Most boys recover from this operation without complications. Usually no special wound care is needed from you during this recovery.
There are no stitches to remove after this operation. Sometimes at the corner of the incision, a red “pimple” develops and a few drops of pus may ooze. This is not an infection, but simply a reaction from the body to dissolve the internal suture. Redness and firmness of the incision(s) will gradually disappear.
Sometimes part of the white stitch used to close the incision will appear at the corner of the wound and linger for several days or even a few weeks before it falls off.
Generally we use surgical super glue or a piece of plastic tape to cover the incision. This does not need any care, and it will come off gradually. You do not need to treat the wound with any cream or ointment.
You may notice the area around the incision is red and firm to the touch. As mentioned above, this is from reaction to the stitches under the skin and not a sign of infection. Blood spots around the incision are very normal for a few days after surgery. It is common for the scrotum to appear bruised, discolored, and swollen after surgery. This will gradually improve over a few weeks.
Wound infections after this operation are very uncommon, but would be suspected when the redness and swelling begins to spread more than 1/2 inch away from the incision around 5-7 days after surgery. If this occurs, please contact our office.
There is no need to restrict activity after surgery — except to keep boys off straddle toys and bikes for about 2 weeks.
School-aged boys and teenagers should not participate in coach-directed activities during this recovery time either.
We recommend you sponge bathe the first day after surgery, and then resume normal bathing 48 hours after the operation. Older boys can shower the day after surgery. Bandages that are still in place can be immersed in water and then gently patted dry.
Infants need only ibuprofen (Motrin or Advil) and Tylenol to control pain after surgery. We recommend you give these on an alternating schedule without waiting to see if they will have pain during the first 48 hours after surgery. You can alternate them, giving first the ibuprofen, then 3 hours later the Tylenol, then 3 hours later another dose of ibuprofen, etc.
Older boys and teens should also take ibuprofen on a regular schedule for the first 48 hours, alternating with either Hycet or Norco (a narcotic that also contains Tylenol) or plain Tylenol. We do not recommend antibiotics after this surgery unless a testicular prosthesis is placed.
Temperatures even as high as 101ºF can be normal the first night after surgery. Fevers and irritability the first few days after surgery may indicate a virus or ear, throat, or lung infection. If this happens, please contact your primary care physician. Wound infections with fever are very unusual after this operation, and do not occur until about a week after surgery.
It is very unusual to develop a problem that requires urgent attention after this surgery. Most concerns are not urgent and you can email our nurse at [email protected] during normal business hours to ask your question. If you believe there is an urgent issue, you can call us any time at 214-618- 4405.
Please do not go to the emergency room for problems without first contacting us! Doctors in the emergency room are not surgeons and may not know what the wounds should look like after surgery. Many times an emailed picture of the area you are concerned about will help us to decide if urgent medical attention is needed.
We normally schedule follow-up with your surgeon approximately 6 weeks after the operation.