After Robotic Prostate Surgery: Which Symptoms Are Normal and When to Call Your Urology Team

Key Takeaways
- Shoulder-tip pain in the first day or two after robotic prostatectomy is usually trapped carbon dioxide from the operation irritating a nerve shared with the shoulder, not a heart or lung problem.
- The catheter typically stays in for about 1–3 weeks to splint the new join between bladder and urethra; if it stops draining for around two hours or falls out, that is a same-day call.
- Pink urine you can read print through is expected healing; opaque red urine, or clots that slow the flow, is the pattern that needs a phone call.
- Swelling, heat or pain in one calf compared with the other, or any chest pain or sudden breathlessness, points to a blood clot and should be treated as an emergency rather than a clinic question.
- Urinary leakage after catheter removal is the norm and usually improves over several months, with gains continuing up to a year, so early leakage is not a sign the operation failed.
- Nerve recovery governing erections can continue for up to two years after nerve-sparing surgery, and the first PSA test is usually taken around 6–8 weeks after the operation.
After robotic prostate surgery, pink or light red urine, mild bladder spasms, catheter tugging discomfort, bloating, shoulder-tip pain from surgical gas and temporary urine leakage are usually part of normal healing. Call your urology team promptly for fever, urine that turns thick red or stops draining, a swollen or painful calf, chest pain, breathlessness, spreading redness at an incision, or vomiting that prevents fluids.
The third night home is often the hardest. The hospital bed with its call button is gone, the catheter bag hangs from the side of your own bed, and at 2 a.m. the urine in the tube looks a shade darker than it did at dinner. Is that fine? Is that the thing the nurse warned about? You do not want to phone anyone for nothing, and you also do not want to be the person who waited.
Most people leaving a robotic prostatectomy have been handed a printed sheet of robotic prostate surgery warning signs. Almost nobody reads it in the recovery room. This article is the longer, calmer version of that sheet: what the body is actually doing while it heals, which sensations are expected, and which handful of changes deserve a same-day call.
The aim is not to make you anxious. It is to make you accurate, so you can rest when resting is right and act when acting matters.
How robotic prostate surgery works, and why the first days feel the way they do
A radical prostatectomy is an operation that removes the entire prostate gland along with the seminal vesicles, the small glands that store part of the fluid in semen. In the robotic version, the surgeon sits at a console and controls slender instruments passed through five or six small abdominal cuts, watching a magnified three-dimensional view. The robot does not act on its own; every movement is the surgeon’s hand, scaled down and steadied (Mayo Clinic).
Two steps in that operation explain most of what you feel afterward. First, the abdomen is inflated with carbon dioxide so the surgeon has room to work. Some of that gas lingers under the diaphragm for a day or two and irritates a nerve that shares a pathway with the shoulder, which is why an ache at the tip of the shoulder is common and puzzling.
Second, once the prostate is out, the bladder neck must be sewn to the urethra, the tube that carries urine out of the body. That join is called the anastomosis. A catheter, a soft tube left in the bladder, acts as a splint across the join while it seals. It drains urine continuously so the new stitches are never stretched by a full bladder (MedlinePlus).
Understanding those two facts reframes the early symptoms. Bloating and shoulder pain are gas, not damage. Pink urine is the raw internal join weeping a little, not a hemorrhage. Bladder spasms, a sudden cramping urge to void with a catheter already in place, are the bladder objecting to a foreign tube. Each is uncomfortable. None, on its own, is a warning sign.
Who is usually offered robotic prostatectomy, and who is usually asked to wait
Surgery is one of several ways to treat prostate cancer that has not spread beyond the gland, alongside external radiotherapy, brachytherapy (radioactive seeds placed inside the prostate) and, for many people, no immediate treatment at all. Guideline bodies in the United Kingdom and the United States describe robotic and open prostatectomy as equally valid approaches; the choice often rests on surgeon experience and local availability rather than a proven difference in cancer control (NHS).

People who tend to be offered the operation share a few features: cancer judged to be confined to the prostate on imaging and biopsy, a life expectancy long enough to benefit from removing it, and general health that tolerates a general anesthetic lasting several hours.
A second group is usually asked to wait, and waiting is not neglect. Active surveillance means monitoring a low-risk cancer with regular PSA blood tests, MRI scans and repeat biopsies, treating only if it shows signs of progressing. Many small, slow-growing prostate cancers never cause harm within a person’s lifetime, and treating them early exposes someone to the side effects of surgery without a clear gain (NHS, Mayo Clinic).
A third group may be steered toward radiotherapy or hormone-based treatment instead: people whose cancer has clearly grown through the prostate capsule, whose heart or lung condition makes surgery unsafe, or whose previous abdominal operations have left dense scarring.
Which group you fall into is a conversation, not a formula. The multidisciplinary team, meaning the urologist, oncologist, radiologist and pathologist reviewing your case together, weighs the scan findings, biopsy grade and your own priorities. Their recommendation, and your decision, should come out of that discussion.
Robotic prostate surgery warning signs versus normal healing: a side-by-side table
Recovery advice tends to arrive as two separate lists, one reassuring and one alarming. Placing them next to each other is more useful, because most real-world worries sit right on the border between the two.
| Body system | Usually part of normal healing | Call your urology team |
|---|---|---|
| Urine and catheter | Pink or light red urine, small clots, brief bladder spasms, leakage around the tube when straining | Urine thick red like wine, no drainage for 2 hours despite drinking, catheter falls out, severe lower abdominal pain |
| Temperature | Feeling warm the first evening, chills that pass with a blanket | Fever at or above the threshold your team gave you, shaking chills, feeling suddenly very unwell |
| Incisions | Bruising, mild redness at the edges, small amount of clear or blood-tinged fluid | Spreading redness, pus, foul smell, a wound that opens or bulges |
| Abdomen | Bloating, shoulder-tip pain, constipation for several days | Rigid or swelling belly, repeated vomiting, no bowel movement plus pain and vomiting |
| Legs and chest | Mild ankle puffiness after sitting | One calf swollen, hot or painful; chest pain; sudden breathlessness; coughing blood |
| Scrotum | Some swelling and bruising that settles over 1–2 weeks | Rapidly enlarging, tense or extremely painful swelling |
The table reflects discharge guidance published by MedlinePlus and Mayo Clinic, condensed. Two patterns run through the right-hand column. Anything that is getting worse hour by hour belongs there, even if it started mild. So does anything affecting the chest or a single leg, because those point to a blood clot rather than to the pelvis at all.
Keep the table near the phone. It will not replace your team’s own instructions, which may set stricter thresholds, but it will make the call easier to start.
What does a normal robotic prostatectomy recovery timeline look like?
Recovery has an outer layer and an inner one, and they run on different clocks.

The outer layer is quick. Most people go home within a day or two of a robotic prostatectomy, walk the same evening as surgery, and are moving around the house comfortably within the first week (Mayo Clinic). The catheter typically stays in for roughly 1–3 weeks, and its removal is a short clinic visit that many people describe as odd rather than painful (MedlinePlus). Driving usually waits until the catheter is out and you are off strong pain relief. Desk work often resumes within a few weeks; physically demanding jobs and heavy lifting wait longer, commonly around 4–6 weeks, because straining raises pressure on the healing bladder join (MedlinePlus).
The inner layer is slower and invisible. The anastomosis, that ring of stitches joining bladder to urethra, gains strength over the first weeks, which is why some teams check it with a contrast X-ray before pulling the catheter. Lymph fluid can pool in the pelvis where lymph nodes were removed, forming a collection called a lymphocele; most are small and reabsorb on their own, while a few grow large enough to press on the bladder or a vein and need drainage (Cleveland Clinic).
The first PSA blood test is usually taken around 6–8 weeks after surgery, once any PSA from the removed gland has cleared from the bloodstream (MedlinePlus). Continence and erections follow their own months-long timelines, covered below.
So when someone asks how long it takes to heal inside, the honest answer is layered: the join seals in weeks, the deep tissues settle over a few months, and the nerve recovery that governs erections can continue for up to two years (Mayo Clinic). None of those are promises, only typical ranges.
Is blood in urine after prostate surgery normal?
A little, yes. The surgeon has just cut across a gland with a rich blood supply and sewn two tubes together in a place that never fully stops moving. Pink urine, occasional dark flecks and a few soft clots the size of a grain of rice or a lentil are expected in the first days, and they often come and go: clear in the morning, rosy after a walk, clear again by evening (MedlinePlus).
Two things tend to provoke a flare. One is activity, especially climbing stairs or lifting. The other is constipation, because straining on the toilet compresses the pelvis and can reopen tiny vessels. Neither means anything has torn; it means the join is being asked to do more than it is ready for.
The color to watch for is not pink but opaque red, the shade of red wine or cranberry juice, particularly if it persists through several catheter bag changes or arrives with clots large enough to slow the flow. Blood that thick can block the catheter, and a blocked catheter lets the bladder fill against fresh stitches. That combination, heavy red urine plus lower abdominal pressure plus little or no drainage, is a same-day call and possibly an emergency department visit (Mayo Clinic).
Drinking fluids steadily helps keep the urine dilute and the tube clear, unless your team has limited your intake for a heart or kidney reason. Bleeding can also recur once, briefly, around the second or third week when the internal scab over the join loosens; teams often warn about this because it looks dramatic and is usually short-lived.
If in doubt, hold the bag up to daylight. Can you read print through the urine? Pink you can see through is expected. Red you cannot see through is a phone call.
Catheter problems after prostatectomy: common annoyances versus real trouble
Nobody enjoys a catheter, and a surprising share of after-hours calls are about the tube rather than the surgery. Knowing which complaints are ordinary saves a lot of worry.
Bladder spasms are the commonest. The bladder senses the catheter balloon and contracts against it, producing a sudden cramping urge to urinate, sometimes with a squirt of urine around the outside of the tube. Spasms last seconds to a minute and pass. Your team may prescribe a medicine from the class that relaxes bladder muscle; whether you need one, and for how long, is their call (Cleveland Clinic).
Leakage around the catheter when you cough or stand is mechanical, not a failure. So is a small amount of blood or mucus at the tip of the penis where the tube enters; gentle daily washing with soap and water, and keeping the tube secured to the thigh so it does not tug, reduces irritation. A leg bag by day and a larger bag at night is the usual arrangement (MedlinePlus).
Real trouble looks different. If nothing has drained for two hours while you have been drinking normally, and your lower belly feels full or tight, the tube may be blocked by a clot or kinked under a leg. Check the tubing for kinks and that the bag sits below bladder level. If drainage does not restart quickly, call. If the catheter comes out entirely, do not attempt to reinsert it; this needs a clinician, sometimes within hours, because the bladder join must not be left unsplinted (Mayo Clinic).
Persistent pain that is deep in the pelvis rather than the sharp, brief spasm pattern is also worth reporting, as is cloudy, foul-smelling urine, which raises the question of infection.
Signs of infection after prostatectomy, and where infections usually start
Infection after a robotic prostatectomy is uncommon but not rare, and it tends to start in one of three places: the urinary tract while a catheter is in, the small skin incisions, or a fluid collection deep in the pelvis (Cleveland Clinic).
The catheter is the most frequent culprit. Bacteria track along any tube left in the bladder, which is one reason teams remove it as soon as the join is safe. Cloudy urine on its own does not prove infection; mucus and debris are normal. Cloudy urine together with a fever, a strong ammonia or foul smell, new burning, and feeling generally shaky or unwell is the pattern that matters. Teams sometimes send a urine sample for culture before and after catheter removal, and they may or may not treat a positive result depending on symptoms, because bacteria found on a catheter are not always causing harm.
Incision infections announce themselves at the skin. Redness confined to a narrow band along the cut in the first few days is normal inflammation. Redness that spreads outward daily, warmth you can feel with the back of your hand, thick yellow or green discharge, or an incision that reopens are the signs worth a same-day look (MedlinePlus). The belly-button port, where the prostate is often removed in a bag, is the most common site because it is the largest cut.
Deep infections are the least common and the hardest to spot. An infected lymphocele or blood collection may cause fever without any obvious source, pelvic pain that is getting worse rather than better, or difficulty sitting. Imaging usually settles the question.
The through-line is fever. A temperature at or above the threshold on your discharge sheet, particularly with chills or feeling unwell, is not something to sleep on; call that day, whatever the hour.
Leaking urine after the catheter comes out: what is expected and for how long
The first hour after the catheter is removed can be humbling. Many people leak on standing, on coughing, sometimes simply on walking to the car. This is stress incontinence, urine escaping when abdominal pressure rises, and it happens because the prostate and part of the internal valve mechanism that used to help hold urine back are gone. The remaining external sphincter, a ring of voluntary muscle, has to take over a job it previously shared (Johns Hopkins Medicine).
Expect to need pads. Expect the first week to be the worst. Most people notice steady improvement over the following weeks, and guidance from the NHS and Mayo Clinic describes recovery of bladder control for the majority within several months, with continued gains up to a year. A smaller number of people have longer-lasting leakage, and there are effective treatments, from supervised pelvic floor training to surgical options, that the team can discuss if leakage persists (NHS).
Several patterns are ordinary. Leaking more in the evening than in the morning, as the muscle tires. Leaking more after coffee or alcohol, which irritate the bladder. Dribbling a little after finishing at the toilet. Being dry lying down but wet on standing.
Pelvic floor exercises, sometimes called Kegels, involve tightening the muscles you would use to stop passing wind, holding, and releasing. Many teams recommend starting them before surgery and resuming once the catheter is out; a pelvic health physiotherapist can check you are contracting the right muscles rather than bearing down (Johns Hopkins Medicine).
What is not expected: being completely unable to pass urine after the catheter is removed, with a painfully full bladder. That is retention, and it needs same-day attention. Also uncommon is a stream that becomes thin and slow over weeks, which can signal scar tissue narrowing the join, a stricture, and deserves a report at follow-up.
Erections and the nerves: what nerve-sparing does and does not mean
Two bundles of nerves that control erections run along the outer surface of the prostate, a millimeter or two from the gland itself. Nerve-sparing surgery means the surgeon peels the prostate away from those bundles instead of removing them with it. Whether that is possible depends on where the cancer sits; if it presses against or through the capsule near a bundle, sparing the nerve risks leaving cancer behind, and the surgeon may remove one side, or both, deliberately (Mayo Clinic).
Even when both bundles are preserved, they are bruised, stretched and heat-affected during surgery. Nerves recover slowly. Erections are frequently absent or weak in the first months and may improve gradually over one to two years; age, erectile function before surgery and whether one or both bundles were spared all influence how far recovery goes (Mayo Clinic, Johns Hopkins Medicine). When the nerves have been removed on both sides, spontaneous erections are unlikely to return, though other approaches to sexual function remain available.
A few facts help set expectations. Orgasm is still possible after prostatectomy, but it will be dry, because the prostate and seminal vesicles that produce semen are gone; this also means natural conception is no longer possible, which is why sperm banking is discussed beforehand if fertility matters. Some people notice a small loss of penile length or a curve, linked to scarring and reduced blood flow during the recovery period. Some leak a little urine at climax, which often settles.
Medicines from the class that increases blood flow to the penis, vacuum devices and injectable options form what teams call penile rehabilitation, an effort to keep the tissue healthy while nerves recover. Whether to use any of these, and when, is a decision for you and your urologist. None of it is a warning sign; the only sexual symptom that needs prompt attention is an erection that will not subside after several hours, which is a medical emergency.
Blood clots, chest symptoms and breathing: the signs you never wait on
Most of this article is about the pelvis. This section is about the legs and lungs, because the most dangerous complication after any major pelvic operation does not announce itself where the surgery happened.
Deep vein thrombosis is a blood clot forming in a leg vein, usually the calf or thigh. Surgery raises the risk in three ways: lying still for hours, the body’s clotting system switching on after tissue injury, and pelvic vessels being handled directly during the operation. If a piece of that clot breaks off and travels to the lungs, it becomes a pulmonary embolism, which can be fatal (MedlinePlus).
The warning signs are specific. In a leg: swelling of one calf compared with the other, warmth, redness, and pain that feels like a cramp that does not release, particularly when the foot is flexed upward. In the chest: pain that is sharp and worse on breathing in, sudden shortness of breath out of proportion to what you are doing, a racing heart, light-headedness, or coughing up blood. Any chest sign is an emergency call, not a message to the clinic voicemail (Mayo Clinic).
Prevention is mostly ordinary. Walking several times a day from the first evening, even to the kitchen and back, keeps blood moving in the calves. Compression stockings and, for some people, a short course of a blood-thinning injection from the anticoagulant class are commonly used; whether you receive one, and for how long, depends on your team’s assessment of your individual clot risk. Staying hydrated helps. Long car journeys in the first weeks should include stops to walk.
Mild ankle puffiness in both legs after a day sitting is not a clot. One leg different from the other is the pattern to act on.
How risky is robotic prostate surgery, honestly?
The question people type into a search bar at midnight deserves a straight answer, and the straight answer is: it is a major operation with a low rate of serious complications and a high rate of temporary side effects.
Serious complications include significant bleeding requiring transfusion, injury to the rectum or ureters (the tubes from the kidneys), a leak at the bladder join, blood clots, and, very rarely, death. Each is uncommon, and the risk is lower in people who are otherwise fit and in the hands of a team that performs the operation regularly (Mayo Clinic, Cleveland Clinic). Precise percentages vary across studies and depend heavily on how complications are counted, which is why this article does not quote one; your surgeon should be able to share their own figures if you ask.
Side effects are a different category. Urinary leakage in the early months, erectile difficulty for a year or more, dry orgasm, small changes in penile length, a hernia at a port site later on, and narrowing of the bladder join are all recognized consequences of removing a prostate, robotic or otherwise. They are common enough that the NHS describes them as expected rather than exceptional (NHS).
When people ask about the worst side effects, they usually mean permanent incontinence and permanent loss of erections. Both happen. Both are less likely with nerve-sparing surgery in younger, fitter people with good function beforehand, and both have treatments. Neither is inevitable.
As for life expectancy after robotic prostate surgery: survival depends far more on the grade and stage of the cancer, and on your general health, than on the technique used to remove it. Many prostate cancers are slow-growing, and surgery is one of the tools used to treat those confined to the gland. Your oncology team can talk through what your own pathology report means; no article can do that responsibly.
What people often get wrong about robotic prostate surgery recovery
Some of the most persistent worries after surgery rest on ideas that sound sensible and are not.
“Robotic means it was a small operation.” The incisions are small. The operation inside is identical in scope to an open prostatectomy: the same gland removed, the same join sewn, the same nerves at risk. Recovery of continence and erections follows the same months-long timeline whichever approach is used (NHS).
“If I am leaking at three weeks, it has failed.” Leakage in the first months is the norm, not a verdict. Control typically returns over many months, and most gains happen well after the catheter is out (Mayo Clinic).
“Bloody urine means something has come apart.” Light bleeding that waxes and wanes for a couple of weeks reflects the healing join, not a leak. What matters is opaque red urine, clots that stop drainage, or bleeding that escalates.
“I should rest in bed until I feel normal.” Bed rest raises clot risk and slows bowel recovery. Short, frequent walks from day one are protective; heavy lifting is what to avoid (MedlinePlus).
“No erections at six months means they are gone for good.” Nerve recovery is slow and can continue for up to two years after nerve-sparing surgery (Mayo Clinic). Six months is early in that arc.
“A rising PSA after surgery is impossible because the prostate is gone.” PSA should fall to very low or undetectable levels, but a small number of people have a later rise from cells left behind. That is why follow-up tests continue for years, and why a single result is interpreted alongside the trend rather than alone (Johns Hopkins Medicine).
“Shoulder pain means a heart problem.” In the first two days after laparoscopic surgery, shoulder-tip pain is almost always trapped carbon dioxide. Chest pain, breathlessness or pain that persists beyond a few days is a different matter and should be reported.
Questions to ask your urology care team before you go home
The discharge conversation is short and you will be tired. Writing questions down beforehand, and handing the list to whoever is collecting you, turns a blur into a plan. These are the ones that tend to matter most in the first month.
- At what temperature do you want me to call, and which number do I use at night and at weekends?
- How long will my catheter stay in, and how will I know if it is blocked? What should I do if it falls out?
- What color of urine is acceptable, and what color means I should call?
- Were the nerves spared on one side, both, or neither? How does that change what I should expect?
- Were lymph nodes removed, and should I watch for pelvic swelling or leg swelling because of it?
- Do I need clot-prevention injections or stockings at home, and for how long? Who shows me how to use them?
- When can I drive, lift shopping, return to work and exercise? Which of those depends on the catheter coming out?
- When should I start pelvic floor exercises, and can I be referred to a pelvic health physiotherapist?
- When will my first PSA test be, and who will explain the result to me?
- What did the pathology report show about margins and grade, and does it change the plan for follow-up?
- If I want to discuss erectile recovery, when is the right time and with whom?
One more, often forgotten: ask who your named contact is. A recovery goes more smoothly when you know which nurse or coordinator answers routine questions, so the emergency line is kept for emergencies. Every answer you receive to these questions comes from the team that knows your case, and it overrides anything general you read here.
When to call your doctor: the robotic prostate surgery warning signs that should not wait
Everything above narrows to a short list. If any of the following appears, contact your urology team the same day, or use emergency services where indicated; do not wait for a scheduled follow-up (MedlinePlus, Mayo Clinic).
- Fever at or above the threshold on your discharge sheet, shaking chills, or feeling suddenly and markedly unwell.
- Catheter not draining for around two hours while you have been drinking, especially with a full, painful lower abdomen; or a catheter that has fallen out.
- Urine that turns opaque red, like wine, and stays that way, or clots that slow or stop the flow.
- Inability to pass urine after the catheter has been removed, with increasing bladder pain.
- One calf or thigh that becomes swollen, hot, red or painful compared with the other.
- Chest pain, sudden breathlessness, coughing blood, fainting: call emergency services immediately.
- An incision with spreading redness, pus, a foul smell, or edges that open or bulge.
- Repeated vomiting, an abdomen that is swelling or rigid, or no bowel movement combined with pain and vomiting.
- Pelvic or scrotal swelling that is enlarging quickly or becoming tense and very painful.
- An erection lasting several hours that will not subside.
Then there is the quieter category: symptoms that are not emergencies but should be mentioned at the next contact rather than filed away. A urine stream that grows thinner and slower over weeks. Leakage that is not improving at all by the third month. Pelvic pain that is worsening rather than easing. Low mood that is persistent, which is common after cancer surgery and treatable.
If you are unsure whether something belongs on this list, that uncertainty is itself a reason to call. Urology teams would rather hear about pink urine that turned out to be nothing than miss a blocked catheter at 3 a.m. The decision about what happens next, from a reassuring word to a same-night review, sits with them.
Frequently asked questions
How risky is robotic prostate surgery?
It is a major operation with a low rate of serious complications and a high rate of temporary side effects. Serious problems such as significant bleeding, injury to nearby organs, a leak at the bladder join or a blood clot are uncommon. Urinary leakage and erectile difficulty in the months afterward are common and often improve. Your surgeon can share their own complication figures, which are more meaningful than a general average.
How long does it take to heal inside after robotic prostate surgery?
The internal join between bladder and urethra gains strength over the first few weeks, which is why the catheter usually stays in for roughly 1–3 weeks. Deeper tissues and any pooled lymph fluid settle over a few months. Nerve recovery affecting erections is slowest and can continue for up to two years. These are typical ranges from published patient guidance, not guarantees for any individual.
What are the worst side effects of prostate surgery?
The two people fear most are lasting urinary incontinence and permanent loss of erections. Both can occur, both are less likely with nerve-sparing surgery in fitter people with good function beforehand, and both have established treatments. Other recognized effects include dry orgasm, loss of natural fertility, a small change in penile length and narrowing of the bladder join. Life-threatening complications such as pulmonary embolism are rare but are the reason for the warning signs in this article.
What is the life expectancy after robotic prostate surgery?
Life expectancy depends far more on the grade and stage of the cancer and on your overall health than on the surgical technique used. Many prostate cancers confined to the gland grow slowly, and surgery is one of the tools used to treat them. Your oncology team, working from your pathology report and PSA trend, is the only source that can discuss your outlook responsibly; general articles cannot.
Is blood in urine after prostate surgery normal?
Light pink or rosy urine, small soft clots and bleeding that comes and goes for a couple of weeks are expected while the internal join heals, and often flare after activity or straining. Urine that becomes opaque red, bleeding that escalates, or clots that slow or block catheter drainage are not expected and should be reported to your urology team the same day.
What are the signs of infection after prostatectomy?
Fever at or above your team’s threshold, shaking chills and feeling suddenly unwell are the central signs. Infections most often start in the urinary tract while a catheter is in, producing cloudy, foul-smelling urine with burning; at an incision, producing spreading redness, warmth or pus; or deep in the pelvis, producing worsening pain with fever and no obvious source. Cloudy urine alone, without other symptoms, is usually mucus and not infection.
What catheter problems after prostatectomy are normal?
Bladder spasms that cause a sudden cramping urge and a squirt of urine around the tube, leakage when coughing or standing, and a little blood or mucus at the tip of the penis are common and manageable. A catheter that stops draining for around two hours despite drinking, one that falls out, or deep persistent pelvic pain rather than brief spasms are problems that need a same-day call.
What does the robotic prostatectomy recovery timeline look like week by week?
Most people go home within a day or two and walk from the first evening. The catheter is usually removed at 1–3 weeks, after which leakage is common and improves over months. Desk work often resumes within a few weeks, heavier work and lifting typically at around 4–6 weeks. The first PSA test is usually drawn at about 6–8 weeks. Erectile recovery follows a longer arc of up to two years.
Why does my shoulder hurt after robotic prostate surgery?
The abdomen is inflated with carbon dioxide during the operation so the surgeon has room to work. Gas left under the diaphragm irritates a nerve that shares a pathway with the shoulder, producing an ache at the shoulder tip for a day or two. Walking and changing position help it disperse. Pain that persists for several days, or any chest pain or breathlessness, is different and should be reported.
When should I start pelvic floor exercises after robotic prostatectomy?
Many teams recommend learning the exercises before surgery and resuming them once the catheter is out, not while it is in, because contracting against the tube can be uncomfortable. The movement is a tightening of the muscles used to stop passing wind, held and released in short sets. A pelvic health physiotherapist can confirm you are using the right muscles rather than bearing down. Follow your own team’s timing.
References
- MedlinePlus: Radical prostatectomy – discharge
- MedlinePlus: Radical prostatectomy
- NHS: Prostate cancer – Treatment
This article is for general information only and is not a substitute for professional medical advice. Please consult a qualified doctor about your individual situation.
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