A client has undergone a penile implant. After 24 hrs of surgery, the client’s scrotum was edematous and painful. The nurse should:
A. Assist the client with sitz bath
B. Apply warm soaks in the scrotum
C. Elevate the scrotum using a soft support
D. Prepare for a possible incision and drainage
Correct Answer: C. Elevate the scrotum using a soft support
Elevation increases lymphatic drainage, reducing edema and pain. The penis should then be placed upward on the lower abdomen, to limit any downward curvature of this penis postoperatively. Scrotal support or tight mesh underwear may be used after the sterile dressing is removed.
Option A: Several warm baths per day, beginning on the third day after the procedure, would reduce the swelling. Most patients will stay in the hospital overnight following prosthesis placement. This allows for proper guidance on post-operative instructions, as well as the ability to remove the foley catheter without an additional visit to the outpatient clinic.
Option B: Warm baths, instead of soaks, are recommended after three days post surgery. After the penile implant procedure, it is common for bruises and swelling of the scrotum to occur. With several warm baths per day, beginning on the third day after the penile procedure, swelling slowly disappears over a 7 to 14 day period. As healing occurs and swelling disappears, the pain will gradually subside.
Option D: Edema and pain are normal manifestations 24 hours after the surgery. A short course of narcotic pain medication may be warranted. The patient is instructed to avoid any heavy lifting until the follow-up visit in 7-14 days. A drain may be placed if the patient is scheduled to stay in the hospital overnight. The drain may be removed on postoperative day number one at the same time as foley catheter removal.