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 pain medicine. 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) 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, Rapaflo 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 lightly. 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 a urinary catheter, the recovery room nurses will instruct you on the timing and means of its removal.
  • Burning on urination, rectal irritation, as well as urinary frequency and urgency are the rule, rather than the exception after the implant. Resolution of these symptoms usually occurs over a few months. 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, go to the Sibley or George Washington Emergency Room and have them call us. You may call our office to inform us that you are on your way to the Emergency Room, but please do not wait for a return call to go to the E.R.