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Home Care After Surgery

Home Care after Male Sling (Virtue, AdVance)

Follow these guidelines for your care after your surgery to help your recovery. The recovery for this surgery is very important for the success of the procedure.

 

Activity

• Limit your activity for the first 21 days after surgery to light activity.

• You may return to work in a week or so.

• Limit lifting, pushing or pulling to less than 5 pounds for the next 4 weeks.

• Limit any activity that requires your legs to stretch apart, lift knee above waist or squatting. 

You should continue walking when you return home, gradually increasing the amount of walking you do each day. Short frequent walks of 10-15 minutes are a good starting point (at least 3-4 times a day). Walking will help you rebuild strength.

Take planned rest periods during the day. The best gauge is your body and how you feel.

You may walk up and down stairs as soon as you return home, but take them slowly.

Avoid heavy lifting (greater than 5 pounds) or strenuous activity for 4 weeks after you are discharged. Heavy lifting can increase abdominal pressure, which can put a strain on your incision. If you need to brace yourself to pick something up, then it is too heavy. Five pounds is equivalent to a large telephone book or a gallon of milk.

Avoid bending. This is tiring and also increases abdominal pressure. If you must pick something up, bend with your knees (not at your waist).

 

Swelling

Scrotal swelling from the surgery may take weeks to get better. You should call your doctor if the swelling is severe and the scrotum is larger than an orange.

• Use ice packs to the scrotum and penis for 15 minutes every hour for the first 48 hours when you are awake to limit swelling. Use a plastic bag with ice or a bag of frozen peas for the ice pack. Wrap a cloth or towel around the ice pack so the ice does not directly touch your skin.

• Wear a jock strap or tight underwear for the next week to support your scrotum and reduce swelling.

• When swelling decreases after 1-2 weeks, please begin to pull down gently on the pump in the scrotum. Perform the pulling down twice daily. 

 

Incision care

• Stitches will dissolve and do not need to be removed.

• Expect a small amount of blood may stain the dressings for up to 72 hours after surgery.

• For the first few days, apply two or three gauze pads to the site each day and as needed to keep the dressing dry. This will protect the incision and help keep your clothes clean.

• When you are no longer having any drainage, stop using the gauze pads over the site. 

 

Bathing or showering

• You may shower 48 to 72 hours after surgery. Allow the water to wash over the incision but do not scrub the incision. Dry the site gently by patting it with a clean towel.

• Tub baths should be avoided for 14 days after surgery.

• Sitz baths can be used 14 days after surgery to help reduce swelling.

• Swimming or hot tubs should be avoided for 21 days after surgery. 

 

Pain control

You will likely be sent home with a prescription for a few days of pain medicine. Use this only as needed. After 48 hours, most patients can take extra strength Tylenol (acetaminophen) or Advil (ibuprofen) for pain, following the label directions. Pain most often is eased after 5 to 7 days.

 

Sexual activity

Avoid sexual activity for the first 2 weeks after surgery.

 

Follow up

You will need to schedule a follow up visit 4-6 weeks after surgery.

When to call your doctor

Call your surgeon’s office at 614-788-2870 right away if you have:

• Severe swelling, larger than the size of a large orange

• A large amount of fluid drainage that soaks several pads per day

• Pain that is not controlled with pain medicine and use of ice packs or worsens after 48 hours

• Any signs of infection such as: 

• Increased redness or tenderness around the incision site

• Pus type drainage from the incision 

Fever of greater than 101 degrees F

 

Post-Operative Instructions for AUS surgery

Your will have a glue like material called dermabond over your sutures. Your sutures will dissolve over 2-3 weeks and do not require removal. The dermabond covering the incision will wear off 3-5 days following surgery. 

Keep area around incision clean and dry for 48 hours. After that time, you may shower. Avoid sitting in a tub to bathe for 2 weeks following procedure. Do not scrub your incision when bathing. 

Anti-inflammatories, such as ibuprofen, may be used for post-operative discomfort.

Apply ice over incision 5 times per day, 30 minutes at a time, for 1 week after the procedure.

Ten days after the procedure, please begin to locate the deflate mechanism of the pump in the scrotum, but do not use the device. Begin to gently pull down on the pump mechanism and perform deep tissue massage to the pump area.

Your AUS will remain locked in the open position until your in office follow up with Dr. Lowe so that you are able to urinate. 

Inflation and deflation teaching of the AUS device will be done 4-6 weeks after the procedure.

Please call us if:

  • Your temperature is greater than 101.5
  • Your skin appears very red or hot
  • You have difficulty voiding
 

Dr. Lowe’s Nurse: Julia (614) 788-2878

Dr. Lowe’s MA: Sue (614) 788-2873

Bing office: (614)788-2870

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We will attempt to make the appointment as close to your desired date as possible, but this submission is not a guarantee of an appointment at that time. If an urgent visit is needed to discuss sperm cryopreservation prior to cancer treatment, please call the office directly and be sure to notify the staff of this need.

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OhioHealth Urology Physicians
OhioHealth Riverside Methodist Hospital
Bing Cancer Center
500 Thomas Lane, Suite 3G
Columbus, Ohio 43214

Phone: (614) 788-2870
Fax: (614) 533-0177
 
 

OhioHealth Urology Physicians
OhioHealth Riverside Methodist Hospital
Bing Cancer Center

500 Thomas Lane, Suite 3G
Columbus, Ohio 43214

Phone: (614) 788-2870
Fax: (614) 533-0177