Penile implant surgery is an important step in the treatment of erectile dysfunction. However, the success of this procedure depends not only on the surgical technique itself, but also on the quality of postoperative care. The first fifteen days following the implantation are crucial for ensuring proper healing and preventing complications. As a urologist and andrologist in Paris, I offer you a detailed guide to understanding what to expect during these first few days and what precautions to take.
Introduction: the importance of the first two weeks after penile implant surgery
After penile implant surgery, the initial recovery period is crucial for the long-term success of the procedure. During these first fifteen days, healing begins and the body adapts to the presence of the implant. Proper management of this phase helps to minimize pain, inflammation, and the risk of infection. Therefore, it is essential to strictly follow medical advice to optimize healing.
First post-operative week: rest and scar care
Limit physical exertion as much as possible after penile implant surgery.
The first week after surgery is a phase of absolute rest. It’s advisable to keep physical activity to a minimum, considering that you should adopt a rhythm close to that of a hospitalized patient. This means lying down or sitting comfortably, limiting movement, and avoiding unnecessary outings, even for everyday tasks such as walking the dog or shopping. It is advisable to organize these aspects before the operation, so that you can concentrate fully on your recovery.
Local hygiene and care: the betadine scrub shower
To maintain the scar, a daily shower with betadine-based soap (called betadine scrub) is sufficient. This method effectively cleanses the operated area without irritating the skin. It is not necessary to apply an occlusive dressing, as this could cause excessive sweating around the scar, which is not recommended.
After penile implant surgery, it is also advisable to apply a specific cream to the scar. Two main options are generally recommended:
- A betadine-based cream to help prevent infection and promote healing.
- An antibiotic cream prescribed by your urologist, adapted to your clinical situation.
This daily application helps maintain a healthy environment for healing and limits the risk of inflammation.
Pain management: the importance of taking painkillers systematically
Postoperative pain may be present after penile implant surgery, but it is generally well controlled with regular use of pain medication. It is important not to wait until the pain develops before taking a pill. In fact, taking medication preventively, as prescribed by your doctor, allows for better treatment effectiveness and optimal comfort.
Applying an ice pack: a simple gesture to reduce swelling
If you have to make a trip after the operation, particularly if you are an outpatient, or if you are going home the next day, I recommend applying an ice pack for about twenty minutes before removing the pressure bandage applied by the surgeon. This ice pack should be placed on clothing, never directly on the skin, to avoid burns.
The aim of this measure is to limit edema (swelling), which can occur when the dressing is removed. Reducing this swelling helps reduce pain and improve comfort.
Second post-operative week: gradual resumption of activities and continued care
Slowly get back to moving around, while avoiding strenuous physical exertion.
After the first week following the insertion of a penile implant, you can begin to move around a little more freely. Going out to run errands or taking short walks is possible, but it is crucial to continue avoiding strenuous physical activity. Do not play sports, do not run, and avoid any activity that could raise your heart rate.
These precautions are necessary to prevent the formation of edema in the bursa, which is systematically associated with increased pain. By maintaining a calm lifestyle, you can facilitate healing and ensure greater comfort.
Continue to take painkillers routinely
Even if the pain begins to lessen, it is essential to continue taking pain medication regularly . Do not let the pain become chronic, as this could complicate your recovery and make healing more difficult.
Maintaining hygiene and applying creams
Daily showers with betadine soap should be continued, as should the regular application of a cream or gel to the scar. This continuity of local care is essential to ensure optimal healing and prevent any risk of infection.
After the first two weeks: medical follow-up and implant start-up
Once this initial phase of penile implant placement is complete, it is important to contact your surgeon again to review your health and the progress of the healing process. This appointment allows for adjustments to the treatment plan if necessary and to determine together the ideal time to begin using your penile implant .
Post-operative follow-up is a key stage in guaranteeing the implant’s functional success and your long-term satisfaction. Don’t hesitate to ask your urologist any questions you may have, so that you can approach this period with confidence and serenity.
Practical tips for a successful recovery after penile implant surgery
- Prepare yourself before the operation: organize your environment to limit movement and effort during the first week.
- Follow local care instructions: daily shower with betadine scrub, application of appropriate cream, no occlusive dressings.
- Manage pain effectively: take painkillers systematically as prescribed, and don’t use them only when you’re in pain.
- Use the ice pack with care: always on clothing, not directly on the skin, to reduce swelling.
- Avoid heavy physical exertion: no sports, no running, no strenuous activity for the first two weeks.
- Maintain contact with your surgeon: schedule a follow-up at the end of the two weeks to assess healing and prepare for the start of the post-penile implant procedure.
Conclusion
The post-operative period after placement of a penile implant is a delicate phase that requires special attention. By following these simple but essential recommendations, you’ll optimize your healing, reduce pain and promote a rapid and effective recovery.
These first two weeks are the foundation of your future success with the implant. Compliance with rest, local care and prescribed treatments is the key to a safe and fulfilling sex life.
Remember that every patient is unique: your urologist is the best person to help you adapt this advice to your personal situation. Take care of yourself and be patient: healing is a gradual process that will lead you to a satisfactory result.