Peyronie's Reconstruction Post-Op Recovery Instructions

Peyronie's Surgery Post-Operative Instructions

What you can expect

• Bruising and some mild bleeding from incision site(s).
• Bruising and swelling of scrotum and penis for the first 2 weeks.
• Possible pain and/or burning with urination.
• Painful erections that will gradually improve over a few weeks
• Penile dressing that stays on for 48 hours. Can remove if having difficulty urinating.

What you should do

Day of surgery

• Do not drive
• Do not 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 (never directly on skin, use towel or cloth) intermittently (20 minutes at a time) for 24 hours

First day after surgery

• Keep the wound dry for 2 days after surgery
• ICE IS STILL YOUR BEST FRIEND

After the second day

• Leave the dressing on until you take your first shower (2 days after surgery). If the dressing falls off, don't put it back on

1-6 weeks after surgery

• Can resume exercise once penile swelling has resolved
• NO SEXUAL ACTIVITY FOR 6 WEEKS
• NO BATH/HOT TUB/SWIMMING FOR 6 WEEKS
• If you had a grafting procedure
  • 2 weeks after surgery: pull and stretch glans of penis outward with gentle massage of graft area twice daily for 4 weeks
  • Begin VED 2-4 weeks after surgery as directed by your surgeon

Diet

• Drink plenty of fluids (6-8 glasses of water daily).
• Resume regular diet at home.
• If you have a special diet due to diabetes, kidney disease, liver disease etc, you may resume eating when tolerated.

Medications

• Pain control with 600 mg ibuprofen and 500 mg Tylenol every 6 hours unless your doctor states otherwise. These medications can be staggered so that you can take something every 3 hours.
• Narcotics are not necessary
• Resume all medications you normally took before surgery, unless instructed otherwise.
• Resume Aspirin and blood thinners as directed by your physician.
• If you had a grafting procedure
  • 1 week after surgery: Sildenafil 25 mg or tadalafil 5 mg nightly for 6 weeks to encourage blood flow
• If you have any questions regarding your medications please call our office at 781-7448420or call the Lahey Clinic Urologist on-call.

Bowel habits

• Avoid constipation to prevent straining (do not strain when having a bowel movement).
• Increase fiber in your diet
  • Fruits, vegetables, salads
  • Metamucil
• Drink plenty of fluids (8 glasses of water a day)
  • Can add prune or apple juice
• Stool softeners
  • Colace
• Laxatives
  • Milk of Magnesia, Miralax etc. Bathing

• Shower daily beginning 48 hours after surgery.
• Gently wash the incision with soap and water, rinse, and pat dry.
• No baths, hot tubs, or swimming for 6 weeks

Reasons to call your doctor

• Incision becomes red, swollen, opens, or has pus-like drainage.
• Skin around your incision becomes warmer than elsewhere.
• Inability to urinate for more than 8 hours
• Chills or fever greater than 101 degrees F.
• Nausea and vomiting or inability to keep down fluids.
• Severe pain not controlled by pain medication.

Additional instructions

• Given on a case by case basis. Ask your surgeon if any other instructions are necessary.

For emergent situations call 911 or go to the Emergency Room.

Please feel free to contact us with any other questions or concerns at 781-744-8420.