The insertion of a penile implant is an important step in the treatment of erectile dysfunction. However, the success of this procedure depends not only on the surgical procedure itself, but also on the quality of post-operative care. The first two weeks following implant placement are crucial to ensure proper healing and avoid complications. As a urological surgeon and andrologist in Paris, I’ve put together a detailed guide to help you understand what those first few days are like, and what precautions you need to take.

Introduction: the importance of the first two weeks after penile implant surgery

Afterpenile implant surgery, the initial recovery period is crucial to the long-term success of the procedure. During these first two weeks, healing begins and the body adapts to the presence of the implant. Good management of this phase helps to limit pain, inflammation and the risk of infection. That’s why it’s essential to strictly follow medical advice to optimize healing.

First post-operative week: rest and scar care

Keep physical effort to a minimum

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.

In addition, it is 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

Post-operative pain may be present, but is generally well controlled with regular intake of analgesics. It’s important not to wait for pain to set in before taking a tablet. In fact, taking them preventively, as prescribed by your doctor, will ensure that your treatment is more effective, and that you are as comfortable as possible.

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, you can start to move around a little more freely. Outings to run errands or go for short walks are possible, but it’s crucial to continue avoiding heavy physical exertion. Don’t play sports, don’t run, and avoid any activity that could accelerate 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 tends to diminish, it’s essential to continue taking your painkillers regularly. Don’t let the pain settle in, as this could complicate your convalescence and make recovery 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

After this initial phase, it is important to contact your surgeon again to review your state of health and the progress of the healing process. This appointment will enable you to adjust your treatments if necessary, and to determine together the ideal time to start 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.
• Keep in touch with your surgeon: schedule a follow-up at the end of the two-week period to assess healing and prepare for implant insertion.

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.