Testicular Implant / Scrotoplasty / Hydrocelectomy

Post Procedure Instructions

If you have any problems please call Dr. Alex Shteynshlyuger:   718-395-6464

What to expect:

You may have some swelling of the penis or scrotum after the procedure; there may also be some ‘black-and-blue’ areas on the penis, scrotum, or groin.     You can expect minor bleeding – a few drops of blood occasionally can be expected in the first 1-2 weeks after the procedure.  You might have a few drops seeping through the dressing during the first week after the procedure.  .  If you are concerned about swelling or appearance, please take a picture and upload it to Patient Portal or email it to us: [email protected].  You received an email with the subject line “Login to Patient Portal” with Patient Portal access information after your first appointment.

Do not take showers or baths for 1 day. 24 hours after your procedure, you can take a shower (not a bath), wash the area with soap and water, and gently tap-dry the area. Do NOT rub.  Do not use anything else other than regular soap and water.

 

Dressing:

Please remove the dressing 1 day after the procedure before taking a shower.  After 2 weeks, you can take warm baths for 1  hour daily to help with healing.  Do not put any creams or anything else on the groin, scrotum, or penis.  

 

If you are concerned about the appearance of your groin, scrotum, testis or penis after surgery (swelling, etc), please take a picture and email us by replying to the email ([email protected]) you received from us or by uploading it to Patient Portal; you can schedule a follow-up appointment.  You can also call the doctor after sending in the pictures if you do not hear back from us within 1-2 hours.

 

If your follow-up visits are virtual by video, please take a few pictures all around and upload them to Patient Portal prior to your appointment (you were sent an email with username / password when you had your first appointment. Email subject is: “Patient Portal”).

 

Healing & Scar

It takes about 3 weeks for swelling to go down and for the skin to heal well enough to have sex.  It takes 3-6 months for the scar to heal completely – typically, the scar becomes much less noticeable after 6 months. 

 

Infection is very rare after surgery that you had.  If you are concerned that you might have an infection, please schedule a follow-up appointment or take a few pictures of the area and upload them to Patient Portal or email them for the doctor to review.

 

Activity:

No sex for 4 weeks or until the doctor verifies that everything has healed.

 

You may have surgical glue covering the incision. This will peel off on its own over the next few weeks. Please do not try to remove it.    If you have skin sutures (stitches), they are dissolvable and will fall off within 3-4 weeks.  If healing is going well, it may be helpful to take baths after 2-3 weeks to get stitches to fall off sooner.  Stitches underneath the skin may take 3-4 months to resolve completely.  Do not try to pull the sutures off.

 

You may return to work / regular activity as tolerated. Most men are able to return to work within 1-3 days.  Avoid swimming or going to the beach for 2 weeks after the procedure.

 

You may return to the GYM as soon as you are comfortable. Most men are able to go back to the gym within a few days to 1 week after the procedure. Wait 3-4 weeks until returning to intensive activities that involve penis and scrotum, such as biking.

 

Many men doing office work can return to work the next day.  If you do physical work, you can return to work once you are comfortable, but many men are able to return in 7-10 days. 

 

Pain Management:

You may take the prescribed pain medications (typically sent to your pharmacy electronically) if needed, but there is no need to take them if you do not have pain.  Most patients do not pick up the prescription for pain medication from the pharmacy.  You may instead take Tylenol or Motrin if needed.  Motrin (ibuprofen) and Tylenol (acetaminophen) are sold in pharmacies without a prescription. 

You can take:

  • Ibuprofen (Motrin) 200 mg, 1 or 2 pills (400 mg) every 12 hours
  • acetaminophen (Tylenol) 500 mg or 650 mg every 12 hours.
  • Please take Pepcid (Famotidine) 20 mg twice daily to protect your stomach while you take medications such as Tylenol and Motrin. Famotidine (Pepcid) is also sold over-the-counter without a prescription.

 

  1. The stitches do not have to be removed. They are absorbed usually within 2-3 weeks but often take longer. If you still have a stitch after 3-4 weeks, sometimes gently rubbing it or pulling on it will cause it to fall off.

 

Testicular Implants:

If you had a testicular implant: once you are comfortable (usually 1-2 weeks after the procedure), please start pulling the implant down in the scrotum twice a day for 2 minutes each time.  This needs to be done for 6 months to make sure that the implant heals in a nice, dependent location.

Contact the office at for any concerns.

 

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Penoscrotal web correction, Scrotoplasty

Post Procedure Instructions

If you have any problems, please call Dr. Alex Shteynshlyuger:   718-395-6464

What to expect:

You may have some swelling of the penis after the procedure; there may also be some ‘black-and-blue’ areas on the penis or scrotum.     You can expect minor bleeding – a few drops of blood occasionally can be expected in the first 1-2 weeks after penile and scrotal surgery.  You might have a few drops seeping through the dressing during the first week after the procedure.  If you are concerned about swelling or appearance, please take a picture and upload it to Patient Portal or email it to us: [email protected].  You received an email with the subject line “Login to Patient Portal” with Patient Portal access information after your first appointment.

 

Do not take showers or baths for 1 day. 24 hours after your procedure, you can take a shower (not a bath), wash the area with soap and water, and gently tap-dry the area. Do NOT rub.  Do not use anything else other than regular soap and water.

 

Dressing:

Please remove the dressing (wrap) 1 day after the procedure before taking a shower.  After a shower, re-apply the dressing (wrap) with mild compression/pressure daily for at least 2 weeks to minimize post-operative swelling. Do not make the dressing tight; after the first day, the dressing should be looser (less tight).   (If you run out of dressing, CVS has a similar dressing called “CVS Breathable Gentle Tape – Fully Flexible – Sticks to Itself – 2 inches wide”).  Apply the dressing with mild compression – dressing prevents swelling and edema and helps with healing.  After 3 weeks, you can take warm baths for 1  hour daily to help with healing.  If you did not come to see me in the office and have the sutures (stitches) removed, you can take warm baths for 30-60 minutes a day to speed up healing and to help stitches fall off starting 3 weeks after the procedure.  Do not put any creams or anything else on the penis or scrotum.  

 

If the tip of the penis is dark blue or purple, or if you have significant pain or swelling at the tip of the penis (glans), remove the dressing immediately (sooner).  The dressing consists of yellow non-adhesive dressing underneath (Xeroform Petrolatum gauze) covered with a compressive dressing (Coband) on top. If the dressing comes off, simply wrap it around again.

 

If you are concerned about the appearance of your penis or scrotum after surgery (swelling, etc.), please take a picture and email us by replying to the email ([email protected]) you received from us or by uploading it to Patient Portal; you can schedule a follow-up appointment.  You were emailed access to the Patient Portal before your first appointment.  You can also call the doctor after sending in the pictures if you do not hear back from us within 1-2 hours.

 

If your follow-up visits are virtual by video, please take a few pictures all around and upload them to Patient Portal before your appointment (you were sent an email with username/password when you had your first appointment. Email subject is: “Patient Portal”).

 

Healing & Scar

It takes about 4-6 weeks for swelling to go down and for the skin to heal well enough to have sex.  It takes 3-6 months for the scar to heal completely – typically, the scar becomes much less noticeable after 6 months. You have sutures that are invisible underneath the skin; these sutures may cause some tightness when you get erections until they dissolve completely, which can take a few months.

 

If you want to have a smaller scar, you can start applying ScarAway silicone strips (1.5′ x 3′) to the scar line starting 3 weeks after the procedure (you may cut them) or ScarAway gel.  These are sold in many pharmacies and online.

 

Infection is very rare after the procedure.  If you are concerned that you might have an infection, please schedule a follow-up appointment or take a few pictures of the area and upload them to Patient Portal or email them for the doctor to review.

The scrotal incision can sometimes open up if the stitches break down too soon. There is usually no need to be concerned – simply take a few pictures and upload them to the Patient Portal for the doctor to review. Usually, the skin edges will heal spontaneously within a few weeks.  Keeping the area clean and dry is all that is typically needed. Do not put any creams unless told by the doctor.

 

Activity:

No sex or masturbation for 6 weeks or until the doctor verifies that everything has healed.

 

You may have surgical glue covering the incision. This will peel off on its own over the next few weeks. Please do not try to remove it.    If you have skin sutures (stitches), they are dissolvable and will fall off within 3-4 weeks.  If healing is going well, it may be helpful to take baths after 2-3 weeks to get stitches to fall off sooner.  Stitches underneath the skin may take 3-4 months to resolve completely.  Do not try to pull the sutures off.

 

You may return to work / regular activity as tolerated. Most men are able to return to work within 1-3 days.  Avoid swimming or going to the beach for 3 weeks after the procedure.

 

You may return to the GYM as soon as you are comfortable. Most men are able to go back to the gym within a few days to 1 week after the procedure. Wait 2-3 weeks until returning to intensive activities that involve penis and scrotum, such as biking.

 

Many men doing office work can return to work the next day.  If you do physical work, you can return to work once you are comfortable, but many men are able to return in 1-2 days. 

 

Pain Management:

You may take the prescribed pain medications (typically sent to your pharmacy electronically) if needed, but there is no need to take them if you do not have pain.  Most patients do not pick up the prescription for pain medication from the pharmacy.  You may instead take Tylenol or Motrin if needed.  Motrin (ibuprofen) and Tylenol (acetaminophen) are sold in pharmacies without a prescription. 

You can take:

  • Ibuprofen (Motrin) 200 mg, 1 or 2 pills (400 mg) every 12 hours
  • acetaminophen (Tylenol) 500 mg or 650 mg every 12 hours.
  • Please take Pepcid (Famotidine) 20 mg twice daily to protect your stomach while you take medications such as Tylenol and Motrin. Famotidine (Pepcid) is also sold over-the-counter without a prescription.

 

  1. The stitches do not have to be removed. They are absorbed usually within 2-3 weeks but often take longer. If you still have a stitch after 3-4 weeks, sometimes gently rubbing it or pulling on it will cause it to fall off.

 

Contact the office at  with any concerns.

 

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Post Vasectomy Instructions

 

If you have any problems, please call Dr. Alex Shteynshlyuger:   718-395-6464

You may have some swelling of the scrotum after the procedure; there may also be some ‘black-and-blue’ areas on the penis and scrotum.  Please apply cold/ice compresses 2-3 times a day through a towel for 1 hour each time for the first 2-3 days to diminish inflammation and swelling.  Wearing supportive underwear or scrotal support is helpful.

 

You can expect minor bleeding – a few drops of blood occasionally can be expected in the first few days after the vasectomy.

 

Many men doing office work can return to work the next day.  If you do physical work, you can return to work once you are comfortable. 

 

  1. Please continue using your contraceptive method of choice until a semen analysis shows no live sperm.

                Today’s operation does not immediately protect you from getting a woman pregnant.  Continue to use some other method of birth control until you have had your semen analyzed and have been told that it contains no sperm. Before relying on vasectomy for contraception (birth control), you must have a semen analysis that shows no sperm.

The first semen analysis will be done in 2 months; if the first semen analysis shows that some sperm is still present, you will be asked to do a second semen analysis 1 month after the first semen analysis.  If the first semen analysis shows no sperm, a second semen analysis is not necessary.

 

  1. No sex or masturbation for 1 week. Ejaculation may be painful during the first week.  You may return to work and regular activity as tolerated. You may return to the GYM as soon as you are comfortable. Wait 1 week until returning to ‘scrotal’ intensive activities such as biking.

 

  1. You can take showers on the same day after vasectomy (no bath for 1 week after vasectomy); after taking a shower, gently tap-dry the area. Do NOT rub. You may have surgical glue covering the incision. This will peel off on its own over the next few weeks. Please do not try to remove it.

                If you have a skin suture, it will fall off on its own in a few weeks. Do not try to pull it off.

 

  1. Some black or blueness (bruising), draining (oozing) from the incision, swelling, or mild tenderness of the scrotum is not unusual. Also, the edges of the incision may pull apart and heal rather slowly, and sometimes a knot may be present which remains for several months. These are all part of the natural healing process and should not alarm you. 

Contact the office at     with any concerns.

 

Pain Management:

You may take the prescribed pain medications (typically sent to your pharmacy electronically) if needed, but there is no need to take them if you do not have pain.  Most patients do not pick up the prescription for pain medication from the pharmacy.  You may instead take Tylenol or Motrin if needed.  Motrin (ibuprofen) and Tylenol (acetaminophen) are sold in pharmacies without a prescription. 

You can take:

  • Ibuprofen (Motrin) 200 mg, 1 or 2 pills (400 mg) every 12 hours
  • acetaminophen (Tylenol) 500 mg or 650 mg every 12 hours.
  • Please take Pepcid (Famotidine) 20 mg twice daily to protect your stomach while you take medications such as Tylenol and Motrin. Famotidine (Pepcid) is also sold over-the-counter without a prescription.

 

The stitches do not have to be removed.  They are absorbed usually within 2-3 weeks but often take longer.  If you still have a stitch after 3-4 weeks, sometimes gently rubbing it or pulling on it will cause it to fall off.

 

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Instructions for Injections

 

Please inject Trimix 0.5 ml (50 units on a syringe) prior to sex as instructed.

 

Instructions for Phenylephrine USE

 

Dear  ,

 

You are being prescribed Phenylephrine injections that should be used ONLY if the erection persists and does not go down on its own after 1.5 to 2 hours. 

 

Phenylephrine can reverse the effect of medications that are used to create erections.  It is a safe medication when used as instructed below.  Using more than the recommended dose can be dangerous and life-threatening.

 

Use 0.5 ml of phenylephrine (50 units on 1/2 ml [0.5 cc] syringe or full syringe) no more often than every 10 minutes until the erection goes down. You can use up to 4 doses of phenylephrine per day. Do NOT inject more than 0.5 ml at a time.  

 

Inject in the same way as you inject medication to create an erection in your penis.

If an erection persists after 2 hours or after using 4 doses of phenylephrine, go to the nearest emergency room.

 

Sincerely,

 

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