Before doing any enlarged prostate procedure, 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 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, 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 (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 the procedure. Your doctor will likely 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. Plan to have someone available to drive you home. Ask your doctor ahead of time how long you can expect to be at the surgery center or hospital.
- Activity restrictions. Your doctor will likely ask you to avoid any strenuous activity, such as heavy lifting, for three to five days. Don't have sex until your doctor says it's OK. Most men can resume sexual activity after a few weeks.
- Bowel prep. You may be given an enema kit, which is used to clear your bowels and rectum at home, the morning of surgery. Shortly before your treatment, you will be asked to urinate so that your bladder is empty.
- 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.
- 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 11, 2013.
- 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.