Surgery, Soft Tissue
Peer Reviewed
  • Indwelling urinary catheter: An indwelling urinary catheter should be placed if urethral swelling is expected, especially if the resective technique has been used and required extensive dissection. The catheter should remain in place for 48hours.
  • Antibiotic therapy: Based on culture results or empirical impression, antibiotic treatment should be continued for a minimum of 2 weeks after surgery. If evidence of pyelonephritis is present, antibiotic therapy should be continued for 6 to 8 weeks.
  • Pain management: Administer nonsteroidal antiinflammatory drug(s) for 1 week and narcotics for a few days after surgery.
  • Incontinence after surgery: Repeat diagnostics to rule out contralateral EU.
  • Alpha-adrenergic agents: Prescribe phenylpropanolamine (1.5–2.2 mg/kg PO Q 8-24 H) or ephedrine sulfate (1–4 mg/kg PO Q 8-12 H) if urinary continence is not achieved and no other problems can be found.
  • Urethral bulking injections: See Urethral Bulking Procedures, page 61.

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