Spermatocelectomy Post-Op Instructions

Diet: You may return to your normal diet within twenty-four hours following your surgery. You may note some mild nausea and possibly vomiting the first six to eight hours following surgery. This is usually due to the side effects of anesthesia, and will disappear quite soon. I would suggest clear liquids and a very light meal the first evening following surgery.

Activity: Your physical activity should be restricted the first 24 hours. During that time you should remain relatively inactive, moving about only when necessary.

During the first 5 to 7 days following surgery you should avoid lifting any heavy objects (anything greater than fifteen pounds), and avoid strenuous exercise. If you work, ask us specifically about your restrictions, both for home and work. We will write a note to your employer if needed.

You should plan to wear a tight pair of jockey shorts or an athletic support for 1-2 weeks or added comfort. This will keep the scrotum immobilized to some degree and keep the swelling down.

If there are stitches, they will dissolve by themselves. They do not require removal. It is not unusual for the skin of the scrotal sac and the penile shaft to be black-and-blue. This will disappear within one week.

If there is generalized redness, especially with increasing pain or swelling, let us know.

Sometimes the whole scrotum will turn colors. The black and blue is followed by a yellow and brown color. In time, all this coloration will go away.

Ice packs should be placed on and off over the scrotum for the first 48 hours. Frozen peas or corn in a ZipLoc bag can be frozen, used and re-frozen. 15 minutes on and 15 minutes off is a reasonable schedule. The ice is a good pain reliever and keeps the swelling down.

Wound: In most cases your incision will have absorb-able sutures that will dissolve within the first 10-20 days. Some will fall out even earlier. Expect some redness as the sutures dissolve but this should occur only around the sutures.

Hygiene: You may shower 48 hours after surgery. No tub bathing or swimming for 7 days after surgery.

Medication: You will be sent home with some type of pain medication. In many cases you will be sent home with a narcotic pain pill ( Vicodin or Percocet).

If the pain is not too bad, you may take either Tylenol (acetaminophen) or Advil (ibuprofen) which contain no narcotic agents, and might be tolerated a little better, with fewer side effects.

If the pain medication you are sent home with does not control the pain, you will have to let us know. Some narcotic pain medications cannot be given or refilled by a phone call to a pharmacy. Consult with your doctor.

 

Report any flu-like symptoms to the physician on call at 941-309-7000. If he cannot be reached, you may go directly to the Emergency Room. Your physician is on staff at Sarasota Memorial Hospital and Doctor’s Hospital only. We urge you to try and utilize these facilities.

Should any questions arise regarding post-operative appointments, please call the appointment secretary at 941-309-7000.