Follow your doctor's instructions on what to do before your treatment. Here are some issues to discuss with your doctor:
July 23, 2013
- Your medications. Tell your doctor about any prescription, over-the-counter 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 prior to the surgery.
- Fasting before your procedure. Your doctor will likely tell you not to eat or drink anything after midnight the night before the procedure. On the morning of your procedure, take only the medications your doctor tells you to with a small sip of water.
- Arrangements after the procedure. Ask your doctor how long to expect to be in the hospital. You won't be able to drive yourself home after the procedure that day or generally if you have a catheter in the bladder.
- Activity restrictions. You may not be able to work or do strenuous activity for about two weeks after surgery, but depending on the type of laser procedure you have, you may need more or less recovery time. Ask your doctor how much time you may need.
- Management of benign prostatic hyperplasia (BPH). American Urological Association. http://www.auanet.org/education/clinical-practice-guidelines.cfm. Accessed April 16, 2013.
- Gravas S, et al. Critical review of lasers in benign prostatic hyperplasia (BPH). BJU International. 2011;107:1030.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/das/book/body/208746819-6/0/1445/0.html. Accessed April 16, 2013.
- Lee J, et al. Advances in laser technology in urology. Urology Clinics of North America. 2009;36:189.
- Rieken M, et al. Complications of laser prostatectomy: A review of recent data. World Journal of Urology. 2010;28:53.
- Ahyai SA, et al. Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic enlargement. European Urology. 2010;58:384.
- Gnessin E, et al. An update on holmium laser enucleation of the prostate and why it has stood the test of time. Current Opinion in Urology. 2011;21:31.
- Prostate enlargement: Benign prostatic hyperplasia. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/prostateenlargement. Accessed April 16, 2013.
- McVary KT, et al. Update on AUA Guideline on the Management of Benign Prostatic Hyperplasia. Journal of Urology. 2011;185:1793.
- Cunningham GR, et al. Surgical and other invasive therapies of benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed April 16, 2013.
- Preparing for your operation and recover. American College of Surgeons. http://www.facs.org/patienteducation/surgery.html. Accessed April 16, 2013.
- Humphreys MR (expert opinion). Mayo Clinic, Phoenix, Ariz. May 22, 2013.