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