What happens after radical prostatectomy

The prostate and seminal vesicles have been removed, and the bladder has been reconnected to the urethra. Protecting that join is the early priority; later appointments focus on cancer findings, urinary control, sexual recovery and whether any additional therapy warrants consideration.

A pathologist examines the prostate to describe the tumour grade, its extent and the surgical margins. These findings refine the postoperative picture but do not replace PSA monitoring. Because prostate tissue has been removed, PSA is expected to become very low; the care team interprets the laboratory result and any later pattern.

Urine leakage often follows catheter removal because the bladder outlet and pelvic-floor system must adapt. Erections can take longer to recover, particularly when cancer location or anatomy limits nerve preservation. After this operation, orgasm is dry and natural conception through intercourse is no longer possible, although sexual sensation and intimacy can remain.

Before catheter removal, check that urine continues to flow into the bag and secure the tubing to avoid traction. Follow the prescribed plan for wounds, pain relief and clot prevention. Short walks support circulation and bowel function, while lifting and vigorous exercise remain limited until cleared.

Once the catheter is out, use pads as needed and practise pelvic-floor contractions with professional guidance. Avoid reducing fluids simply to hide leakage unless a clinician has advised restriction. Discuss erection rehabilitation at follow-up; the plan may include medicine, a vacuum device, injections or referral, depending on your goals and medical suitability.

Keep copies of the pathology summary and PSA results. Knowing when the next blood test is due helps prevent a gap in surveillance if your care moves between hospitals or clinicians.

Obtain urgent advice if urine stops draining through the catheter, the catheter comes out, lower abdominal pressure increases, or you cannot urinate after catheter removal. Fever, chills, spreading wound redness, cloudy drainage, worsening pain or heavy blood loss also need rapid clinical assessment.

Sudden chest pain, difficulty breathing, fainting, or one-sided painful leg swelling requires emergency care. Report persistent calf tenderness, increasing scrotal swelling, or constipation that continues despite the discharge bowel plan before these problems become severe.

Request a plain-language explanation of the grade, stage and margin findings, then ask when PSA should reach its expected postoperative level. Discuss what would trigger closer testing or radiotherapy, which continence milestones merit referral, and when your sexual-recovery plan should begin or change.