Recovery after penile implant surgery involves several stages, each with specific considerations for proper healing and device integration. This guide provides an overview of the recovery process, from immediate post-operative care to long-term device use.
Immediate Post-Surgery Experience
Upon waking from surgery, some grogginess is common as anesthesia wears off. Patients typically experience soreness and discomfort in the surgical area, which can persist for two to three weeks. Pain is managed with prescribed medications, including narcotics for breakthrough pain and over-the-counter options. Applying ice packs, wrapped in a towel, can help reduce localized pain and swelling.
Significant bruising and swelling in the penis and scrotum are expected. Support material or mesh underwear may be provided to help elevate the scrotum, assisting in swelling reduction. While some patients may have a surgical drain for a day or two, often there is no dressing directly on the surgical wound, with surgical glue or dissolving sutures used to close the incision. Most individuals can return home within one to two days after the procedure.
Managing Recovery at Home
Once at home, continue pain management with prescribed medications and cold compresses. The glue used to close the incision will naturally fall off, and sutures will dissolve on their own.
Maintaining proper hygiene is important for preventing infection. Showering is usually permitted 48 hours after surgery; allow water to gently wash over the area and dab it dry, avoiding direct scrubbing. Avoid soaking in baths, hot tubs, or swimming for two to six weeks, or until the incision is completely healed, to prevent waterborne bacteria from entering the wound.
Activity restrictions include avoiding heavy lifting (over 10 to 25 pounds) and strenuous activities for two to six weeks. Driving is generally not advised for about a week, especially if taking narcotic pain medication. Wearing snug underwear or scrotal support can help keep the penis pointed upwards, aiding in proper healing and positioning of the implant. A first follow-up appointment is typically scheduled around two to three weeks post-surgery to monitor healing progress.
Long-Term Recovery and Device Use
Achieving full physical recovery from penile implant surgery usually takes about four to six weeks, though the body may continue to adjust to the device for up to a year. Most normal activities, including strenuous exercise, can be gradually resumed around four to six weeks. Resuming sexual activity is typically permitted after four to six weeks.
For inflatable implants, patients receive instructions on how to operate the device, often at a follow-up appointment two to six weeks after surgery. This involves “cycling,” where the device is inflated and deflated daily. Cycling helps to stretch surrounding tissues, accommodate the new device, and build familiarity. A penile implant provides a rigid erection and generally does not affect sensation, orgasm, or ejaculation. While some men may perceive a slight reduction in flaccid penile length, the implant offers control over erections and has high satisfaction rates among users and their partners.
When to Seek Medical Attention
Certain signs warrant prompt medical attention. Report persistent or worsening pain not adequately managed by prescribed medication. Contact your healthcare provider for a fever (100 to 101.5°F or higher), chills, or increasing soreness.
Concerns related to the surgical site include unusual discharge (clear fluid, blood, or pus) from the incision. Report increasing redness, warmth, or swelling around the wound, or if the incision appears to be opening. In rare instances, seek medical advice if parts of the implant become visible through the skin, if there is difficulty in urinating, or, for inflatable implants, an inability to deflate the pump after six weeks.