Post-Operative Care Tips After Penile Curvature Surgery: What to Know - Urology

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After undergoing penile curvature surgery, such as the Nesbit procedure, it's essential to follow specific post-operative care guidelines to ensure a smooth recovery and minimize complications. Here are answers to your questions based on medical knowledge and common practices in post-operative care:
1. Wound Care Duration: After circumcision or any incision related to penile surgery, it's generally recommended to keep the area clean and dry. You should continue to apply any prescribed topical ointments or dressings for about 1 to 2 weeks or until your surgeon advises otherwise. It's crucial to monitor the wound for signs of infection, such as increased redness, swelling, or discharge.

2. Resuming Sexual Activity: Most surgeons recommend waiting at least 4 to 6 weeks before resuming sexual intercourse after penile surgery. This timeframe allows the tissues to heal adequately. As for masturbation, it’s typically advised to wait at least 4 weeks, but you should consult your surgeon for personalized advice based on your healing progress.

3. Nocturnal Erections: It's common for men to experience involuntary erections during sleep, known as nocturnal penile tumescence. While these erections can be uncomfortable post-surgery, they are a normal physiological response and should not significantly affect healing. However, if you experience severe pain or discomfort during these episodes, you should consult your doctor.

4. Dream Ejections and Complications: Experiencing a dream-related ejaculation (nocturnal emission) after surgery is generally not harmful. However, if it leads to significant pain or bleeding, you should seek medical advice. Most patients do not experience long-term complications from such occurrences, but it's essential to monitor any unusual symptoms.

5. Pain During Erections: Some discomfort during erections is normal in the early stages of recovery. However, if the pain is severe or persistent, it could indicate complications such as scarring or infection. It's crucial to communicate any concerning symptoms to your healthcare provider.

6. Dietary Recommendations: A balanced diet rich in vitamins and minerals can support healing. Foods high in protein (like lean meats, fish, eggs, and legumes) can aid tissue repair. Incorporating fruits and vegetables can provide essential nutrients and antioxidants. It's advisable to avoid alcohol and spicy foods, as they can irritate the surgical site or affect healing.

7. Bathing: You can typically shower after a few days post-surgery, but avoid soaking in baths or swimming until your doctor gives the green light. Keeping the surgical area clean is vital, but be gentle and avoid direct water pressure on the wound.

8. Physical Activity: Light activities can usually be resumed after a couple of weeks, but high-impact sports or exercises that put strain on the pelvic area, such as running or playing ball, should be avoided for at least 4 to 6 weeks. Always consult your surgeon before returning to any strenuous activities.

In summary, following your surgeon's specific instructions is crucial for a successful recovery after penile curvature surgery. Regular follow-ups and open communication about any concerns will help ensure that your healing process is on track. If you experience any unusual symptoms or have further questions, don't hesitate to reach out to your healthcare provider.