Which of the following signs indicate potential complications after a prostatectomy and should be reported?

• A. Bleeding
• B. Urinary retention
• C. Symptoms of a urinary tract infection
• D. All of the above

Answer: (D)

After a prostatectomy, watching for complications related to bleeding, urinary function, and infection is essential. Bleeding can indicate an ongoing hemorrhage and may present as increased drainage, soaking of dressings, or new dizziness and rapid heart rate—these require prompt assessment. Urinary retention signals a problem with urine flow or catheter function; signs include a palpable or distended bladder, inability to void after catheter removal, or decreasing urine output, all of which need timely evaluation and possible intervention with catheter adjustments or a voiding trial. Symptoms of a urinary tract infection, such as fever, chills, burning with urination, increased urgency or frequency, and cloudy or foul-smelling urine, can occur after catheterization and should be reported to start treatment before progression to more serious infection. Because each of these represents a potential complication, reporting any of them promptly allows early management and helps prevent more serious outcomes.