Prostate removal, or radical prostatectomy, is a major surgery often performed to treat prostate cancer. Recovery involves physical healing, managing side effects, and adapting to lifestyle changes. Here’s what you can expect in the weeks and months after the procedure.

The First Days After Surgery

• Hospital Stay: Most patients stay there for 1 – 2 days.
• Catheter Use: A urinary catheter will be placed to help drain your bladder. It usually remains in place for about 7 – 14 days.
• Discomfort and Fatigue: Mild pain, fatigue, and swelling around the surgical area are normal. Pain medication and light activity, such as walking, help with recovery.

Short-Term Side Effects

1. Urinary Incontinence:
   Leakage is expected in the early weeks post-surgery due to tissue recovery and weakened pelvic floor muscles. This typically improves over time with pelvic floor exercises.
2. Erectile Dysfunction (ED):
   Erectile function is often affected, especially if nerves are impacted. Recovery may take 9–24 months, depending on individual factors and whether nerve-sparing techniques were used.
3. Bowel Function Changes:
   Mild bowel irregularities, such as constipation or diarrhea, may occur temporarily.

Long-Term Recovery

• Urinary Control:
  Most men regain significant bladder control within 6–12 months. Persistent leakage can often be addressed with treatments like pelvic floor therapy or surgical options.
• Sexual Function:
  While orgasms are still possible post-surgery, they will be “dry” (without ejaculation). Medications, devices, or penile rehabilitation programs may aid in erectile recovery.
• Physical Activity:
  Avoid strenuous activities for 4–6 weeks. Gradually reintroduce exercise as advised by your surgeon.

Emotional and Psychological Effects

The physical and emotional impact of prostate surgery can be challenging. Feelings of anxiety or frustration are common. Counselling and support groups can be invaluable for coping and rebuilding confidence.

Key Tips for a Smooth Recovery

1. Follow Medical Advice:
   Attend follow-up appointments and notify your doctor about unusual symptoms, like fever or excessive swelling.
2. Start Pelvic Floor Exercises:
   Pelvic floor exercises (AKA Kegel exercises) help restore bladder control and strengthen pelvic muscles.
3. Stay Active:
   Light activities like walking promote blood circulation and tissue healing.
4. Be Patient:
   Healing is gradual. Celebrate small milestones along the way.

Recovering from prostate removal requires time and effort, but with the right support and care, most men return to a fulfilling life.

For personalised guidance, always consult your healthcare provider.

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