After open radical prostatectomy, which bowel-care practice is recommended?

• A. Avoid Straining The Rectal Area And No Suppositories Or Enemas
• B. Do Enemas Daily To Prevent Constipation
• C. Strain With A Bowel Movement
• D. Ignore Constipation

Answer: (A)

After open radical prostatectomy, protecting the healing pelvic and urinary tract area is the priority in bowel care. Straining during a bowel movement increases intra-abdominal pressure, which can stress the new vesicourethral or pelvic repairs and raise the risk of bleeding or disruption of healing. Rectal irritation from suppositories or enemas can also irritate the surgical area and interfere with recovery, so they are typically avoided unless specifically prescribed. The goal is to keep stools soft and easy to pass without force—using stool softeners as directed, staying well hydrated, and following any fiber or activity recommendations—so bowel movements occur without straining. The other options promote rectal stimulation or constipation without addressing safe, non-straining elimination, making them inappropriate for this period.