Before the 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 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 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 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. 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 after the procedure.
- Activity restrictions. You may not be able to work or do strenuous activity for several weeks after surgery (typically three to six weeks). 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 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.
- Cunningham GR, et al. Surgical and other invasive therapies of benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed April 11, 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.
- Smith RD, et al. Transurethral resection of the prostate revisited and updated. Current Opinion in Urology. 2011;21:36.
- Preparing for your operation and recovery. American College of Surgeons. http://www.facs.org/patienteducation/surgery.html. Accessed April 11, 2013.
- 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.
- AskMayoExpert. Benign prostatic hyperplasia. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Update on AUA guideline on the management of benign prostatic hyperplasia. Journal of Urology. 2011;185:1793.