Instructions after Grafting Surgery

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 from catheter
First day after procedure:
  • 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.
 After the second day:
  • Swelling and bruising of penis may be more than the previous days.
 3-4 weeks after surgery:
  • The stitches on the skin will dissolve automatically. You may see redness or slight separation of wound. This is not a problem

What you should do:

Day of procedure:
  • Take it easy. Do not overeat. Take deep breath 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.
First day after procedure:
  • The morning after surgery, you will have a wound check and get your 1st 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 (5 days after surgery). May clean yourself with a washcloth and keep the wound dry for 5 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 5 more days.
  • Do not drive, especially if you are having discomfort and/or are taking narcotic pain medications (vicodin, percocet, tylox, etc)
  • Miscellaneous:
  • NO sexual activity (sex or masturbation) for 8 weeks.
  • NO bath/hot tub/swimming for 6 weeks. Shower is OK.

Diet:

Day of procedure:
  • Make sure you keep hydrated
  • Eat bland food (toast, broth, etc)
  • Avoid alcoholic beverages
  • 24 hours after procedure:
  • If you feel like it, eat a normal diet and fluid intake

Medication:

After you go home:
  • Resume your prescribed medications EXCEPT for aspirin or “blood thinners” (coumadin, warfarin, heparin, etc)
  • Take your new prescribed medications 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 these medications.

Contact:

  • Call your urologist’s office
  • Pain is not adequately controlled with medication
  • Cannot urinate for more than 8 hours
  • The clinic hours are M-F, 9am-Spm.
  • There is a Urologist on-call 24 hours a day, 7 days a week for issues that cannot wait until the office is open the number to call is []
  • If you feel you have a problem that is an emergency, call 911 or go to a local Emergency Room