperative bleeding

 

Blood and Burning With Urination

a) Burning

    • Because the procedure involves the removal of obstructing prostate tissue, the inner lining of the prostate (called the urothelium) will be raw post-operatively. Similar to the pain that results from lemon juice applied to a raw wound, pain occurs when the raw prostate is exposed to certain substances in the urine. As a result, try to avoid alcohol or spicy, salty, or acidic foods, which can cause burning when present in the urine.
      Note: if burning has not improved by 10 days post-operatively, contact your physician as this could be a sign of infection.
    • Urgency to urinate may increase initially after surgery. If you have an overactive bladder prior to prostate surgery, this may actually temporarily worsen. A sign of overactive bladder is burning prior to urinating, or leaking urine with the urge to urinate.  This can be treated with medication.

    b) Bleeding

    • Most patient’s note blood in their urine for a couple of days post-operatively, even up to the first week. This is normal, especially at the start of urination.
    • You may also notice blood in your urine 2-3 weeks after the procedure (after a period of time in which no blood is in the urine). This again, is normal as some scabs may be passing and should resolve with time. Drink plenty of water.

     

    Activities

    • Avoid lifting heavy objects (> 10 pounds or one gallon of milk in each hand) or excessive straining as this may cause bleeding.
    • Avoid constipation as this may cause straining and bleeding. Laxatives are fine.
    • You may resume sexual activity 2 weeks post-operatively.  If you notice bleeding, drink water and rest.

     

    Contact out office if you experience:

    • Fever (temperature > 101oF), chills, or other signs of infection
    • Foul smelling or cloudy urine
    • Burning with urination that is worsening
    • Inability to urinate

     

    Call to schedule a follow-up appointment (4 weeks post-operatively or sooner if problems occur)