How you prepare
By Mayo Clinic staffFollow your doctor's instructions on what to do before your treatment. Here are some things that you may need to do:
- Ask about blood-thinning medications. Your surgeon may ask you to stop taking medications that increase your risk of bleeding several days prior to the procedure. These include warfarin (Coumadin), clopidogrel (Plavix) and nonprescription pain relievers such as aspirin, ibuprofen (Advil, Motrin, others) and naproxen (Aleve, others). Talk to the doctor who prescribed you medication before you make any changes.
- Don't eat before surgery. Your doctor will likely ask that you 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.
- Arrange a ride home ahead of time. You won't be able to drive yourself home after the procedure.
- Arrange for time off work. You may not be able to work or do strenuous activity for several weeks after surgery. Ask your doctor how much recovery time you may need.
- You surgeon may ask you to do an enema prior to surgery. You may be given a kit and instructions for giving yourself an enema to clear your bowels the morning of surgery.
References
- Guideline on the management of benign prostatic hyperplasia (BPH). Linthicum, Md.: American Urological Association. http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines.cfm?sub=bph. Accessed Jan. 27, 2011.
- Han M. Retropubic and suprapubic open prostatectomy. In: Wein AJ, et al. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/128042617-3/0/1445/92.html?tocnode=54305512&fromURL=92.html. Accessed March 25, 2011.
- Thiel DD, et al. Electroresection and open surgery. Urologic Clinics of North America. 2009;36:461.
- Matlaga BR, et al. Surgery for benign prostatic hypertrophy. In: Graham SD, et al. Glenn's Urologic Surgery. 7th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2010:166.


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