Monthly Archives: May 2015

Recovery from Penis Implant Surgery

Care Following the Penis Implant Surgery

Penis implant surgery is a major operation. The healing process takes time and it’s important to follow instructions after surgery for a smoother and faster recovery.

Once the procedure is completed, your nurse will check in with you frequently for pain or discomfort relief.  For the first day, you will receive an antibiotic through your IV. Pain medication can be taken by mouth. Every person’s pain tolerance is different, so pain medication will be ordered and given when you need it.

There will be a catheter in your bladder. Your doctor will remove it when your urine is clear, usually the day after surgery. You may experience some swelling and redness of the scrotum. This is normal. Placing a towel under your scrotum will help keep the swelling down.

Regular food will be given to you as soon as you can tolerate it. Don’t rush yourself and choose only the food you are comfortable eating. You will be encouraged to walk and sit up as much as you can tolerate.

Prior to discharge, your doctor will discuss scheduling your follow up appointment. When you get home you will need to call your doctor’s office to make the appointment.

Instructions to Follow at Home after Penile Implant Surgery

Doctors highly recommend that following the penile implant surgery, patients should avoid:

  • Heavy lifting or strenuous until allowed by your doctor. Lifting causes puts stress on the incision and increased abdominal pressure.
  • Sexual activity prior to your follow up appointment.
  • Clothing that is too tight. Wear loose fitting briefs or shorts.
  • Signing legal documents if you are taking a narcotic pain medication as it may impair judgment.
  • Operating a car or any type of motorized vehicle (motorcycle, lawnmowers, scooters, etc.).

Special Considerations

You may use the shower to bathe if you wish. Use care when washing the incision with soap and water, rinse thoroughly and dry. It’s important to return to your normal eating habits. A well- balanced, nutritious diet will promote healing. Drink fluids throughout the day to avoid constipation.

Follow any instructions your doctor has given you dependent on your health and other special circumstances. You will be given an appointment to return two weeks after your surgery. At this time is when the doctor will check your prosthesis and you will discuss restarting sexual activity.

When to Call Your Doctor

Most patients recover without any serious issues. Some patients may encounter minor problems due to their health condition or age. Contact your doctor or emergency medical facility if you have any of these symptoms:

  • Increased swelling of penis or scrotum.
  • Your incision becomes red, swollen and drainage occurs (could signify an infection).
  • The skin around your incision is very warm to the touch.
  • You have difficulty urinating and/or there is blood in your urine.
  • You experience nausea and vomiting.
  • Severe pain that is not relieved with pain medication.
  • You have chills or fever of 101 degrees or above.

A smooth recovery can be achieved by following your doctor’s instructions.  If you have questions about your recovery from your penis implant surgery, contact Dr. Larish at 212-541-6239 the best Penile Implant Surgery doctor in NYC.

Benign Prostatic Hyperplasia

Understanding Prostate Gland Enlargement  

Benign prostatic hyperplasia (BPH) or prostate gland enlargement is a common condition as men get older. Left untreated, prostate gland enlargement can block the flow of urine and cause bladder, urinary tract or kidney problems.

There are several effective treatments for prostate gland enlargement, including minimally invasive therapies and surgery. The best treatment option for BPH will depend on your symptoms, the size of your prostate, your general health and your preferences.

Causes and Symptoms of BPH

Men who have prostate gland enlargement have different symptoms that tend to gradually worsen over time. Some signs and symptoms of BPH include frequent or urgent need to urinate, increased frequency of urination at night or inability to completely empty the bladder. Less common signs and symptoms in BPH include urinary tract infection, inability to urinate or blood in the urine.

In many men, an enlarged prostate causes urinary symptoms. It isn’t entirely clear what causes the prostate to enlarge, but it might be linked to changes in the balance of sex hormones as men grow older. Risk factors include age family history, lifestyle, ethnic background and other health problems.

When to Seek Surgical Treatment for BPH

Even if you don’t consider your urinary symptoms urgent, it’s important to identify or rule out any underlying causes. Untreated, urinary problems might lead to obstruction of the urinary tract.

At your initial exam, your doctor will get your health background and do a physical exam that can include a digital rectal exam, neurological exam, urine test and a blood test prostate-specific antigen (PSA) blood test. Additional tests may be needed to help confirm an enlarged prostate and to rule out other conditions. These additional tests might include urinary flow test, postvoid residual volume test and 24-hour voiding diary. If your condition is more complex, your doctor may recommend other tests, including a biopsy and cystoscopy.

Surgical treatment might be needed if your symptoms are moderate to severe and medication hasn’t relieved them. A wide variety of treatments are available for enlarged prostate, including medication, minimally invasive therapies and surgery. The best treatment choice for you depends on several factors, including the size of your prostate, age and your overall health. There are several types of minimally invasive or surgical therapy:

  • Transurethral resection of the prostate (TURP)
  • Transurethral incision of the prostate (TUIP)
  • Transurethral microwave thermotherapy (TUMT)
  • Transurethral needle ablation (TUNA)
  • Open or robot-assisted prostatectomy
  • Embolization
  • Laser therapy
  • Prostate lift

Prostate procedures can cause side effects such as difficulty with urination, bleeding or erectile dysfunction. They are usually temporary and will decrease with proper rest and care after BPH surgery.

Follow-up care for BPH surgical treatment

Follow-up care will depend on the specific technique used to treat your enlarged prostate. Your doctor might restrict heavy lifting and physical activity for a week if you have laser ablation but may restrict activity for several weeks for open or robot-assisted prostatectomy. Most men have a smooth recovery by following their doctor’s instructions.

If you have questions about surgical treatment for BPH, contact Dr. Larish at the best Penile Implant Surgery doctor in NYC. Call us at 212-541-6239.