DIET
You may return to your normal diet within 24 hours following your surgery. You may note some mild nausea and possibly vomiting in the first six to eight hours following surgery. This is usually due to the side effects of anesthesia, and will disappear quite soon. I would suggest clear liquids and a very light meal the first evening following surgery.

ACTIVITY
Your physical activity should be restricted the first 48 hours. During that time you should remain relatively inactive, moving about only when necessary. During the first few days following surgery you should avoid lifting any heavy objects (anything greater than 15 pounds), and avoid strenuous exercise. If you work, ask us specifically about your restrictions, both for home and work. We will write a note to your employer, if needed.

Ice packs can be placed over the penis for the first 48 hours to relieve the pain and keep the swelling down. Fifteen minutes on and 15 minutes off is an appropriate schedule. If you don't have ice packs you can use frozen peas or corn in a ZipLoc bag. These can be frozen and reused many times.

WOUND
In most cases your incision will have multiple sutures that run along the course of your incision. Expect some redness around the sutures. If there is generalized redness, especially with increasing pain or swelling, let us know. The penis will very likely bruise as the blood in the tissues spreads. Sometimes the whole penis will turn color. The black-and-blue is followed by a yellow and brown color. In time, all this coloration will disappear.

HYGIENE
You may shower 48 hours after surgery. Tub bathing should be restricted until after the sutures are removed and the wound has healed. If your incision is draining after the sutures are out, do not sit in a tub bath without our approval.

MEDICATION
You will be sent home with some type of pain medication. In most cases this will be a narcotic pain pill (Tylox or Percocet). If the pain is not too severe, you may take either Tylenol (acetaminophen) or Advil (ibuprofen), which contains no narcotic agents and has fewer side effects. If the pain medication you receive does not control the pain, you must let us know. Some narcotic pain medications cannot be given or refilled by a phone call to a pharmacy.

PROBLEMS YOU SHOULD REPORT TO US
* Fever of 100.5 degrees Fahrenheit * Moderate or severe swelling under the skin incision or involving the penis * Drug reactions, such as hives, a rash, nausea or vomiting

FOLLOW-UP
You should contact our office within 24 hours to set up your first follow-up appointment. This visit, to check your incision and progress, is usually scheduled for six or seven days following your surgery.

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