After-effects of radical prostatectomy

The pattern differs between people and may change as tissues heal. Your surgical team can explain which effects fit the operation you had and offer rehabilitation for bladder control and sexual function.

A urinary catheter is commonly left in place while the connection between the bladder and urethra heals. Leakage can occur after it is removed, especially with coughing, standing or lifting. Pelvic discomfort, bruising, constipation and low energy can accompany early healing.

Nerves and blood vessels involved in erections lie close to the prostate. Erections may be weaker or absent after surgery, even when nerve-sparing was possible. Orgasm may still occur, but ejaculation is dry because the prostate and seminal vesicles no longer add fluid. Fertility is therefore affected.

Follow the catheter, wound, bathing, driving and lifting instructions supplied by your team. Gentle walking supports circulation and bowel movement; increase activity gradually. Drink as directed, use prescribed pain relief, and prevent straining with the bowel plan recommended for you.

Perform pelvic-floor exercises only with the technique and timing advised by a clinician, because repeatedly tightening the wrong muscles can be unhelpful. Record leakage, pain and urine changes. Discuss erection rehabilitation early; options can include tablets, vacuum devices, injections or specialist support, depending on your health and goals.

Contact the surgical team promptly for fever, worsening wound redness, pus, increasing pelvic pain, persistent vomiting, inability to pass urine after catheter removal, or a catheter that stops draining. New calf pain or swelling also needs urgent assessment.

Seek emergency help for chest pain, sudden shortness of breath, fainting, confusion or heavy bleeding. Do not pull, flush or reposition a blocked catheter unless your care team has specifically taught you how.

Ask when the catheter should come out, which pelvic-floor technique suits you, what activity restrictions remain, and when driving or work is reasonable. You can also ask how the pathology result affects follow-up, when PSA testing begins, and which urinary or erection treatments are appropriate.