Guide to (pre-) inpatient

Dear patient,

We warmly welcome you to the Vivantes-Humboldt-Klinikum. The process of (pre) inpatient admission is presented below.

In order to ensure an uncomplicated recording process, we ask you to go through the individual recording stations in a predetermined order. You will find the individual stations below.

Pre-inpatient admission

1. Administrative admission

Starting the admission it is necessary that you first introduce yourself to the administrative admission. Your master data, your insurance status and your briefing are registered here. The administrative reception offices are located on the ground floor immediately to the left at the main entrance.

In order to simplify the process, please bring previous reports and a list of your medication and, if possible, the IEEF and IPSS forms with you. If you have a private or an additional insurance and you are going to accommodated in our comfort ward, the administrative admission takes place on this ward (ward AB or CD); To do this, please report at the counter of the ward management.

2. Medical admission

The second stage is the medical admission. Your medical history, the reason for admission, your medication, etc. will be taken and the indication for surgery will be checked.

The medical admission takes place at the urological ward 06.

3. Anaesthesiological recording

After the medical admission is complete, you will meet the anesthetist. Anesthesiological admission takes place in the outpatient center (AOZ) on the upper floor near the main entrance.

Unless otherwise agreed, you can leave the clinic after this examination has been completed.

Please be aware of prolonged waiting time during the admission process. We try to keep this as low as possible and ask for your understanding. We are at your disposal for suggestions or questions about the admission process.

 

Procedure of the inpatient stay

You will be admitted to hospital for 3-4 days. The indwelling catheter, which is inserted under anesthesia after the operation, is usually removed after 2 days. If you develop a fever or if the bleeding is delayed, the indwelling catheter will not be removed until the situations resolves. Newly formed blood clots may have to be flushed out through the catheter.

After removing the catheter, you may experience a burning sensation and a rapid urge to urinate, so that you cannot hold the urine - this will pass.

On the day of discharge, you will be asked to measure your urine flow. This means you have to wait until you feel the next urge to urinate, then report to the nurse and micturate into a funnel. The urine volume and speed are measured and thus provide an indication of the success of the operation. After the measurement, the remaining urine in the bladder is measured with the ultrasound. If everything is okay, you will be discharged with a preliminary report.

Particularities / Rules of conduct after discharge

The surgery leads to a wound in the prostate. Mechanical stress on the perineum (e.g. cycling, riding or sitting on a hard surface) as well as increased blood flow (e.g. due to hot full baths) lead to bleeding and delayed wound healing.

In order to ensure rapid healing, certain rules of behavior must be observed within the following 4 - 6 weeks after discharge:

  • Drinking volume 2-3 liters per day, provided there are no contraindications (heart or kidney failure)
  • No hot full baths, no sauna sessions
  • A balanced diet to avoid solid stool
  • No sexual intercourse
  • No cycling, no riding, no heavy lifting, no heavy physical work
  • Loosening scabs can lead to bleeding, if this persists, please contact your urologist or us
  • The annual cancer screening is still required because part of the prostate (the capsule) has not been removed
  • If you have any complaints, please contact your urologist or us

Delayed wound healing can lead to a sudden urge to urinate and possibly painful micturition for up to 4 - 6 months.

As a result of the operation, the semen is first released into the bladder during ejaculation and excreted with the next urination. It is the so-called dry ejaculation. This phenomenon does not mean that you are sterile!