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Penile Implant

POST-OPERATIVE INSTRUCTIONS FOR PENILE PROSTHESIS SURGERY

Outpatient surgery or 2-3 hour in office surgery

DIET:

You may return to your normal diet within twenty-four hours following your surgery. You may note some mild nausea and possibly vomiting the first six to eight hours following surgery. This is usually due to the side effects of anesthesia, and will disappear quite soon.  We suggest clear liquids and a very light meal the first evening following surgery.

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Your physical activity should be restricted the first forty-eight hours. During that time you should remain relatively inactive. Do not attempt to inflate and use your prosthesis until your physician says it is okay. During the first 14 days following surgery you should avoid lifting any heavy objects (anything greater than fifteen pounds), and avoid strenuous exercise. If you work, ask us specifically about your restrictions, both for home and work. We will write a note to your employer if needed.

You should plan to wear a tight pair of jockey shorts or an athletic support for the first 7 days, even to sleep. This will keep the scrotum immobilized to some degree and keep the swelling down. The position of your penis will determine what is most comfortable, we strongly urge you to keep the penis in the 'up' position (towards your head). You may discard the scrotal support with the 'hole' in it, if it is too uncomfortable, and use a pair of jockey shorts.

Ice packs should be placed over the scrotum on and off for the first 24 hours. Frozen peas or corn in a ZipLoc bag can be frozen, used and re-frozen. 15 minutes on and 15 minutes off is a reasonable schedule. The ice is a good pain reliever and keeps the swelling down.

Your prosthesis can spontaneously become erect. This erection may cause you the most discomfort during the first couple of weeks. We will deflate the prosthesis at your first visit, which should give you a fair amount of relief. At your second post operative appointment, we will show you how to inflate and deflate the prosthesis.

WOUND:

The suture will dissolve in 10-14 days. Expect some redness around the sutures. If there is generalized redness, especially with increasing pain or swelling, let us know. The scrotum will very likely get 'black and blue' as the blood in the tissues spread. Sometimes the whole scrotum will turn colors. The black and blue is followed by a yellow and brown color. In time, all this coloration will go away.

If your incision is on the bottom side of the penis and continues into the scrotum, sutures will be used that dissolve within 10-14 days. If you have an incision above the penis, suture staples will be used to close the wound and will be removed at you first post operation appointment.

HYGIENE:

You may shower 48 hours after surgery. Tub bathing or swimming should be restricted until 7 days after surgery.

MEDICATION:

You will be sent home with some type of pain medication. In most cases you will be sent home with a narcotic pain pill ( Vicoding or Percocet). If the pain is not too bad, you may take either Tylenol (acetaminophen) or Advil (ibuprofen) which contain no narcotic agents, and might be tolerated a little better, that is fewer side effects. If the pain medication you are sent home with does not control the pain, you will have to let us know. Some narcotic pain medications cannot be given or refilled by a phone call to a pharmacy.

You will also be sent home with an antibiotic. You should plan to finish the entire bottle of pills. This is to prevent an infection in the prosthesis and is obviously important.

PROBLEMS YOU SHOULD REPORT TO US:

  • Fever of 100.5 degrees Fahrenheit.
  • Moderate or severe swelling under the skin incision or involving the scrotum.
  • Drug reactions such as hives, a rash, nausea or vomiting.
  • Any erosion of the prosthesis, tissue surrounding the implant may break down.

FOLLOW-UP:

You should contact your doctors office within 24 hours to set up your first follow-up appointment. This visit, to check your incision and progress, is usually set up 6-7 days following your surgery.



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