Dear nurse,

Thank you very much for your cooperation to care of the patient whom I left for you and put my confidence in you to keep an eye on him. Please follow the suitable recommendations for him and his case according to doctors’ recommendations.

If you wish to have any consultation with me after the operation, please contact me directly to discuss his condition according to the clinical situation and the laboratory results. Please send me a picture of the condition through the web camera if this is possible or send it per e/mail as this facilitates my judgment on the case. I will be happy to receive your comments and suggestions for the case to be able to extend a better care to the patient.
Please have a careful look at the instructions related to the special care of the patient after the operation which is written in the section how to prepare yourself for the operation. In general, the care for a patient after urologic surgery does not differ much from that after any other surgery. The patient may carry a catheter weather a bladder one, coming through the abdominal wall, the ureter of the kidney. In some cases the operation may be a plastic or esthetic operation like penile lengthening or others. I would like to summarize the way to care for patient here. You have to take some decisions personally in view of the clinical history of the patient, the present symptoms, the general condition and the results of the clinical and laboratory tests after consulting the doctor of the hospital or consulting me directly.

I will be happy to exchange the information with you extensively and to fruitfully work with you to care of the patient.

General instructions:

Please take care of sterilization and disinfection and wear surgical gloves while touching the patient.

Postoperative care:

Keep in mind that the first day after the operation is a critical one because his circulation is still not stable and deserves special attention to avoid complications.

• Transport the patient carefully and with the help of one of your colleagues.
• Be sure that the surgical dressings are always dry and not red and that they are well adherent in place.
• Measure the blood pressure, pulse and temperature and inform the doctor about any change in them.
• Keep a hand on the abdomen of the patient`s abdomen  carefully and ensure that it is soft and warm, has no resistance or muscle cramps.
• Ensure that the catheter is in its proper place, open and that the urine flows easily.
• Take care that the solution given to him intravenously flows in the right way and that there is no extra vasation which may cause inflammation.
• Observe the consciousness and face of the patient.
• The patient must be conscious in the bed and have a normal face, i.e. there is no abnormal redness or paleness and he must react to your command.
• Be sure that his breath is quite and regular.
• Keep the patient warm and be sure that his feet and shoulder are covered.
• Give him food only after consulting the doctor.
• Give him his different medications in the proper time.
• Inform the doctor immediately of any changes you observe.
• Wash the patient every day and be sure that his body is clean.

The ideal situation for the patient after an operation is that he is quite, reacts to command, breathes well in a quite and regular way, with warm and smooth abdomen and that his blood pressure, temperature and pulse normal.  His catheter must be open and draining, the wound dressing dry, suffers no pain, his infusion dribbles in a free way and his body is warm and covered. It is recommended that the room becomes not brightly lighted in this stage and that there are no flowers at the first night and day inside the room.