BRACHY

TRUS-guided prostate brachytherapy

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 unless advised otherwise. -Call your Radiation oncologists office (617-632-7325) 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 service after undergoing brachytherapy. Patient tolerated operation without complication. Please see the operative report for complete operative details. Patient's postoperative course was uncomplicated, with pain well controlled initially by IV pain medication followed by transition to oral pain medication. Diet was started with sips of clear liquids and advanced until tolerating a regular diet. Patient remained afebrile throughout hospital stay. Patient voided after foley removed, was ambulating well with good pain control, and was discharged in stable condition with instructions to follow-up with radiation oncology in 1 week.

PATHWAY: We need to place the PAML to orders only. Radiation Oncology admits the patient to urology and write all orders except PAML.

Discharge requirements: -Patient needs to be voiding adequately, otherwise needs discharge with Foley -Patients are put on meds through radiation oncology service which need to be recorded in discharge summary. -Patient will have in-house CT prior to discharge then an MRI in afternoon as outpatient. -No need to get clearance from Rad/onc for discharge IR with Rx: Decadron, famotidine, levaquin and Pyridium 200mg tid.

Follow up with Nguyen, Paul M.D.. in 1 week And urologist of record as needed