Penile Plication
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 with urination
Possibly see pink-tinge in urine
Possible trouble initiating the urinary stream
24 hours after procedure:
Pain/swelling may be worse today than yesterday
May still have urinary symptoms
Bandage may have caked blood.
48 hours after procedure:
[see 24 hour instructions]72 hours after procedure:
Swelling and bruising of penis may be more than the previous days.
Miscellaneous:
You will follow up with Dr. Brant the day after surgery for a wound-check and your first dressing change.
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 procedure:
Return to Dr Brant’s clinic for a wound-check and for your first dressing change
May clean yourself with a washcloth but do not shower for 5 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 operation:
Change the dressing, once a day for 5 days.
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 operation:
Continue to change dressing once daily
Miscellaneous:
NO sexual activity (sex or masturbation) for 6 weeks.
NO bath/hot tub/swimming for 2 weeks
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 procedure:
If you feel like it, eat a normal diet
Avoid alcoholic beverages
48 hours after procedure:
Continue normal diet and good fluid intake
72 hours after procedure:
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 [blank line here to fill in medication name and directions]
24, 48, 72 hours after procedure:
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 your urology provider if:
- Pain is not adequately controlled with medication
- Cannot urinate for more than 8 hours
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