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Blood thinning injections after prostatectomy

User
Posted 04 Aug 2025 at 18:02

Hi all, isn’t this the norm for everyone after prostatectomy, I have just been told that I won’t need these as I’m low risk , not even sure how my risk has been worked out but surprised and a bit concerned ?

User
Posted 04 Aug 2025 at 22:57

If it’s any consolation. I’ve been told exactly the same. I am due to have RALP in September and had an appointment with the surgical team and nurse last week. I asked about the daily injections, and was told this is no longer standard practice, except high risk patients (eg those with diabetes). The nurse and doctor said that for most patients, the risk of DVT, PE etc is better managed by a single injection whilst in hospital and then regular walking (even just in the house) during recovery.  I was relieved not to be needing the daily injections!

User
Posted 05 Aug 2025 at 09:51

Also, during the week or two before your op they will do a pre-assessment. During that they will find out everything about your medical history, check blood pressure, weight etc and do blood tests. If you aren’t low risk after all, they will find out during the pre-assessment and make any adjustments needed to account for that.

User
Posted 05 Aug 2025 at 14:14

I had them post RARP at 52. Then the NICE guidelines changed so wasn’t needed. Think is based on age, BMI plus other medical factors I guess in terms of general fitness. Wasn’t a big deal in either case as the injections were the smallest needle that I injected each morning into the front of my top leg. I’ve got a numb area due to an old injury so that was a suite spot but I did switch legs every few days and less than a scratch. 

i used to be dead scared of injections. I’m a lot better now but not on my bucket list lol

Edited by member 05 Aug 2025 at 14:16  | Reason: Not specified

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User
Posted 04 Aug 2025 at 22:57

If it’s any consolation. I’ve been told exactly the same. I am due to have RALP in September and had an appointment with the surgical team and nurse last week. I asked about the daily injections, and was told this is no longer standard practice, except high risk patients (eg those with diabetes). The nurse and doctor said that for most patients, the risk of DVT, PE etc is better managed by a single injection whilst in hospital and then regular walking (even just in the house) during recovery.  I was relieved not to be needing the daily injections!

User
Posted 04 Aug 2025 at 23:22

That’s good to hear mate that it isn’t used as standard practice which up until today I thought it was , as you say can’t say I was looking forward to the injections everyday but thought it was safest option against clots 

good luck for your surgery I’m in on 22nd of this month so a bit ahead of you 👍

User
Posted 05 Aug 2025 at 09:51

Also, during the week or two before your op they will do a pre-assessment. During that they will find out everything about your medical history, check blood pressure, weight etc and do blood tests. If you aren’t low risk after all, they will find out during the pre-assessment and make any adjustments needed to account for that.

User
Posted 05 Aug 2025 at 14:14

I had them post RARP at 52. Then the NICE guidelines changed so wasn’t needed. Think is based on age, BMI plus other medical factors I guess in terms of general fitness. Wasn’t a big deal in either case as the injections were the smallest needle that I injected each morning into the front of my top leg. I’ve got a numb area due to an old injury so that was a suite spot but I did switch legs every few days and less than a scratch. 

i used to be dead scared of injections. I’m a lot better now but not on my bucket list lol

Edited by member 05 Aug 2025 at 14:16  | Reason: Not specified

User
Posted 05 Aug 2025 at 14:52

Thanks Simon and yes they were my thoughts as in age BMI etc , bit confused though as I haven’t been through that side of things with them and yet they class me as very low risk , as above can’t say I was looking forward to daily injections but was prepared for them given the potential alternatives 

 
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