KEEP INCISION DRY AND
DRESSINGS DRY You are not allowed to shower for at least
2-3 days and must keep the incision(s) dry to prevent infection
and to aid in healing. I will tell you when you can get the incision(s)
wet. Do not rub the suture area(s), but rather pat dry.
While infection is unlikely, I wish you to watch for signs of infection,
i.e., redness, swelling, green drainage. If any of these occur,
please let me know within 24 hours. Do not use a hot tub or whirlpool
bath until one week after your sutures are removed.
While bleeding is unlikely, if bleeding occurs, apply direct pressure
with a gauze for 15 minutes. Call me if bleeding occurs after this.
there are no sutures that need to be removed.
If any part of an incision opens, please let me know within 24 hours,
and if you are using a stretching device stop using it immediately.
Use boxer shorts and sweatpants as long as you have discomfort or
penile swelling. When dressing, do not bend or fold your penis.
You may wish to place your penis up on the abdomen for the 1st 4
days after which we want you to allow the penis to hang down in
boxer shorts for 4 to 6 weeks.
Light activities may be resumed in about 3 to 7 days and strenuous
activities in 4 to 6 weeks.
Athletic and other strenuous activities such as running or extensive
walking must be avoided for at least 5 weeks. No aerobics or contact
sports are allowed for at least 6 weeks. You may engage in
upper body exercise after 3-4 days.
should sleep on your back as much as possible for 1 to 2 weeks
You should not have penetrating sex (i.e., sexual intercourse) or
sustain any genital trauma or significant pressure for 6 weeks.
SWELLING AND DISCOLORATION
You may expect some swelling and discoloration of the penile shaft,
scrotum, lower abdomen for approximately 1 to 2 weeks. You may elevate
the scrotum and penis on a towel placed between your legs to minimize
Levaquin 500mg, take 1 tablet once a day for 1 week
Vitamin C 500mg, 3 times a day for about a month.
Vicodin ES, 1 tablet every 4 hours for severe pain (rarely needed).
If moderate pain, use Tylenol #3, 1 or 2 tablets every 4 hours.
If you have had penile widening (albugineal/cavernosal) you should
take - one half hour before sleep valium 5mg for 14 days to inhibit
nocturnal erections, and Amyl Nitrite Inhaler (0.3 ml) HS for one
month and during the day for one month if you have daytime erections
to abort the erections. You will also take Vitamin B-6 (100 mg)
Do not take aspirin, aspirin products, or Motrin for 2 weeks (See
Drugs to Avoid Pre and Post Operatively.)
Continue to take all your routine medications.
Many patients do not use pain medications. You should not need pain
medication after 1 week.
PENILE STRETCHING DEVICE
If you have had the widening procedure (pericavernosal) alone or
in combination with the lengthening procedure, you will start using
a penile stretching device under my supervision between 6 and 8
weeks. If your procedure is staged, meaning it is performed in two
parts, with the first procedure being the penile lengthening, you
may start using the weights about 4 weeks after the surgery. Initially,
you will have the weights on for 5 to 10 minutes and then off for
15 to 20 minutes. This may be repeated in sets of 4 to 5, before
work in the morning and in the evening. Alternative exercise programs
will be discussed with you.
These weights are extremely safe when used properly. However,
potential risks include: contact dermatitis, bruising; vascular,
erectile tissue and nerve injury, possibly causing or contributing
to erectile dysfunction or loss of the penis. See detailed instructions
from the manufacturer included with the stretching device.
After a period of time, you may gradually increase the amount
of weight and length of time, determined by your comfort level and
the guideline I will give you. You should never use the weights
if they cause discomfort, or change in penile sensation (feeling),
color or temperature of the penis. If you have any concerns you
should stop using the weights and inform me before starting again.
For optimal results, you may wish to use the weights for about 6
If you have had albugineal/cavernosal penile widening, at three
weeks after surgery you should begin using the vacuum device.
REMOVAL OF DRESSING
The penile dressing will be removed by myself or your physician
in 10 to 14 days if you had the penile widening procedure.
An office visit is required 24 to 72 hours after surgery to observe
the incision(s) and surgical sites and to change the dressing, if
necessary. A second office visit is recommended one week later.
Out of town patients must be seen at least one time prior to leaving
town, and are requested not leave town sooner than 72 hours after
surgery in case they need to see me prior to departure. Ideally,
I would like out of town patients to stay in New York City for about
one week, particularly if you have had a widening procedure.
Routine follow-up visits at 1, 3, 6, 9, and 12 months after surgery
If you have any problems, call Dr. Whitehead at 212-879-3131.
If he is not available, and you are not able to reach the covering
doctor, call the urology resident on call at Beth Israel Medical
Center in New York at 212-420-2000 on page.