Instructions For Care Following Penile Prosthesis
You have just undergone a major operation. The healing process takes time and we would like for you to observe the following instructions during your initial recovery. We have written this information for you to use as a reference during this initial healing phase.
INITIAL POST-OP TREATMENTS AND INSTRUCTIONS:
Our goal is to keep you comfortable. You pain medication will be ordered as needed (PRN). This is not a medication that is given to you on a schedule. Ask your nurse for pain medications as you need them. Your nurse will assess you frequently for pain or discomfort. However, please do not hesitate to ask for pain medication when you need it.
There will be a catheter in your bladder. The foley will be removed by your doctor the day after surgery when your urine is clear. You will be instructed to drink plenty of water so that you will be able to urinate.
You will be instructed to be up and about as much as you are able to tolerate. Sitting in the chair will be encouraged as well.
Scrotal roll for support
You may experience some swelling and redness of the scrotum. This is normal. A towel roll may be placed under your scrotum to help keep the swelling down.
You will start out with regular food as you tolerate it. Your can pick and choose from your tray. Don't force yourself to eat the first meal.
You will be receiving an antibiotic through your IV while you are in the hospital. This generally is for a 24 hour period of time. Your pain medication will be taken by mouth. You will be given antibiotics to take by mouth for 5-7 days at home following your surgery.
INSTRUCTIONS TO FOLLOW AT HOME AFTER DISCHARGE
- Avoid heavy lifting (greater than 5 pounds) or strenuous activity prior to your first follow up appointment. This causes increased abdominal pressure and puts stress on the incision. If you need to brace yourself to pick up an object - it is too heavy.
- It is highly recommended to avoid sexual activity prior to your follow up visit. Use of the prosthesis prior to proper healing of the incisions could cause incisional damage and potential damage to the prosthesis. At your first follow up visit, your doctor will inform you of when you will be able to resume sexual activity.
- Do not drive any motorized vehicle, or sign legal documents if you are taking a narcotic pain medication. The medication may cause alteration in visual perception and impair judgment.
- Wear loose fitting briefs or shorts and avoid wearing clothing that is too tight.
You may use the shower to bathe if you wish. Gently wash the incision with soap and water, rinse thoroughly, and pat dry. This will be sufficient to keep your incision clean, dry, and free of bacteria.
Return to your normal eating habits. A well balanced diet will promote healing. Drink fluids on a regular basis to ensure a regular voiding pattern.
- Follow any special instructions your doctor has given you that is particular to the type of prosthesis you have.
- If your scrotum is swollen, wear a scrotal support and when resting, elevate your scrotum on a towel roll.
- Avoid constipation. This will prevent unnecessary straining. To prevent constipation you can increase roughage in your diet, drink prune juice or orange juice, take milk of magnesia or some other over the counter laxative. You will be prescribed Colace when you are discharged. This is a stool softener, not a laxative. It is recommended that you drink 6-8 glasses of water a day to enhance the effectiveness of Colace. Should constipation become a problem that is not relieved, call your doctor whose number is on the back of this pamphlet.
- Carry your prosthesis identification card in your wallet at all times.
- You will be given a prescription for antibiotics that you will take by mouth for one week after your surgery.
WHEN TO CALL YOUR DOCTOR
- You have increased scrotal or penile swelling
- There is drainage from your incision
- Your incision is red or swollen
- The area of skin around your incision is warmer than elsewhere
- You have difficulty passing your urine or starting a stream
- There is blood in your urine
- Nausea and vomiting occurs
- Severe pain that is not relieved by your pain medication
- You have chills or fever of 101 or more degrees
You will be given an appointment to return two weeks after your surgery. At this time is when the doctor will check your prosthesis and will then discuss with you, your return to sexual activity.
Additional instructions are given on a case by case basis. Ask you health care provider if any other instructions are necessary in your particular case.
For Urgent or Emergent situations 24 hours a day, page the Urology Resident on call at 734.936.6267. They will contact the physician for you.