Undergoing a robotic prostatectomy is a major surgical procedure, and understanding the recovery process is key to managing your expectations and ensuring a smooth recovery. This guide outlines what you can typically expect during the first month after surgery.

Immediate Postoperative Period (First Few Days)

1. Hospital Stay
   • Duration: Most patients remain in the hospital for 1-2 days following a robotic prostatectomy.
   • Monitoring: During your stay, medical staff will closely monitor your vital signs, pain levels, and overall recovery from anesthesia.
2. Pain Management
   • Medication: Pain is usually managed with oral pain medications. Many patients experience mild to moderate pain that tends to improve within a few days.
   • Discomfort: It’s normal to feel some discomfort around the incision sites and in the abdominal area.
3. Urinary Catheter
   • Foley Catheter: A Foley catheter will be inserted during surgery to help drain urine from the bladder.
   • Duration: The catheter typically remains in place for 7-10 days. You will receive instructions on how to care for it at home.
4. Activity
   • Early Ambulation: You will be encouraged to walk as soon as possible to prevent blood clots and promote healing.
   • Restrictions: Avoid heavy lifting, strenuous activity, and driving until your doctor clears you.

First Week at Home

1. Catheter Care
   • Hygiene: Keep the catheter and surrounding area clean to prevent infection.
   • Irritation: Mild irritation around the catheter site is common. Report any severe pain or signs of infection to your doctor immediately.
2. Pain and Discomfort
   • Medication: Continue taking prescribed pain medications as needed.
   • Incision Care: Follow your doctor’s instructions for keeping the incision sites clean and dry. Watch for any signs of infection, such as redness, swelling, or discharge.
3. Diet and Hydration
   • Diet: Start with a light diet and gradually return to your normal eating habits. Incorporate high-fiber foods to prevent constipation, as straining can affect your recovery.
   • Hydration: Drink plenty of fluids to stay hydrated and support your body’s healing process.

Weeks 2-4: Gradual Recovery

1. Follow-Up Appointment
   • Catheter Removal: Usually, around 7-10 days after surgery, you will have a follow-up appointment to remove the catheter.
   • Check-Up: Your doctor will examine the incision sites and discuss your progress.
2. Physical Activity
   • Increase Activity Gradually: Slowly increase your level of activity based on how you feel. Light walking is highly encouraged.
   • Avoid Strain: Continue to avoid heavy lifting and strenuous activities. Follow your doctor’s advice on when you can resume normal activities, including work and exercise.
3. Managing Side Effects
   • Urinary Control: Some urinary incontinence or leakage may occur after the catheter is removed. This typically improves over time, and performing pelvic floor exercises (Kegels) can help strengthen the muscles.
   • Sexual Function: Erectile dysfunction is a common temporary side effect after surgery. Recovery may take several months, and your doctor may suggest medications or other therapies to assist.
4. Emotional Well-Being
   • Support: It’s normal to experience a range of emotions after surgery. Support from family, friends, and healthcare providers can be invaluable. Consider joining a support group or seeking counseling if needed.

Key Points to Remember

• Follow Medical Advice: Adhere to all post-operative instructions provided by your healthcare team.
• Monitor Recovery: Keep track of any new symptoms or concerns and communicate them to your doctor promptly.
• Patience is Crucial: Recovery is a gradual process. While most patients feel significantly better by the end of the first month, full recovery can take several months.

Conclusion

The first month after a robotic prostatectomy involves a combination of at-home recovery and medical follow-up. By following your doctor’s instructions and taking care of yourself, you can expect gradual improvements in pain, urinary control, and overall well-being. Staying informed about what to expect and being proactive in your recovery can help you navigate this period more comfortably and effectively.