Post-Laser Prostate Surgery: What to Expect - Urology

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Prostate laser surgery


Is it normal to experience difficulty urinating, lower abdominal discomfort, and only being able to urinate a small amount two weeks after undergoing laser surgery for the prostate?

Wu, 60~69 year old female. Ask Date: 2017/06/02

Dr. Du Shixi reply Urology


Hello: If it has been two weeks and you do not feel any improvement, you should return for a follow-up appointment.
It is recommended that you keep a record of your urine output and the times of urination for the physician's reference.

Reply Date: 2017/06/02

More Info


After undergoing laser prostate surgery, it is common for patients to experience a range of symptoms during the recovery period. Your concerns about urinary difficulties and discomfort in the lower abdomen are not uncommon, especially within the first few weeks post-surgery.

What to Expect After Laser Prostate Surgery
1. Urinary Symptoms:
- Frequency and Urgency: Many patients report increased frequency of urination and a sense of urgency. This can be due to inflammation or irritation of the bladder and urethra following the procedure.

- Weak Stream: A weak urinary stream is also common as the urinary tract heals. The surgical site may still be swollen, which can affect urine flow.

- Dysuria: Painful urination (dysuria) may occur, which can be a result of irritation from the surgery or the catheter used during the procedure.

2. Abdominal Discomfort:
- It is not unusual to feel some discomfort or pressure in the lower abdomen. This can be due to the healing process and the body adjusting after the removal of prostate tissue.

- If the discomfort is mild and gradually improving, it is generally considered part of the normal healing process.

3. Post-Operative Care:
- Hydration: Staying well-hydrated can help flush out the urinary system and may alleviate some symptoms. Aim to drink plenty of fluids unless otherwise directed by your physician.

- Avoiding Irritants: It’s advisable to avoid caffeine, alcohol, and spicy foods, as these can irritate the bladder and worsen urinary symptoms.

- Follow-Up Appointments: Regular follow-ups with your urologist are crucial. They can monitor your recovery and address any persistent or worsening symptoms.

4. When to Seek Help:
- If you experience severe pain, fever, blood in your urine, or if your symptoms worsen instead of improving, it is important to contact your healthcare provider immediately. These could be signs of complications such as infection or bleeding.


Recovery Timeline
- First Few Weeks: Expect some discomfort, changes in urination patterns, and possibly some blood in the urine (hematuria) that should gradually decrease.

- 1-3 Months Post-Surgery: Many patients notice significant improvement in urinary symptoms. However, some may continue to experience mild symptoms for several months as the body fully heals.


Conclusion
In summary, while your symptoms of difficulty urinating and lower abdominal discomfort are common after laser prostate surgery, it is essential to maintain open communication with your healthcare provider. They can provide personalized advice and reassurance based on your specific situation. Remember, recovery can vary significantly from person to person, and patience is key as your body heals. If you have any concerns or if your symptoms persist beyond the expected recovery period, do not hesitate to reach out for further evaluation and support.

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