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.



    • 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)