Post-Operative Instructions

Surgical Site

  • There may be one or more small (1cm) incisions on the flank. Bloody drainage from the incision is expected and not cause for alarm. Dressings may be changed as needed. All stitches will dissolve on their own. Significant bruising may occur over the flank.
  • You can shower approximately 48 hours after your surgery but avoid scrubbing the surgical site. Do not submerge underwater for 2 weeks (no bathtub or swimming pool).

Diet and Activity

  • You may return to your normal diet and light activity, as tolerated, after surgery but avoid driving while on narcotic pain medications.
  • Please avoid any heavy lifting more than 10 lbs or strenuous physical activities altogether for 2 weeks and then ease back into your regular activity.
  • Staying well hydrated is recommended to help dilute the urine and flush away any potential debris or residual bleeding.

Medications

  • You will receive a prescription for a narcotic pain pill to use in addition to extra strength Tylenol (acetaminophen). Narcotics can cause constipation so use over-the-counter stool softeners as needed.
  • Additional medications may include Flomax (tamsulosin) nightly and Ditropan (oxybutynin) as needed for stent discomfort causing lower abdominal cramping and bladder spasms. Pyridium (phenazopyridine) as needed may be recommended for urinary burning though please note this medication results in bright orange urine that might stain clothing.
  • Please avoid any Aspirin, Advil, Motrin, Aleve, ibuprofen, or any other blood thinners after the procedure for at least five days.

Problems you should report

  • Fevers > 101.
  • Any pain not controlled by oral medication.
  • Uncontrolled nausea or vomiting.
  • Persistent burning with urination.
  • Inability to urinate.
  • Thick blood in the urine (similar to dark fruit punch or tomato juice).
  • Any concerns or problems, please contact us at (717) 393-1771 anytime.

Follow-up

You should be scheduled for a post-operative appointment and internal stent removal about 2-4 weeks after your surgery. Please call (717) 393-1771 to confirm time and location.