Radical prostatectomy after the operation apr 09.pmd
You will be given information on pelvic floor
exercises to help regain bladder control. Youwill be supplied with incontinence pads and
instructions on how to use and wear these
diagnosis or problems associated with your
pads. The Continence Advisor will arrange for
surgery either contact your General Practitio-
further supplies of pads to be delivered to your
Incontinence may last for a few days, a few
Uro-oncology Nurse Specialist (Taunton)
weeks or even a few months. It is important
Telephone: 01823 344628
to remember that most men regaincontinence and that only a very small number
Mr R MacDonagh
of men are left with incontinence problems.
Consultant Urologist (Taunton)
Following removal of the catheter you will be
Telephone: 01823 342030
seen by one of the Urologists to discusserectile dysfunction.
Consultant Urologist (Yeovil)
Follow up appointments
Telephone: 01935 384227
After the operation
Debi Cole and Karen moffett
Urology Nurses (Yeovil)
Telephone: 01935 384394
At Home Following your
You will be requested to obtain a PSA blood
test with your own doctor, approximately 2
Continence Advisor (comunity) (Yeovil)
Telephone: 01935 423981
You will be seen every 3 months for the firstyear in the outpatient clinics for follow up witha PSA blood test and then at longer intervals
At home following your Radical
Erection difficulties can be treated using
You can bath and shower as normal with your
tablets such as Viagra, injections and vacuum
When you go home, you may still feel tired.
devices. this will be discussed with you when
As you return to your normal routines this will
you have your catheter removed and during
improve. General discomfort may be experi-
your follow up appointments with the nurses
You must not drive for at least 4 weeks. You
enced around your abdomen and scrotum but
emergency stop before driving. It is also
paracetamol will help. Swelling in the penis
Please do not be embarrassed about
advisable to contact your insurance company
asking questions regarding sexual
to check that you are suitably covered.
swelling. The District nurse will visit to
Removal of the catheter
You will need to obtain a sick certificate from
your General Practitioner, following discharge
You will be asked to return approximately two
weeks after for removal of the catheter. You
You may be able to return to work between
Whilst your catheter is in place it is important
six weeks and three months after the opera-
that you drink more than usual (2-3 litres a
involves dye being passed into the bladder via
tion. This will depend on the type of work you
your drinking can be reduced to 1-1.5 litres
doctors will advise you on returning to work.
How is the catheter removed?
The nurse will give you an antibiotic prior to
If you have a holiday booked please ensure
You may return to your normal diet. Eat a
remove the fluid from the balloon holding the
healthy balanced diet, with fresh fruit and
catheter. You may feel some discomfort when
After the initial recovery period you may be
concerned about your ability to achieve an
After your operation your bowel function may
erection. Trying to achieve an erection is
You will be asked to pass urine into a jug each
advised as soon as you feel comfortable.
time you go to the toilet and a record will be
kept of the amount of urine that you pass.
catheter is in place. If necessary you may be
given medication to help your bowels open
ready. Although sensation remains the same
frequent to begin with and there may be some
during sexual intercourse, ejaculation rarely
urgency and lack of control. This is normal.
takes place. It is possible that you will not be
able to have an erection after your operation.
It is advisable to walk around and to increaseyour walking distance daily. You should not doany heavy lifting, pushing or straining for about3 months i.e. mowing the lawn, pushing aheavy shopping trolley. Listen to your bodyand rest when you are tired.
Molecular Phylogenetics and EvolutionVol. 11, No. 3, April, pp. 351–360, 1999Article ID mpev.1998.0566, available online at http://www.idealibrary.com on Phylogenetic Relationships of African Killifishes in the Genera Aphyosemion and Fundulopanchax Inferred from Mitochondrial DNA Sequences Department of Biological Sciences, The University of Tulsa, 600 S. College Avenue, Tu
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