Catheter Care and Blood in the Urine After Aquablation
By Dr. Ahmed Ali Alnaimi, Consultant Urological Surgeon
Two things worry men most after prostate treatment: the catheter and seeing blood in the urine. Knowing what is normal makes recovery far less stressful.
Your catheter
A catheter drains urine from the bladder while the treated area begins to heal. After Aquablation it usually stays in for a short time, often one to two days, but your team will decide based on your recovery.
- Keep the bag below the level of your bladder so urine drains freely
- Secure the tube to your thigh to avoid pulling
- Wash around the catheter daily with mild soap and water
- Drink plenty of fluids unless you have been advised otherwise
- Bladder spasms, felt as a sudden urge or cramp, are common
After the catheter comes out
The first few times you pass urine may sting, and you may need to go urgently and often. This usually settles over the following weeks as healing continues.
Blood in the urine
Some blood in the urine is expected after any prostate procedure, and urine may look pink for several days. It is also common to see blood again around two to three weeks after treatment, when healing scabs come away inside. This is usually brief and settles with extra fluids and rest.
When to call your team straight away
- 1You cannot pass urine at all, or the catheter stops draining
- 2The urine turns thick and dark red, or you pass large clots
- 3You develop a fever or shivering, or feel generally unwell
- 4You have severe pain that does not settle with your usual painkillers
Helping your recovery
- Drink regularly through the day
- Avoid heavy lifting and strenuous exercise for a few weeks
- Avoid constipation and straining, using fibre or a mild laxative if needed
If you are ever unsure, call. Dr. Ahmed Ali Alnaimi and his team would always rather hear from you early.
Every prostate, and every patient, is different. A consultation gives you a clear picture of your own options.
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