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Table of Contents
Section I: Dr. Randy Fagin
Why Choose Dr. Fagin for Your daVinci Surgery
Dr. Fagin’s International Recognition
Your daVinci Team
Intuitive Surgical Letter
Dr. Fagin’s Resume
Section II: Davinci Robotic Surgery
Overview of daVinci Robotic Prostate Surgery
The A.R.T. of Prostate Cancer Surgery
Frequently Asked Questions
Information for Making your Decision
Section III: Before and After Surgery
Pre-Operative Instructions
Post-Operative Instructions
Caring for your Foley catheter
Urinary Control Rehab Program
Sexual Function after daVinci Surgery
Erectile Rehabilitation Program
Section IV: Accommodations
Out-of-Town Guests
Concierge daVinci Experience
Section V: Misc.
Prescriptions
   
 
POST-OPERATIVE INSTRUCTIONS
 
“What to expect after your surgery”
(AFTER YOUR SURGERY)
DIET:
Eat clear liquids such as jello, broth, or juices (no soda or carbonated beverages) until you are regularly passing gas without difficulty or until you have a good bowel movement. You may then resume a regular diet. Avoiding gas-producing foods, such as beans and broccoli is still recommended.
 
ACTIVITY LEVEL:
It is good for you to walk around.
Do not sit in one place for long periods of time
 
When you do sit you may benefit from sitting on a donut shaped pillow since the area Dr. Fagin worked on is right where you sit.
Absolutely no biking, motorcycling, or horseback riding for 4 weeks.
You can do as much walking and stair climbing as you can tolerate.
You may take a shower 48 hours after surgery. No tub baths, swimming or hot tubs for four weeks after surgery.
Do not drive while taking pain medications.
 
SKIN INTEGRITY:
You will have 5 port sites (small incisions that Dr. Fagin performs the surgery through) that will have steri-strips (small pieces of tape) and Band-Aids over them.
Band-Aids may come off in 48 hours. Steri-strips may also come off as early as 48 hours post-surgery or they may stay in place until you are seen in clinic.
Once your dressings are off, it is not uncommon to have a very small amount of drainage from where your dressings were. There are no staples or stitches to be taken out.
It is normal to have some bruising of the skin on your abdominal wall. This can develop anywhere from 1-5 days out from surgery. Although it can look scary it is rarely anything to worry about and resolves in a few weeks.
 
URINARY CATHETER (also called a Foley catheter):
During surgery you will have a urinary catheter placed in your bladder. A urinary catheter is a tube carrying urine from your bladder to the outside of your body into a bag. This urinary catheter will stay in place for about 8 days to aid in the initial healing process where the bladder was sewn to the urethra
There is a balloon on the end of the catheter that prevents it from falling out of the penis. At home, the catheter should drain into a large bag. When you want to go out, you can wear a smaller bag under your pant leg. A separate information sheet in this packet details the care of this catheter.
Putting antibiotic ointment (ie. Neosporin) on the tip of your penis a few times a day while the catheter is in place can help to reduce the discomfort at the tip of the penis that some patients experience.
It is normal to have urine leak around the catheter as well as through it so be sure to wear pads in your underwear even with the catheter in place
It is also normal, especially as you become more active, to have so blood in the urine. If you see blood in the urine be sure to hydrate yourself well to flush any clots out.
 
CLOTHING:
After surgery, your abdomen may be bloated and it will be difficult to fit into your regular button pants. It is recommended that you wear pants with elastic waist for comfort.
 
  
 
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