Before your operation for prostate cancer

Before surgery, you have tests to check your fitness and you meet members of your treatment team. This pre-op assessment usually happens a couple of weeks or a few days before your operation. Then you usually go into hospital on the morning of your operation. 

Most people are in hospital for around 2 days. The length of your stay depends on the type of operation you have and your recovery.

Tests to check you are fit for surgery

You have tests before your operation to check:

  • your fitness for an anaesthetic if you need one 
  • that you'll make a good recovery from surgery 

You might not need all of these tests if you had them when you were diagnosed. Tests include:

  • blood tests to check your general health and how well your kidneys are working 
  • an ECG to check your heart is healthy 
  • breathing tests (called lung function tests) 
  • an echocardiogram (a painless test of your heart using sound waves) 
  • a chest x-ray to check your lungs are healthy 

Pre assessment clinic

Your pre assessment appointment prepares you for your operation.

You meet members of your treatment team at this appointment and you can sign the consent form to agree to the operation.

Ask lots of questions. It helps to write down all your questions beforehand to take with you. The more you know about what is going to happen, the less frightening it will seem.

You can ask more questions when you go into hospital so don’t worry if you forget to ask some.

At the hospital you might meet:

The surgeon

A member of the surgical team will tell you about:

  • the operation you are going to have
  • the benefits of having surgery
  • the possible risks
  • what to expect afterwards

The anaesthetist

The anaesthetist gives you the anaesthetic and looks after you during the operation. They make sure you’re fit enough for the surgery.

The clinical nurse specialist

The nurse checks your:

  • general health
  • weight
  • blood pressure
  • pulse
  • temperature

The nurse also checks what help and support you have to see what you will need when you go home. They are your point of contact and care for you throughout your treatment.

The physiotherapist

The physiotherapist assesses how well you can move around. They let the doctors know if there is anything that could affect your recovery.

The physiotherapist also teaches you leg and breathing exercises to do after your operation to help with recovery. Learning how to do the exercises beforehand makes it easier afterwards.

Learning breathing and leg exercises

Breathing exercises help to stop you from getting a chest infection after surgery. If you smoke, it helps if you can stop at least a few weeks before your operation.

Leg exercises help to stop blood clots forming in your legs. You might also have medicines to stop the blood from clotting. You have them as small injections under the skin.

You start the injections after your operation. You might also wear compression stockings and pumps on your calves or feet to help the circulation.

Your nurse and physiotherapist will get you up out of bed quite quickly after your surgery. This is to help prevent chest infections and blood clots forming.

This 3-minute video shows you how to do the breathing and leg exercises.

Before you go into hospital

It’s worth sorting out a few things before you go into hospital. These might include:

  • taking time off work
  • care for children or other loved ones
  • care for your pets
  • care for your house
  • cancelling your milk or newspapers

What to take with you

Take in:

  • pyjamas
  • underwear
  • dressing gown
  • slippers
  • contact lenses, solution, glasses and a case
  • wash bag – flannel, toothbrush, toothpaste, soap
  • razor
  • towel
  • small amount of money
  • medicines you normally take
  • magazines, books
  • headphones and music to listen to
  • a tablet or smartphone for web browsing, entertainment and phone calls

Family and friends

Before you go into hospital, it might be worth checking:

  • whether the ward is allowing visitors
  • if they have set visiting times
  • the best number for friends and family to phone, to find out how you are

The letter you receive before your operation may contain this information. But if not, you can phone the ward or hospital reception to find out.

You can use your mobile phone in hospital. But there may be some time before and after your operation when you won’t have your mobile nearby. And you may not feel like talking.

  • Routine preoperative tests for elective surgery
    The National Institute for Health and Care Excellence (NICE), 2016

  • Cancer: Principles and Practice of Oncology (11th edition)
    VT DeVita, TS Lawrence, SA Rosenberg
    Wolters Kluwer, 2019

  • Prostate cancer: diagnosis and management
    National Institute for Health and Care Excellence (NICE), 2019. Last updated December 2021

Last reviewed: 
14 Jun 2022
Next review due: 
14 Jun 2025

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