NAMNAM ConsultantsUrology OPD · Imphal, Manipur
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Home › Before & after surgery
Your Operation · Imphal

Before & after
your operation.

How to prepare — tests, medicines, fasting and what to bring — and how to look after yourself at home after stone, prostate and bladder surgery, with printable discharge sheets.

● Preparation checklist● Blood thinners & diabetes● Printable discharge sheets
💬 Say "Hi" to book After your operation ↓
Dr. Nameirakpam Shantajit
Dr. Nameirakpam ShantajitMBBS (SPMC Bikaner) · MS Surgery & M.Ch Urology (RIMS Imphal) · MMC Reg. No. MNP 150

On the day

A smooth day starts with a little preparation.

  • Come at the reporting time you are given, fasting as advised
  • Bring all reports, medicines and an attendant
  • Wear loose clothes; leave jewellery at home
  • You will meet the anaesthetist before surgery
  • Ask any questions before you sign the consent
Urine cultureInfection-free urine before surgery
Blood thinnersNever stop on your own
FastingFollow the exact times given
Discharge sheetPrint the one for your operation
Before your operation

Getting ready

📋 Tests before surgery

  • Blood tests: haemoglobin, kidney function, sugar, clotting, viral markers
  • Urine culture — surgery is safest when the urine is free of infection
  • ECG, and chest X-ray or heart check-up if needed
  • Anaesthesia check-up (pre-anaesthetic evaluation)

💊 Medicines — tell us about all of them

  • Blood thinners (aspirin, clopidogrel, warfarin, apixaban, rivaroxaban, dabigatran) — never stop on your own; we will tell you when and how
  • Diabetes medicines and insulin — doses are adjusted around surgery; "gliflozin" medicines are usually stopped a few days before
  • Blood pressure and heart medicines — most are continued; ask
  • Bring all your medicines or their list

🍽️ Fasting

  • No solid food for about 6 hours before surgery
  • Clear fluids (water, no milk) may be allowed until about 2 hours before — follow the exact time you are given
  • Take the morning medicines you are told to, with a sip of water

🎒 What to bring

  • All reports, scans (CD/films) and previous discharge summaries
  • ID card and insurance / scheme documents, if any
  • A family member to stay with you
  • Loose, comfortable clothes; remove jewellery and nail polish

🖨️ Printable checklist

Tick off each item at home, with space for your reporting and fasting times.

After your operation

Going home: what to expect

Tap your operation to see what is normal, what to do, and when to seek help — then print the sheet to keep at home.

URS / RIRS (laser stone surgery)Ureteroscopy — usually with a DJ stent

What is normal

  • Pink urine and mild burning for a few days
  • Stent discomfort: urge to pass urine, frequency, mild loin ache when passing urine
  • Small stone fragments passing in the urine

What to do

  • Drink 2.5–3 litres a day unless told otherwise
  • Take the tablets prescribed; finish any antibiotics
  • Usual light activity from the next day; avoid heavy exercise for about a week
  • Note your DJ stent removal date — usually 1–4 weeks. Save a reminder: namconsultantsurologyopd.com/dj-stent

When to seek help urgently

  • Fever with chills (38 °C or more)
  • Unable to pass urine, or catheter not draining
  • Heavy bleeding or thick clots
  • Severe pain not controlled by your tablets
  • Vomiting and unable to keep fluids down
PCNL (keyhole kidney stone surgery)Through a small cut in the back

What is normal

  • Some pain at the wound for a few days
  • Pink urine; slight leak of urine-coloured fluid from the wound for 1–2 days after a tube is removed

What to do

  • Keep the dressing clean and dry; change it if soaked
  • No heavy lifting or strenuous work for 2–4 weeks
  • Drink 2.5–3 litres a day
  • If a DJ stent was placed, note its removal date

When to seek help urgently

  • Fever with chills (38 °C or more)
  • Unable to pass urine, or catheter not draining
  • Heavy bleeding or thick clots
  • Severe pain not controlled by your tablets
  • Vomiting and unable to keep fluids down
TURP (prostate surgery)Catheter usually removed after 1–3 days

What is normal

  • Burning, frequency and urgency for a few weeks
  • Some blood in the urine, especially at 10–14 days when scabs come off
  • Dry orgasm (no semen comes out) — this is expected and harmless

What to do

  • Drink 2.5–3 litres a day to keep urine light
  • Avoid constipation and straining — take a stool softener if needed
  • No heavy lifting, cycling or two-wheeler riding for about 4–6 weeks
  • Avoid sex for about 3–4 weeks
  • Bring your biopsy (histopathology) report to the follow-up visit

When to seek help urgently

  • Fever with chills (38 °C or more)
  • Unable to pass urine, or catheter not draining
  • Heavy bleeding or thick clots
  • Severe pain not controlled by your tablets
  • Vomiting and unable to keep fluids down
TURBT (bladder tumour)Bladder tumour removal through the urine passage

What is normal

  • Blood in the urine on and off for 1–2 weeks
  • Burning and frequency for a few days

What to do

  • Drink plenty of fluids; avoid straining and heavy lifting for 2–3 weeks
  • Collect your biopsy report — it decides further treatment
  • Keep your check cystoscopy appointment (usually at 3 months) and any bladder-medicine sessions
  • Stop smoking — it lowers the chance of the tumour coming back

When to seek help urgently

  • Fever with chills (38 °C or more)
  • Unable to pass urine, or catheter not draining
  • Heavy bleeding or thick clots
  • Severe pain not controlled by your tablets
  • Vomiting and unable to keep fluids down
Cystoscopy or DJ stent removalA short OPD procedure

What is normal

  • Mild burning and pink urine for 1–2 days
  • After stent removal: a few hours of loin pain is possible

What to do

  • Drink extra water for 1–2 days
  • Take any tablets prescribed
  • Seek help for fever, inability to pass urine or severe pain

When to seek help urgently

  • Fever with chills (38 °C or more)
  • Unable to pass urine, or catheter not draining
  • Heavy bleeding or thick clots
  • Severe pain not controlled by your tablets
  • Vomiting and unable to keep fluids down
For every operation

Recovering well

💧

Drink well

Usually 2.5–3 litres a day after stone and prostate surgery — unless you have heart or kidney failure or have been told otherwise.

🚶

Keep moving

Walk around from the first day — it helps prevent clots in the legs and chest infection.

🚽

Avoid constipation

Straining can cause bleeding after prostate and bladder surgery — eat fibre, drink well, use a softener if needed.

💊

Medicines

Restart your usual medicines as advised — ask specifically about blood thinners. Finish any antibiotic course.

📄

Reports

Collect stone analysis and biopsy reports — they decide prevention and further treatment.

📅

Follow-up

Keep your follow-up and stent-removal dates. Save a reminder on the DJ stent page.

🚑

Go to the nearest hospital emergency if you have

  • Fever with chills, or feeling very unwell
  • Unable to pass urine, or the catheter stops draining
  • Heavy bleeding or thick clots in the urine
  • Severe pain not relieved by your tablets
  • Pain, swelling or redness in a leg, or breathlessness
WhatsApp numbers and the chatbot are not emergency services.
Questions

Frequently asked questions

Should I stop my blood thinner before surgery?

Never stop it on your own. Some blood thinners are stopped for a few days before surgery and some are continued, depending on why you take them. We will tell you exactly when to stop and restart, sometimes after speaking with your physician or cardiologist.

Why is a urine culture needed before surgery?

Operating on infected urine can spread the infection into the blood. A culture shows whether there is infection and which antibiotic will clear it, so surgery is done safely.

How long should I fast before surgery?

Usually no solid food for about 6 hours, and clear fluids until about 2 hours before — but follow the exact times you are given, as they can differ.

Is blood in the urine normal after surgery?

Some pink urine is common after stone, prostate and bladder surgery, and after TURP it can come back around 10–14 days. Heavy bleeding, thick clots or difficulty passing urine need urgent attention.

When can I go back to work?

Office work is often possible within a few days after URS or RIRS, and in 1–2 weeks after PCNL or TURP. Heavy physical work usually needs 4–6 weeks after TURP and 2–4 weeks after PCNL.

Book a consultation

NAM Consultants, Singjamei: mornings daily 6:00–9:30 AM (Mar–Oct) / 6:30–9:30 AM (Nov–Feb), evenings 4–6 PM Mon–Sat · Raj Medicity Hospital: Mon–Sat 11 AM–1 PM

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Medically reviewed by Dr. Nameirakpam Shantajit, M.Ch Urology (MMC Reg. No. MNP 150) · Last reviewed: 10 October 2026

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