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

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Post-operative care following penile curvature surgery, such as the Nesbit procedure, is crucial for ensuring proper healing and minimizing complications. Here are some insights and recommendations based on your questions:
1. Wound Care Duration: After circumcision during the surgery, it is generally recommended to keep the area clean and dry. You should apply topical antibiotics as prescribed by your surgeon for about 1-2 weeks post-surgery or until the wound has sufficiently healed. It’s essential to follow your surgeon's specific instructions regarding dressing changes and medication application.

2. Resuming Sexual Activity: Typically, it is advisable to wait at least 4-6 weeks before engaging in sexual intercourse after penile surgery. This allows adequate time for healing and reduces the risk of complications. For masturbation, a similar timeframe is recommended; however, you should consult your surgeon for personalized advice based on your recovery progress.

3. Nocturnal Erections: Experiencing involuntary erections during sleep is common and usually does not adversely affect healing. However, if you find that these erections are painful or cause significant discomfort, you should discuss this with your healthcare provider. They may suggest strategies to manage discomfort during the healing process.

4. Dream Ejaculation: Nighttime emissions (nocturnal emissions) are a normal physiological response and should not cause any long-term complications or affect your surgical recovery. If you experience pain or unusual symptoms during these events, it’s important to consult your doctor.

5. Pain During Erections: Some discomfort during erections post-surgery can be normal as the tissues heal. However, if the pain is severe or persistent, it’s crucial to seek medical advice. Pain can indicate complications such as infection or improper healing, which may require intervention.

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. Additionally, incorporating fruits and vegetables can provide antioxidants that promote healing. It’s advisable to avoid excessive alcohol, spicy foods, and caffeine, as these can irritate the bladder and potentially lead to discomfort.

7. Bathing: You can typically resume showering about 1 week post-surgery, but avoid soaking in baths or swimming pools until your surgeon confirms that the incision has healed adequately. This helps prevent infection.

8. Exercise and Sports: Light activities can usually be resumed after 2-4 weeks, but high-impact sports or activities that may strain the pelvic area should be avoided for at least 6 weeks. Always consult your surgeon before returning to any strenuous exercise or sports to ensure it is safe based on your healing progress.

In summary, while recovery from penile curvature surgery can vary among individuals, adhering to your surgeon’s guidelines, maintaining proper hygiene, and monitoring for any unusual symptoms are key to a successful recovery. If you have any concerns or experience complications, do not hesitate to reach out to your healthcare provider for advice and support.