Grafting Surgery: What to Expect

Day of procedure

  • Bruising and some mild bleeding from the incision site
  • Possible bruising and pain at the IV site
  • Possible pain, burning in the urethra from catheter

24 hours after

  • Pain/swelling may be worse today than yesterday
  • Possibly see pink tinge in urine
  • Possible trouble initiating the urinary stream
  • Bandage may have caked blood

48 hours after

  • Swelling and bruising of penis may be more than the previous days

3–4 weeks after

  • The stiches on the skin will disolve automatically
  • You may see redness or slight separation of wound. This is not a problem.

Miscellaneous

  • You will follow up with Dr. Brant the day after surgery for a wound-check and your first dressing change.

Post-Surgery Instructions

Day of procedure

  • Take it easy.
  • Do not overeat.
  • Take deep breaths and cough so you don't get pneumonia.
  • ICE IS YOUR BEST FRIEND: apply a cold pack (never directly on the skin) intermittently (20 minutes at a time) for 24 hours.

24 hours after

  • The morning after surgery, you will have a wound check and get your first dressing change.
  • ICE IS YOUR BEST FRIEND: apply a cold pack intermittently.

After the second day

  • Change the dressing, once a day for 10 days. Leave the yellow gauze on until you take the first shower (five days after surgery). May clean yourself with a washcloth and keep the wound dry for five days after the operation. You can cover the wound with a condom or small plastic bag if you want to take a shower.
  • After the yellow gauze is removed, apply antibiotic ointment (bacitracin, neosporine, or polysporine) to the incision wound twice a day for five more days. Do not drive, especially if you are having discomfort and/or are taking narcotic pain medications (vicodin, percocet, tylox, and the like).

Miscellaneous

  • NO sexual activity (sex or masturbation) for eight weeks.
  • NO bath/hot tub/swimming for six weeks. Shower is OK.

Diet

Day of procedure

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

24 hours after

  • If you feel like it, eat a normal diet and fluid intake.
  • 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, and the like)
  • Take your new prescribed medications.

24 hours after

  • Take your regular medications.
  • May resume blood thinners if this has been okayed 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, and the like) and that you do NOT drive if taking narcotic medications.

When Should You Call a Doctor?

Please call the urology services clinic at 801-213-2700 if:

  • Pain is not adequately controlled with medication.
  • Cannot urinate for more than eight hours.

The clinic hours are M-F, 8am–5pm. There is a urologist on-call 24 hours a day, seven 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.