TURP

TURP

Homecare instructions It was a pleasure participating in your care. -You may shower and bathe normally. -Do not drive or drink alcohol if taking narcotic pain medication. -Resume all of your home medications, but please avoid aspirin/advil for one week. -Call your Urologist's office (617-732-6235) to schedule a follow-up appointment in 1 week AND if you have any questions. -If you have fevers > 101.5 F, vomiting, severe abdominal pain, or inability to urinate, call your doctor or go to the nearest emergency room.

HOSPITAL COURSE Patient was admitted to urology after undergoing transurethral resection of prostate. Please see the operative report for further details. Patients postoperative course was uncomplicated. He was maintained on continuous bladder irrigation overnight. On POD1, the CBI and foley catheter were discontinued, and he passed a voiding trial. His urine was clear yellow without clots. He remained afebrile throughout his hospital stay. At discharge, patient had good pain control, was ambulating, and tolerating a regular diet. He is discharged in stable condition with instructions to follow up in clinic in 4 weeks.

PATHWAY Home on POD1. No labs usually CBI needs to be light pink on low flow and light red off CBI Usually Foley can be removed if urine pink/red and translucent. Needs voiding trial with PVR bladder scan. Goal is for the PVR to be less than half of what is voided (eg. if voids 200cc PVR should be <100cc). If patient fails to void in 6-8 hours will need to go home with Foley and follow-up in urology office for voiding trial.

Discharge meds: Oxycodone #20 Colace #30 Pyridium #12