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POSTOPERATIVE INSTRUCTIONS 

 Postoperative instructions highlights for a transurethral resection of the prostate (TURP). 

It is expected that you will have some urgency and burning on urination while you are healing. Your urine may get bloody, varying from clear yellow to pink. If your urine becomes dark red, the color of burgundy wine or has blood clots, please increase your fluids and take to bed.

If you have obstruction of your urinary flow, or if the dark urine does not clear with extra fluids and bed rest, contact the doctor.

Your fluid intake should be increased for the next three to six weeks. It is especially important you that take extra fluids before bedtime and upon rising in the morning. Fifty percent of what you drink should be water. The remainder of what you drink can be divided among any fluids; however, avoid alcohol if you are taking any form of pain medication.

You are to avoid all heavy lifting and straining for the next six weeks. You are to lift nothing heavier than the Houston City Yellow Pages. You have a scab in the area in which you were operated upon. Straining or lifting heavy objects can cause this clot to lift and bleeding to start again.

You may climb stairs, walk on level ground, and go out socially. During the first week, do not drive a car; however, you may ride in a car.

During the first six weeks, you should avoid sexual intercourse.

Most often patients after transurethral resection of the prostate are discharged with a prescription for antibiotics, which you should take until the prescription is complete. Rarely will pain medication or laxatives be necessary.

You will see the doctor in the office in approximately six weeks. When you come to the office, be prepared to give a urine specimen. At that visit the doctor will examine your urine and discuss with you your current symptoms. Realize that you have had an operation, the recovery from which is measured in weeks and months. During this time your diet should be complete with high protein and calorie intake and extra fluids. Exceptions to this would be for those patients who already, prior to the operation, have some restriction on their diet -such as diabetics. Please discuss with the doctor any variation from these recommendations.

In general, by six weeks after the operation you will begin to return to normal activity after seeing the doctor for another postoperative evaluation. Many of you were given a blue book entitled,  "Prostate Prior to Surgery".   If questions should arise during the postoperative period, please refer to this booklet.

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