Brachytherapy: Post Operative Instructions
Volume Study
- You may resume normal activity as soon as you are comfortable. If you received intravenous sedation, wait 24 hours until you undertake normal activities.
- Some burning on urination is expected. Occasionally some blood will be seen in the urine.
- There are no dietary or alcohol restrictions, unless you have received sedation. In that case, do not consume alcohol for 24 hours.
Implant
- Discomfort in the perineum as well as discoloration and some swelling is expected. Occasionally, the discoloration will extend onto the shaft of the penis.
- For the first 24 hours after the implant apply an ice pack to the perineum, for 20 minutes of each waking hour. You need not purchase a special ice bag. A plastic bag containing ice, wrapped in a towel will suffice.
- You will be provided with prescriptions for an antibiotic, and a narcotic analgesic. Unless otherwise advised, finish the antibiotic. You should use the pain medication as needed. In many instances, your doctor will advise you on the use of a non steroidal anti inflammatory medication (ibuprofen or naproxen sodium) to help decrease the inflammation caused by the implant. Stay on a stool softener for at least 2-3 weeks following the procedure.
- You should already have a prescription for an alpha blocker (Flomax, or Uroxatral). Do not stop this medication unless instructed otherwise. In some instances, you will be advised to increase the dosage for a short while.
- On the day of the implant eat light. Avoid alcohol for 24 hours after the procedure.
- In most cases normal activity can be resumed in 24-48 hours after the implant.
- If you are discharged with an indwelling foley catheter, your physician will instruct you on the timing and means of its removal.
- Burning on urination, as well as urinary frequency and urgency are the rule, rather than the exception after the implant. Resolution of these symptoms may take days or even weeks. In most instances, steady improvement will be noted.
- You should have received an appointment with your Urologist for 2 weeks following the procedure. You should see the Radiation Oncologist in 1 month.
- Should you have a temperature of over 101˚ F, or be unable to urinate phone your physician, or go to the nearest emergency room, and have them page the physician on call.