Prostate Restored
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How many days rest required after prostate surgery?

(Many men do not need any more treatment.) One month after surgery : Doctors recommend no strenuous activity or heavy lifting for at least one month after surgery. Most people take off work for three to four weeks. If you work from home, you could return to work sooner.

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The Johns Hopkins Hospital performs more of these procedures than almost anywhere else in the world. One of the most common questions they hear from patients: “What should I expect after surgery?” If you’ve been diagnosed with prostate cancer , your doctor will consider many factors before recommending the best treatment. For many men, that may mean a prostatectomy. In this surgery, doctors remove the entire prostate. A prostatectomy takes about two hours. You will be under general anesthesia, so you’ll be completely asleep. During the surgery, your doctor will: At Johns Hopkins, doctors use the latest techniques to perform prostatectomies. There are two approaches surgeons can use when performing a prostatectomy. In both of these approaches, the end goal is the same — remove the prostate and destroy the cancer.

After Prostatectomy: What to Expect

At the hospital : You should expect to be in the hospital for one night. At Johns Hopkins, all rooms on the urology floor are private. Here, nurses help patients get moving shortly after surgery to prevent blood clots and other postoperative risks. First few days at home : After you’re sent home, you might find that regular ibuprofen or acetaminophen will be sufficient pain management for the first few days. If over-the-counter medications aren’t enough, your doctor can help you with alternatives. One week after surgery : After your surgery site heals, your catheter will be removed. This is usually seven to 10 days after surgery. This can easily be done at your doctor’s office. Some people decide to take out their catheter at home. If that’s the case, ask your doctor for instructions first. This is also about the time your surgeon will call you with the final pathology results. He or she will discuss what you should know and whether further treatment is necessary. (Many men do not need any more treatment.) One month after surgery : Doctors recommend no strenuous activity or heavy lifting for at least one month after surgery. Most people take off work for three to four weeks. If you work from home, you could return to work sooner. By one month after surgery, your life should start getting back to normal. Some men experience side effects, including:

Urinary incontinence (urine leaking)

Erectile dysfunction

Recovery from surgery takes time. These side effects are often temporary. However, if they are affecting your quality of life, ask your doctor about options that can help.

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What medications cause prostate enlargement?

Decongestants, such as pseudoephedrine (Sudafed), are used to treat congestion often associated with a cold. These drugs, which are called vasopressor adrenergics, worsen BPH symptoms because they tighten muscles in the prostate and bladder neck.

Overview For many men, benign prostatic hyperplasia (BPH) is a normal part of growing older. Prostate enlargement is so common that about half of men have it by age 60, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) . By their 80s, the vast majority of men will have prostate growth and its associated symptoms. Men with BPH need to follow the treatment plan their doctor prescribes. They also need to watch what medications they take, what beverages they drink, and what foods they eat. Certain drugs, foods, and drinks can worsen BPH symptoms. Here’s a guide to the medications, foods, and drinks to watch out for if you have BPH. Prescription medications and BPH If you take one of these drugs, check with your doctor. All of these medicines can worsen BPH symptoms. You may need to switch to another medication if your urinary symptoms become too problematic. Diuretics Diuretics help remove extra fluid in your body by pulling more water out of your bloodstream into the urine. These drugs are used to treat conditions such as: high blood pressure

heart failure

liver disease

glaucoma Because diuretics make you urinate more often, they can worsen existing BPH symptoms. Antidepressants An older generation of antidepressant drugs called tricyclic antidepressants reduces bladder muscle contractions. That can aggravate BPH symptoms and increase the risk for urinary retention. Tricyclic antidepressant drugs include: amitriptyline

amoxapine (Asendin)

doxepin (Sinequan)

imipramine (Tofranil)

nortriptyline (Pamelor)

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