Before the procedure, your doctor may want to do a test that uses a 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 the prostate or 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, 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) and naproxen (Aleve, others).
- Fasting before your procedure. Your doctor may ask you to 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.
- Arrangements after the procedure. You won't be able to drive yourself home after the procedure, so you'll need to arrange for someone to drive you home.
- Activity restrictions. Your doctor will likely ask you to avoid any strenuous activity, such as heavy lifting, for three to five days after the procedure. You should also wait to have sex until your doctor says it's OK. Most men can resume sexual activity about two weeks following the procedure
- 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 11, 2013.
- Management of benign prostatic hyperplasia (BPH). American Urological Association. http://www.auanet.org. Accessed April 11, 2013.
- d'Ancona FC. Nonablative minimally invasive thermal therapies in the treatment of symptomatic benign prostatic hyperplasia. Current Opinion in Urology. 2008;18:21.
- Cunningham GR, et al. Surgical and other invasive therapies of benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed April 11, 2013.
- Update on AUA guideline on the management of benign prostatic hyperplasia. Journal of Urology. 2011;185:1793.
- Preparing for your operation and recovery. American College of Surgeons. http://www.facs.org/patienteducation/surgery.html. Accessed April 11, 2013.
- 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 11, 2013.
- Hoffman RM et al. Microwave thermotherapy for benign prostatic hyperplasia. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004135.pub3/abstract. Accessed April 26, 2013.