post operative care athens 2011
TRANSCRIPT
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