This content does not have an English version. The tips that follow are intended to prevent pain, provide more time for rest, prevent injury and provide some entertainment while convalescing. 2017; doi:10.1111/bju.13266. There is a reason that you see people wandering around hospitals in pajamasthey are comfortable. Patients with previous mobility issues may be particularly difficult to move after surgery and need extra aid. Prostatectomy is usually done with general anesthesia in an operating room at a hospital or outpatient surgery center. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. By Jennifer Whitlock, RN, MSN, FN In most cases, leakage will come under control in a few weeks or months. The recovery of the function, however, is not immediate and you should not feel discouraged if weeks or even a few months after surgery you experience erectile dysfunction. How you prepare for your prostate surgery depends a lot on how much of the prostate gland your healthcare provider needs to remove. In this operation, the surgeon removes the entire prostate gland plus some of the tissue around it, including the seminal vesicles. Surgical techniques for prostatectomy include: When you arrive at the hospital or outpatient center for your prostatectomy, you will be asked to change into a hospital gown. Although you will need to rest and gradually resume physical activity, urologistMina Fam, M.D., emphasizes the importance of movement. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Enjoy better bladder control and urine flow. The answer is preferably not. 12th ed. . The procedure is used to treat a number of conditions affecting the prostate. After prostate cancer or BPH surgery, many things will change, but those changes will be transient. Risks of open simple prostatectomy include: Before surgery, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder (cystoscopy). Expert physicians share answers to 8 of the most commonly asked questions about radiation therapy for prostate cancer. Dr. Alberto Parra graduated as a Medical Doctor at LUZ University in Venezuela. Listen to them and follow their instructions. Put an emergency pack of paper towels, dry underpants and spare pads in the boot of the car and then get out and and about as much as possible. These substances can delay your post-operative healing. A resection, in which only a portion of the gland is removed, can be minimally invasive, and you can go home the same day with little preparation. Considering the role of radical prostatectomy in 21st century prostate cancer care. Matthew Wosnitzer, MD, is a board-certified urologic surgeon and physician scientist. A prostatectomy takes about two hours. It's important to call your surgeon immediately if you develop any symptoms or signs of an infection, such as: Be sure to also call your surgeon right away if any of the following occur:. It comes with a ring that is placed at the base of the penis to . In: Campbell-Walsh-Wein Urology. Stopping and starting again while urinating, The feeling that you can't completely empty your bladder, Formation of cysts containing lymph (lymphocele), Narrowing (stricture) of the urethra or bladder neck. A nurse will record your vitals (heart rate, blood . sturti / Getty Images. The surgery eases urinary symptoms and complications resulting from blocked urine flow, including: Mayo Clinic urologists use advanced endoscopic techniques to address these symptoms without incisions in most cases. It will be a little hard to fit into normal clothes immediately after the surgery as the abdomen would be slightly bloated. Men can also choose to wear disposable underwear that is absorbent for situations of urinary incontinence. On the day of your scheduled catheter removal, we may need to perform a cystogram at the hospital. In fact, a recent study demonstrated greatest variation in length of stay after transurethral prostate resection compared with other common benign urologic surgery types including percutaneous . Patients may also experience erectile dysfunction after surgery, especially after surgery for prostate cancer. The main type of surgery for prostate cancer is a radical prostatectomy. Functional recovery after radical prostatectomy for prostate cancer. Let's face it, recovering from surgery can be really boring. During a robotic prostatectomy, several smaller incisions are made in the abdomen (right). Cleveland Clinic. This is also about the time your surgeon will call you with the final pathology results. Celik S, Atar NY, Ozturk N, et al. In the meantime, you can protect yourself from leaks with the right products. Until we get rid of the gas in the normal way we do, there can be discomfort. Right after prostate surgery, you will have a catheter in place with a drainage bag. Use blankets or something similar instead of tight clothing if the hospital environment feels cold. So, lets clear a few doubts about clothes. What Is the Recovery Time for Appendicitis Surgery? One week after surgery : After your surgery site heals, your catheter will be removed. The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Otherwise, you may find yourself desperately trying to fill your prescription for pain relief on your way home from the hospital, when you would really prefer to be at home in bed. Suppose you are preparing for prostate cancer surgery. I want patients up and walking the same day of surgery because any kind of cancer surgery has a risk for blood clotting, Dr. Fam says. Your clothes should be loose and made with soft fabric to avoid circulation problems, skin irritation, and infections. European Urology. Stool softeners are also very common post-prostate surgery because you need to facilitate your bowel movements and avoid pushing or straining. Robot-assisted radical prostatectomy. Radical Prostatectomy. Right after the catheter is removed, most men cannot control the urine sphincter and leak urine for a few days to weeks; many people stop within a few hours or a few days. After prostate surgery, you shouldnt lift weights higher than 10 lbs. Here are some issues to discuss with your doctor: Plan ahead to avoid wearing these items into surgery: Ask your doctor how long you'll be in the hospital. Centers for Disease Control and Prevention. She has experience in primary care and hospital medicine. Simple prostatectomy: Open and robotic-assisted laparoscopic approaches. Otherwise, it could be too late, and you will suffer pain unnecessarily if you miss a dose. 287 views, 12 likes, 3 loves, 18 comments, 3 shares, Facebook Watch Videos from Bethel Baptist Church: Bethel Baptist Church By clicking subscribe, I agree to Bensnaturalhealth 2017; doi:10.1016/j.ijsu.2016.12.034. When you leave the hospital, you will still have the urinary catheter in place. The instructions for someone who had an appendectomy are very different than the instructions for someone who had weight loss surgery. If you also have a hernia or bladder problem, your doctor may use the surgery as an opportunity to repair it. A fiber additive can be easily found at a pharmacy as pills or drink additives. No incisions are needed. A radical prostatectomy, in which the entire prostate gland is removed, takes more planning and usually involves a hospital stay. By clicking Download Now, I agree to Ben's Natural Health Terms and Conditions and Privacy Policy. If you come from out of state and are traveling by plane, make sure that you walk every half hour in the plane cabin to prevent blood clotting in the legs. Dry orgasm. What Is the Recovery Time for Appendicitis Surgery? Results differ depending on the surgeon. These substances can delay your post-operative healing. A Mayo Clinic urologist explains prostatectomy options. If you've had keyhole surgery, recovery time can be as short as 2 weeks. What are the benefits of pelvic exercises? Mayo Clinic. Don't let leakage alter your lifestyle to any great degree. Visit Dr. Samadis websites at robotic oncology and prostate cancer 911. Find out more. 2012 Aug;62(2):273-86.doi:10.1016/j.eururo.2012.04.047, Alemozaffar M, Regan M, Cooperberg M. Prediction of erectile dysfunction following treatment for prostate cancer. Staying comfortable the first week after prostate surgery begins with wearing comfortable clothing. You can start daily activities (such as walking and climbing stairs) immediately when you get home. In that case, you may have many concerns, such as pain after surgery, what it will be like wearing a temporary catheter, and worries over regaining urinary control and satisfying sex life. When you leave the shower, be careful to pat, not rub, the incision area dry. Warner KJ. Be sure to discuss any over-the-counter medications or supplements you take with your practitioner too. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Paich, K., Dunn, R., Skolarus, T., Montie, J., Hollenbeck, B., Palapattu, G., & Wittmann, D. (2016). Part of your preparation for post-prostatectomy recovery requires getting the right clothes to wear and equipment to keep at hand. In some cases, a minimally invasive partial prostate resection is done under local anesthesia in a medical office. Exercise is always good, but it usually takes several weeks before youre fully back on track with exercising. This temporary weight gain is from a shift in gas and fluids during the surgery. You don't want to be scrambling for that information if you think you are having a complication. If all goes as planned, you will be walking the night of surgery and then the next day. Surgery for Prostate Cancer. Know how to reach your surgeon, day or night, in case of an emergency. Still, if the color makes you worried, it is always a good idea to talk to your doctor about it. 3. Try to spread out eating throughout the day with snacks and small meals, to avoid eating large meals at once for a few days after surgery. This will help expand your lungs and prevent infections. Phillips, C., Gray, R. E., Fitch, M. I., Labrecque, M., Fergus, K., & Klotz, L. (2000). A prostatectomy is a surgical procedure for the partial or complete removal of the prostate, which is a small gland about the size of a ping-pong ball, located deep inside the groin, between the base of the penis and the rectum in men. Right after the procedure, we will transfer you to your room. This web site has been optimized for user experience and security, therefore Internet Explorer(IE) is not a recommended browser.Please use the latest version of Microsoft Edge, Chrome, Firefox or Safari(MacOS). Going back to work and normal activities. In addition to the risks associated with any surgery, risks with radical prostatectomy include: At Mayo Clinic, the urologists who perform prostatectomy procedures have advanced training and extensive experience in all aspects of the surgery. After prostate cancer or BPH surgery, many things will change, but those changes will be transient. A radical prostatectomy can be done in 1 of 2 ways. Urinary Incontinence After Prostate Cancer. The incision site will also need special care for the first couple of days after surgery to promote healing. This recovery usually occurs slowly over time. Robotic ProstatectomyAfter Surgery. Once all swelling has gone down, your catheter is removed, and urinary continence is back, you can gradually go back to wearing the type of clothing you once wore before the procedure with your doctors approval. Most patients return home after 2 to 4 days, while others take longer to recover. Items to bring with you on the day of the procedure, include: You will need to arrange to have someone drive you home when you are discharged from the hospital on the day of surgery, or several days afterward. She has experience in primary care and hospital medicine. Changing bags from a large capacity night bag to a smaller capacity day bag is simple and doesn't involve removing the catheter. The Barbara and Maurice A. Deane Prostate Health and Research Center, The Lizzie and Jonathan Tisch Center for Prostate Health, New York Eye and Ear Infirmary of Mount Sinai, The Blavatnik Family Chelsea Medical Center, Heart - Cardiology and Cardiovascular Surgery, Mount Sinai Center for Asian Equity and Professional Development, Preparing for Surgery and Major Procedures, Robotic Kidney and Reconstructive Surgery. Radical prostatectomy is the removal of the entire prostate gland, and simple prostatectomy is the removal of a portion of the prostate gland. When you leave the shower, be careful to pat, not rub, the incision area dry. Follow your doctor's instructions on what to do before your treatment. These side effects are often temporary. Experience Terms and Conditions and Privacy Policy. Alberto Parra is a licensed General Practitioner. Read our, Prostate Surgery: What to Expect on the Day of Surgery, When You Can Have Sex After Prostate Cancer Treatment, Prostate Massage: Overview, Benefits, Risks, and More. Thank you, {{form.email}}, for signing up. anywhere else in the world. When you visit the doctor's office to have the catheter removed, have men's incontinence pads with you, as you will be leaking. Fatty fish like salmon are rich in anti-inflammatory omega-3 fatty acids. There are three types of prostatectomy prostate cancer surgeries, men, along with their urologist, will decide as the best option: Open prostatectomy, laparoscopic prostatectomy, and. An intravenous (IV) line will provide fluids. Evaluation of pT0 prostate cancer in patients undergoing radical prostatectomy. In both of these approaches, the end goal is the same remove the prostate and destroy the cancer. Prostate Cancer: Surgery. Generally, you can return to work two to three weeks after the operation, depending on your job. to receive emails from bensnaturalhealth and I Rachael is a freelance healthcare writer and critical care nurse based near Cleveland, Ohio. There are three types of prostatectomy prostate cancer surgeries, men, along with their urologist, will decide as the best option: Open prostatectomy, laparoscopic prostatectomy, and robotic radical prostatectomy. Some men have found wearing a mens nightshirt or side-snap workout pants allow easy access to the catheter and urine bag, and care of the surgical site. Please Check Your Email for Further Making a casserole or stocking up on frozen meals the day before surgery is one easy way to minimize the stress of having to cook a meal for yourself or your family. Simple prostatectomy. Cystoscopy lets your doctor check the size of your prostate and examine your urinary system. Make sure you understand the post-surgery steps you need to take, and any restrictions such as driving or lifting heavy things: Robot-assisted prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stay, and a quicker recovery period than a traditional prostatectomy. In most cases, a light pad is enough to hold a small urine leak in case of urinary stress incontinence. We will give you a breathing device called a spirometer to use once an hour. Director of Men's Health at St. Francis Hospital in Roslyn, New York. 2023 Urology Care Foundation | All Rights Reserved. Most surgery patients need at least few days to truly begin to feel their usual level of energy and regain their ability to get through the day without the need for rest and sleep, even if the procedure was minor. Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer. 1000 Corporate Boulevard Linthicum, MD 21090. You will be asked to quit smoking and refrain from using alcohol or other drugs before your surgery. Ko, Y. H. (2018). FYRTORR LTD. (Reg. Diastasis Recti Surgery: Preparation and Recovery, What to Expect During a Laparoscopic Appendectomy, Laser Cataract Surgery: Everything You Need to Know, Constipation Risk in Patients Undergoing Abdominal Surgery, Early versus delayed postoperative oral hydration after general anesthesia: a prospective randomized trial. It may be used alone, or in conjunction with radiation, chemotherapy and hormone therapy. Johns Hopkins Medicine. In most cases, leakage will come under control in a few weeks or months. Incidence and outcomes of ventral hernia repair after robotic retropubic prostatectomy: A retrospective cohort of 570 consecutive cases. We will attach the catheter to a leg bag that you can hide under your pants. At first, you will remain in the hospital gown for a while. Frequently Asked Questions About Robotic Prostatectomy. . Incontinence (difficulty holding urine) Inflamed prostate symptoms. Surgery is a common choice to try to cure prostate cancer if it is not thought to have spread outside the prostate gland. Your bathroom, bed, and kitchen should be close to you and accessible. When the anesthetics wear out completely after prostate surgery, and youre in your bed, you can change and use your underwear, pants, and shirt. Once discharged from the hospital and arriving home, to help drain urine from the bladder, you will have a foley catheter in place. Frontiers in Surgery. 2015;17(6):e23632. Of that number, around 10 percent still experience some form of incontinence one year after surgery. At nighttime, we recommend that you switch to a regular urinary bag that you place on the side of the bed. Most men experience some decline in erectile function after their prostate is removed, but this can be managed. Read our, 10 Ways To Improve Your Recovery After Surgery, What to Eat After Surgery and What to Avoid, Quintuple Bypass Surgery: Everything You Need to Know, Meniscectomy: What to Know About Removal of the Meniscus. It surrounds the urethra, which carries urine from the bladder to the penis. So, let's clear a few doubts about clothes. Clothing. After surgery for prostate cancer, normal bladder control usually returns within several weeks or months. Prostate Resection. Just as with open retropubic surgery, the robotic approach enables nerve-sparing techniques that may preserve both sexual potency and continence in the appropriately selected person. The recovery timeline for this depends on a number of factors, including: To improve blood flow to your penis and enhance your ability to have an erection, your healthcare provider may start you on Viagra (sildenafil). The risk of incontinency depends on several factors, including: Characteristics of the urethra. If faced with incontinence following prostate surgery, your urologist may recommend a few helpful strategies, such as:. Make sure you also have the right type of underwear. Loose clothing will reduce the risk of infections, and they feel much more comfortable. You will have six small bandages over the skin incisions, a drain on one side of your abdomen attached to a vacuum container, and a urine catheter (Foley) to drain urine from your bladder attached to a urine bag. Be sure to share your concerns with your urologist, and do not hesitate to ask them about their surgical experience and your individual expected outcome. Mayo Clinic; 2019. Make sure to get men's pads. It takes three to four weeks for the abdominal incisions to heal completely, so you should avoid heavy lifting during that time. The best way to a speedy recovery is to start walking the hallways on the day after surgery. Depending on the type of prostate surgery you are having, you might be instructed to adjust some of your medications and/or food and drink beginning the night before your procedure. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. Walking with the day bag catheter is not a problem. Youll receive IV pain medications at first, and your doctor may prescribe you pain medication to use at home. AskMayoExpert. The next morning, we will give you a light breakfast and a liquid diet. To perform a cystogram, a radiologist injects dye through the catheter and takes an X-ray to make sure that there is no leakage at the point where the bladder and urethra connect. Reconnect the bladder to the urethra, the tube that carries urine outside of the body. You will be allowed to have ice chips and sips of water. Urologic Oncology Expert and Robotic Surgeon Director of Men's Health at St. Francis Hospital, 485 Madison avenue(between 51st-52nd street) 21st floor New York, NY 10022, Tel: Ask your doctor how much recovery time you may need. Mayo Clinic Q&A podcast: What happens after a prostate cancer diagnosis? Although simple prostatectomy works well at relieving urinary symptoms, it has a higher risk of complications and a longer recovery time than other enlarged prostate procedures such as transurethral resection of the prostate (TURP), laser PVP surgery or holmium laser prostate surgery (HoLEP). Constipation Risk in Patients Undergoing Abdominal Surgery. However, you should wait three to four weeks before beginning any heavy exercise, such as jogging, weight lifting, and bicycle riding. Subscribe to get the latest health tips from our expert clinicians delivered weekly to your inbox. First off, can you wear underwear during prostate surgery? Seeking out reassurance or care from your urologist, having a strong support system, and even undergoing counseling with a psychologist or therapist can be helpful in sorting through any post-operative sexual problems you may be experiencing.. Your practitioner will give you specific instructions if this preparation is required. Pads are found in the incontinence section of any pharmacy. This is usually seven to 10 days after surgery. Costello AJ. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If you work from home, you could return to work sooner. , your doctor will consider many factors before recommending the best Before your surgery, your healthcare provider will give you specific preparation instructions. The problem with wearing your underwear is that it is not sterile and can increase the risk of infections. Being aware of these possibilities and knowing what can you can do to better cope with them can help you both physically and mentally. Ashfaq A, et al. Be sure to remove any piercings, jewelry, glasses, hearing aids, or other metal objects at home, before you arrive for your surgery appointment. The pieces are flushed into the bladder, and then drained out through the urethra. So, part of your preparation should include getting help from someone to get you back home and do your errands for one or two weeks. Frequent use of hand sanitizer, as well as proper handwashing technique, can prevent infection and germs. Frequent use of hand sanitizer, as well as proper handwashing technique, can prevent infection and germs. Simple prostatectomy to treat BPH doesn't always involve removing the entire prostate, as in a radical prostatectomy. The prostate gland is situated in the male pelvis, below the urinary bladder. Thank You! Cleveland Clinic. You can shower any time after surgery, but do not take a bath until after the urine catheter is removed. Agarwal DK, et al. We share what to expect after prostate surgery, including what to wear, what to avoid, and tips for recovery. minimize pain before, during, and after surgery. That said, the vast majority of patients feel better if they "take it easy" after surgery, if only for a few days. You don't need to wear pads for leakage when you leave the hospital. Scars after prostate surgery can block urine flow, leading to additional treatment. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. ALL RIGHTS RESERVED. 2023 Dotdash Media, Inc. All rights reserved. This can include oral laxatives or an enema. It's been described as feeling like they did too many sit-ups. 4. Highlights 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Urinary tract infections. Work with your doctor to find a treatment that is right for you. There's no denying the importance of taking our health seriously and staying proactive about the health risks that impact us as we age. Prostate removal is major surgery, so expect some soreness and pain. Accessed March 27, 2020. Though penile sensation and orgasm are maintainedeven if the nerves are damagederectile dysfunction can be frustrating to deal with and negatively impact quality of life. . Early postsurgery experience of prostate cancer patients and spouses. Have a story to share? We support and improve urological care by funding research, developing patient education and pursuing philanthropic support, worldwide. Wear Bladder Protection Products It can take time for lifestyle changes and pelvic floor exercises to produce results. The procedure is used to treat a number of conditions affecting the prostate. You can apply deodorant only after that, according to your doctors recommendation. Hand Sanitizer Use Out & About. BJU International. By Rachael Zimlich, BSN, RN With a minimally invasive procedure, you can usually go home the same day of your surgery. Top 10 Items You Should Have at Home After a Surgery. By Jennifer Whitlock, RN, MSN, FN 2016; doi:10.1590/S1677-5538.IBJU.2016.0290. Some men experience side effects, including: Recovery from surgery takes time. Your doctor will probably give you enough information about it, but here are some prostatectomy recovery tips that will also come in handy: Recovery time after prostate surgery is not the right moment to make plans. She has experience in primary care and hospital medicine. Enlarged prostate glands are known as benign prostatic hyperplasia, or BPH. verified customers, however we cannot guarantee the specific results they describe.FDA Disclaimer: No After that, you will go to a pre-operative room where you can expect the following: You will change into a hospital gown. Your doctor may also give you an antibiotic right before surgery to help prevent infection. You must also buy appropriate clothes to . Kaushik D, et al. Ive always been passionate about biology and healthcare topics. About one man in eight will be diagnosed with prostate cancer at some point during his life. Preparing patients and partners for recovery from the side effects of prostate cancer surgery: a group approach. prostate cancer Recovery from prostate surgery can bring some quality of life concerns, including short-term urinary issues and sexual problems. But since the wound is closed and dressed, you can use blankets and other materials to cover from cold in the observation period. Notify me via e-mail if anyone answers my comment. Each of these three surgeries involves removing the entire prostate gland to leave the patient cancer-free and for restoring a mans urinary and sexual functioning. He or she will discuss what you should know and whether further treatment is necessary. The hospital stay for most prostate surgeries is around one to two days, and recovery at home is around four to six weeks. Easing back into your daily routine after prostate surgery and taking the necessary steps to monitor your health are key to ensuring a smooth and safe recovery process. No one wants a waistband that rubs against a fresh and often very sensitive incision. For most men, even a small amount of urine leakage can be distressing. Mohamad Allaf, M.D. is called a prostatectomy. This is because the balloon at the end of the catheter, that holds it in place in the bladder, is putting pressure on the bladder and the brain is sending a signal to go pee. Your stitches or clips stay in for at least 7 to 10 days. 2011;306(11):1205-14. doi:10.1001/jama.2011.1333. Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. Surgery for Prostate Cancer. If you are suffering from incontinence, there are treatment options that can help, including: Talk to your doctor to find the right treatment option. Surgery for prostate cancer is called a prostatectomy. You may have several smaller wounds if you had keyhole (laparoscopic) surgery. Johns Hopkins urologist Does vitamin [], Article Contents Why do pelvic muscles become weak? Your home should be adapted to your needs. Yeungnam University Journal of Medicine, 35(2), 141-149. Thats why youre given a sterile hospital gown to cover yourself when preparing for surgery. But, another concern is what to wear after prostate surgery. Note: Long-term urinary incontinence is very rare after radical prostatectomy. Once you are ready, you should sit up and walk a few steps. Clothing choices start at the pre-operative stage. A radical prostatectomy is a surgery to remove your entire prostate gland and seminal vesicles. Dr. David Samadi is the Director of Mens Health and Urologic Oncology at St. Francis Hospital in Long Island. However, if they are affecting your quality of life, ask your doctor about options that can help. Before having prostate surgery, there area few things you will have to do to prepare. Wexner Medical Center. Accessed March 31, 2020. Most men go home the following afternoon, unless they are otherwise directed by the doctor. New masking guidelines are in effect starting April 24. Here are my findings based upon more than 1,000 phone calls to men the day before surgery, almost 700 visits to men the day after surgery and hundreds of calls from men in the weeks following surgery. Have loose fitting clothes like PJ's, sweat pants or shorts for when you leave the hospital to accommodate the catheter.

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