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Reconstructive Urology & Men's Health

Penile Implants - Surgical Instructions

You can expect
What you should do now
Diet
Medication


You can expect:

Day of procedure

  • Bruising and some mild bleeding from the incision site
  • Possible bruising and pain at the i.v. site Possible pain, burning in the urethra and/or bladder
  • You will have a small catheter in place to help you empty your bladder after surgery
  • Possibly see pink-tinge in urine

24 hours after

  • Pain/swelling may be worse today than yesterday
  • May still have urinary symptoms
  • Bandage may have caked blood
  • Possible trouble initiating the urinary stream

48 hours after

  • Pain/swelling may be worse today than yesterday
  • May still have urinary symptoms
  • Bandage may have caked blood
  • Possible trouble initiating the urinary stream

72 hours after

  • Swelling and bruising of penis may be more than the previous days
  • Possible pain/sensitivity of the scrotum/testicles
  • Possible pain in the lower abdomen if a reservoir was placeda

Miscellaneous: You will leave the pump in the “down” (deactivated) position for 6 weeks.


What you should do now:

Day of procedure

  • Do NOT drive a car, make important personal or legal decisions, or be left alone without assistance.
  • Take it easy and avoid unnecessary activity
  • ICE IS YOUR BEST FRIEND: apply a cold pack (never directly on the skin) intermittently (20 minutes at a time) for 48 hours.

24 hours after

  • The drain usually comes out the day after the operation
  • May clean yourself with a washcloth but do not shower for 2 days after the operation
  • ICE IS YOUR BEST FRIEND: apply a cold pack (never directly on the skin) intermittently (20 minutes at a time) for 48 hours.

48 hours after

  • Remove the dressing if present.
  • Do not drive, especially if you are having discomfort and/or are taking narcotic pain medications (vicodin, percocet, tylox, etc)
  • ICE IS YOUR BEST FRIEND: apply a cold pack (never directly on the skin) intermittently (20 minutes at a time) for 48 hours.

72 hours after

  • Continue to change dressing once daily
  • You may take a bath today, many patients say that being in the bath is the best pain-killer and you may bathe up to 3x a day.

Miscellaneous: Gently pull downward on the pump daily to make sure it stays in a good positio n in the scrotum. The bath is a good place to do this, since the scrotum will be more relaxed.

Avoid heavy lifting or active exercise (walking is encouraged) for 2 weeks.

NO sexual activity (sex or masturbation) for 6 weeks.

It is best if you wear brief or similar snug underwear and have the penis facing “up” (towards the abdomen) for a month after surgery. This will help give the penis the best angle when you are ready to use the prosthesis.


Diet:

Day of procedure

  • Make sure you keep hydrated: drink 8 glasses of water a day.
  • Eat bland food (toast, broth, etc)
  • Avoid alcoholic beverages

24 hours after

  • If you feel like it, eat a normal diet
  • Avoid alcoholic beverages

48 hours after

  • Continue normal diet and good fluid intake

72 hours after

  • Continue normal diet and good fluid intake

Medication:

Day of procedure

  • Resume your prescribed medications EXCEPT for aspirin or “blood thinners” (coumadin, warfarin, heparin, etc)
  • Take your new prescribed medications

24 hours after

  • Take your regular medications.
  • May resume blood thinners if this has been ok’d at clinic visit.
  • Continue pain medications if needed. May take Tylenol extra-strength INSTEAD of prescribed medications if desired

48 hours after

  • Take your regular medications.
  • May resume blood thinners if this has been ok’d at clinic visit.
  • Continue pain medications if needed. May take Tylenol extra-strength INSTEAD of prescribed medications if desired

72 hours after

  • Take your regular medications.
  • May resume blood thinners if this has been ok’d at clinic visit.
  • Continue pain medications if needed. May take Tylenol extra-strength INSTEAD of prescribed medications if desired

Miscellaneous: Narcotic pain medication may cause constipation, itching, nausea/vomiting, “wooziness”. Make sure you are having regular bowel movements (may use Metamucil, milk of magnesium, etc) and that you do NOT drive if taking narcotic medications.


Contact:

Call Dr Brant’s clinic if:

  • Pain is not adequately controlled with medication
  • Cannot urinate for more than 8 hours
  • Strong chills or fever (>101.5 degrees farenheit)
  • Increasing pain at the operative site, especially more than a week after surgery
  • Drainage/pus from the operative site or near it, especially if parts of the prosthetic can be seen through the skin

The clinic hours are M-F, 8am-5pm.

There is a Urologist on-call 24 hours a day, 7 days a week for issues that cannot wait until the office is open

If you feel you have a problem that is an emergency, call 911 or go to a local Emergency Room