What to Expect After Urologic Robotic Surgery

With da Vinci robotic surgery, you can expect excellent outcomes as well as:

  • Faster recovery
  • Shorter hospital stay
  • Quicker return to daily activities
  • Less pain
  • Smaller scars
  • Less blood loss
  • Lower risk of unwanted side effects

For men having robotic prostatectomy, there is also:

  • A reduced risk of incontinence and impotence
  • An early return of urinary control and sexual function
  • A short period of catheterization

Click here for information on Sex After Prostate Removal

Recovery

Most patients are back to their usual activities in 2-4 weeks.  Increased urination is normal. There are exercises that can be done to speed up the return of normal urination.

After Surgery

  • Most patients spend about 1-2 hours in the post-surgical recovery unit. If an overnight stay is needed, they are transferred to our post-operative floor. We wil let your family know by pager when they can see you.
  • Most patients start walking within 4 hours of surgery with help from our nurses.
  • At Loma Linda, urologic robotic surgery patients often leave the hospital the next day after surgery. Our team will meet with you in the morning to see when you can go home.
  • Patients often feel mild to moderate bloating  due to the medications used during surgery. Anti-gas medications and walking will help.
  • On discharge, you will go home with a prescription for medications. If you have a problem with these medicines, please call our office.
  • We will tell you when to return for a postoperative check up when you are discharged. These are usually 1-2 weeks after surgery.

At Home

  • Try to stay active. You may have some discomfort or feel tired, but walking slowly wil help you recover.
  • Eat a healthy diet and drink lots of water to speed healing.
  • Try to get plenty of sleep each night.
  • Many patients stop taking pain medications in the first week after surgery, but taking them before bedtime can help keep you comfortable.
  • Do not strain or lift anything over 20 pounds.
  • You can drive in the first few days after surgery if you are not taking narcotic pain medications.
  • Most patients can return to work in about 2 weeks. If your work involves heavy lifting or other strenuous activity, it is best to wait 6 weeks.
  • In general, post surgical discomfort, nausea, and bloating should decrease each day. If pain worsens or becomes severe, fever develops, or bleeding from the incisions is noted, please call our office right away. If it is after hours the hospital operator can page a member of our on-call team.

Aftercare

  • Your first follow-up visit will be within four to seven days after robotic surgery
  • Take your medicines, as directed
  • Keep all appointments
  • Abstain from sexual activity for four weeks after your urologic surgery whether it be prostate, kidney or bladder.

Exercise

When you get home, try walking every hour for at least 10 minutes. Within a week,  slowly increase the time you are walking.  By 6 weeks, you should be up to 3 or more miles a day

At first, walking outside is best. Don’t return to the treadmill for a few weeks. Also, biking, motorcycling, horseback riding, yard/field equipment are not recommended for six weeks.