Before surgery, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder (cystoscopy). This allows the doctor to check the size of your prostate and examine your urinary system. Your doctor may also want to do other tests, such as blood tests or tests to specifically measure your prostate and to measure urine flow.
Follow your doctor's instructions on what to do before your treatment. Here are some issues to discuss with your doctor:
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- Your medications. Tell your doctor about any prescription or over-the-counter medications or supplements you take. This is especially important if you take blood-thinning medications, such as warfarin (Coumadin) or clopidogrel (Plavix), and nonprescription pain relievers such as aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others). Your surgeon may ask you to stop taking medications that increase your risk of bleeding several days before the surgery.
- Fasting before surgery. Your doctor will likely ask that you not eat or drink anything after midnight. On the morning of your procedure, take only the medications your doctor tells you to with a small sip of water.
- Bowel prep before surgery. You surgeon may ask you to do an enema prior to surgery. You may be given a kit and instructions for giving yourself an enema to clear your bowels the morning of surgery.
- Arrangements after surgery. Ask your doctor how long to expect to be in the hospital. And arrange ahead of time for a ride home. You won't be able to drive yourself home.
- Activity restrictions. You may not be able to work or do strenuous activity for several weeks after surgery. Ask your doctor how much recovery time you may need.
- Management of benign prostatic hyperplasia (BPH). American Urological Association. http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines.cfm. Accessed April 12, 2013.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-6911-9..C2009-1-60786-3--TOP&isbn=978-1-4160-6911-9&uniqId=310232887-6. Accessed April 12, 2013.
- Thiel DD, et al. Electroresection and open surgery. Urologic Clinics of North America. 2009;36:461.
- Graham SD, et al. Glenn's Urologic Surgery. 7th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2010:166.
- Prostate enlargement: Benign prostatic hyperplasia. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/KUDiseases/pubs/prostateenlargement/index.aspx. Accessed April 12, 2013.
- AskMayoExpert. Benign prostatic hyperplasia. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Cunningham GR, et al. Surgical and other invasive therapies of benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed April 11, 2013.
- Preparing for your operation and recover. American College of Surgeons. http://www.facs.org/patienteducation/surgery.html. Accessed April 11, 2013.
- Update on AUA guideline on the management of benign prostatic hyperplasia. Journal of Urology. 2011;185:1793.