Post operative instructions after robotic urosurgery

Patients are discharged within 24 hours of surgery if there are no complications

To ensure quick recovery and return to daily routine, post operative instructions should be followed:

  • Driving is not permitted until the catheter is removed, so an attendant has to accompany the patient
  • Do not take a shower until 48 hours after surgery
  • Walking is a must after surgery. Climbing steps is also permitted to the extent possible
  • If there is no bowel movement even after 48 hours of surgery or fever, please contact the hospital
  • Have clear liquid diet until you have passed gas rectally
  • Once you have passed gas start on a soft diet
  • After the first solid bowel movement, you can start regular food intake
  • Avoid carbonated drinks

Limitations for 6 weeks

Avoid:

  • Straining during bowel movements
  • Sitting in one position for over 45 minutes
  • Sports or strenuous exercise
  • Avoid lifting heavy weights

Catheter care

  • At discharge, a catheter will be in place. Do NOT remove this on your own
  • If there is no urine output for 3 hours or there is lower abdominal pain contact the hospital
  • The urine bag connected to the catheter should be carefully removed and urine drained
  • Drink plenty of water to flush out blood and clots

Symptoms in the post operative recovery phase

These symptoms will go away in a few days

  • Abdominal distention, bloating
  • Bladder spasm, discomfort, urgency to pass urine
  • Blood stained urine
  • Delayed healing of incision sites
  • Incontinence

Symptoms needing medical attention

  • Fever above 100 F
  • Redness or foul smelling discharge from abdominal incisions
  • Nausea, vomiting or continued abdominal distention and pain
  • Large clots or frank bleeding in urine
  • Decreased urinary output
  • Inability to urinate
  • Pain or swelling in one leg or calf
  • Chest pain or shortness of breathe