Procedures

Recommendations after a TURP

The first 24 hours

It is possible to stay one night at the Centre Métropolitain de Chirurgie, where nurses provided 24-hours care.
The inside of the bladder is be periodically cleaned with an aqueous solution to rinse the blood traces (normal after this type of surgery).
The presence of the catheter can cause discomfort or even spasms in the bladder; if this is the case, medications may help. The patient is given a daytime thigh bag as well as a drainage bag for the night.
The patient returns home the next day and must be accompanied.
The catheter will be removed the next day; it is possible to do so in a CLSC, or in one of Dr. Marois’ clinics.
When the urinary catheter is removed and the patient starts to urinate naturally, he may feel urge or even pain when passing urine through the urethra; this tends to disappear when the inflammation resolves itself.

The first week

Complete rest for the first day.
The day after the surgery and for the first week, the patient can walk, but go gradually by alternating periods of activity of 15-30 minutes with periods of rest.
It is important to avoid being constipated (you will have medication).
It is important to drink plenty of water to allow small clots to drain well from the bladder and have clear urine; about 8 ounces every 2 hours during the day and stop 2-3 hours before bedtime.

The following weeks

It is important to avoid lifting heavy objects (more than 10kg) for 6 weeks.
It is important to avoid intense exercise or physical activity for 6 weeks.
It is important to avoid sex for 6 weeks.
Within 6-8 weeks of your surgery, there should notice a significant improvement in the urine jet; better flow!
The ability to have an erection should not change after this procedure, but the sperm volume may decrease due to reflux in the bladder at the time of orgasm (retrograde ejaculation). This should not affect the patient’s pleasure nor that of his partner.
A follow-up appointment with Dr Marois is be planned 6 weeks after the surgery.

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Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

Thank you for your understanding.

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Dr. Marois is a urologist who is not a member of the Régie de l’Assurance Maladie du Québec (RAMQ). As such, if you require his professional services, you will have to pay directly the Cliniques Marois for the services rendered.

Cancellation Policy:

To ensure the smooth running of the clinics aa well as a minimum of courtesy towards other patients and staff members, we ask you to notify us 48 hours in advance for cancelling an appointment, 5 working days for cancelling a minor surgery in the office and 21 working days for major surgery at the CMC. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur and schedules change, so we ask patients to give us at least a 24-hour notice for any changes of appointment. We will be happy to reschedule another one for you. Failure to provide such notice within this timeframe will result in a $ 100 fee.

Thank you for your understanding.

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