Urinary Tract Infections and Prostate Surgery Recovery - Urology

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Urinary tract infection (UTI)


Hello, my father has benign prostatic hyperplasia and the doctor initially planned to insert a catheter and prepare for surgery.
However, during the catheter change, he developed a fever due to a Pseudomonas aeruginosa infection and was hospitalized.
Is it necessary for him to be discharged for at least two weeks before the surgery can be performed?

Zhiqi, 40~49 year old female. Ask Date: 2014/07/31

Dr. Liu Jiaju reply Urology


Surgery for benign prostatic hyperplasia should be performed after infection control has stabilized to avoid the risk of postoperative sepsis.
As for the appropriate interval before surgery, it is advisable to have a detailed discussion and assessment with the attending physician.

Reply Date: 2014/07/31

More Info


Urinary tract infections (UTIs) can be a significant concern, especially in patients who have undergone procedures related to the prostate, such as catheterization or surgery for benign prostatic hyperplasia (BPH). In your father's case, the presence of Pseudomonas aeruginosa, a common and often resistant bacterium, indicates a serious infection that requires careful management.

When a patient develops a UTI after catheterization, it is essential to address the infection before proceeding with any planned surgical interventions. The timing of surgery following a UTI can vary based on several factors, including the severity of the infection, the patient's overall health, and the specific surgical procedure planned. Generally, it is advisable to wait until the infection has been adequately treated and the patient is symptom-free before proceeding with surgery. This is to minimize the risk of complications during and after the procedure.

In your father's situation, if he has been hospitalized due to the infection, the medical team will likely monitor his condition closely. They will assess his response to antibiotics and ensure that the infection is fully resolved. Once he is stable and free from fever and other signs of infection, the healthcare provider will determine the appropriate timing for surgery. While a two-week waiting period is common, it may be adjusted based on individual circumstances.

In terms of self-care and prevention of future UTIs, here are several recommendations:
1. Hydration: Encourage your father to drink plenty of fluids, particularly water. This helps dilute urine and flush out bacteria from the urinary tract.

2. Hygiene: Proper hygiene is crucial, especially after using the bathroom. Wiping from front to back can help prevent bacteria from the anal region from entering the urethra.

3. Avoid Irritants: Certain products, such as scented soaps, bubble baths, and feminine hygiene sprays, can irritate the urinary tract. It's best to avoid these.

4. Regular Urination: Encourage him not to hold urine for extended periods. Regular urination helps clear bacteria from the urinary tract.

5. Cranberry Products: Some studies suggest that cranberry juice or supplements may help prevent UTIs, although they should not replace medical treatment.

6. Follow-up Care: After discharge, ensure that your father has follow-up appointments with his healthcare provider to monitor his recovery and discuss any ongoing symptoms.

7. Antibiotic Prophylaxis: In some cases, doctors may prescribe a low dose of antibiotics for a period after surgery to prevent recurrent infections, especially if the patient has a history of frequent UTIs.

In conclusion, while the timing of your father's surgery will depend on the resolution of the infection, it is crucial to follow the guidance of his healthcare team. They will provide the best recommendations based on his specific health status and recovery progress. If there are any concerns about his symptoms or recovery, do not hesitate to reach out to his healthcare provider for further evaluation and guidance.

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