The husbands of 2 different friends--both men are only 50--are having radical prostatectomies next month.
I know the operation, but I don't know much about post-op care these days.
When I was in nursing school
--graduated in '81-- both TURP and radical prostatectomy patients went to med-surg post-op with 3 way Foleys, hooked to continuous irrigation to continually wash out clots so that urine flow would not be obstructed. You could also irrigate manually if urine was obstructed by a particularly stubborn clot. Is that still the case, or do they come back now with regular 2-way Foleys (no continuous irrigation?)
Also, like other post-op patients who are at risk for DVT, are they encouraged to ambulate ad lib, even several hours after surgery, as soon as they feel like doing so and have assistance? I know most of these patients these days have an epidural PCA, and most ORs where I have worked put both TEDS and SCDs on them intraop. Do you d'c the TEDS and/or SCDs once they are ambulatory?
I know they will get this info (hopefully) at their pre-op visits next month, but it's nice to be able to do whatever I can to lessen their wives' (my friends') anxiety if I can do so sooner.
Feb 6, '05
Thank you, all; this is very helpful. Yes, it seems to me now that it's the TURP patients who always get 3 way Foleys to irrigation--larger ones, with 30 cc. balloons--(often inflated to 45 cc.---)while the radical prostatectomy patients more often get just 16 or 18 2-way Foleys with the balloon inflated to 10-15 cc.--and no continuous irrigation, at least not routinely.
Last edit by stevierae on Feb 6, '05