post operative care athens 2011

Post-operative care

A. Mottrie

A. Gallina

O.L.V. Robotic SurgeryInstitute (ORSI)

Aalst

Belgium

End of surgery

• Pelvic drainage:• Omitted if U-V anastomosis is water-tight and no PLND

is performed

• Catheter:• Penis gently fixed to the abdomen

Hospital stay

• Day 1• Drainage removed

• Mobilization of the patient

• Stop pain-killers

• Start oral feeding

• Day 2:• The patient is potentially dischargeable (patient’s

decision)

Hospital stay

• Day 6• Retrograde cystography

• If no leakage, catheter removal

• Day 7:• The patient is discharged

1 month after RALP

• PSA test• If no BCR control every 6 months for the first 3

years, then every year

• Assessment of urinary continence• If urinary incontinence is present BFB

• Assessment of erectile dysfunction• If ED is present PDE5-I

3 months after RALP

• Assessment of urinary continence• If urinary incontinence is present considering further

examinations

• Assessment of erectile dysfunction• If ED is present considering further examination