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Scrotal Surgery

There are many reasons to have surgery on your scrotum. Conditions such as cancer, scrotal masses, or testicular torsion, as well as other conditions, may make surgery necessary.

After Scrotal Surgery

Scrotal surgery patients will be sent home with pain medication. In many cases, you will be sent home with a narcotic pain pill (Darvocet, Vicodin or some generic variant of these).

If the pain is not severe, you may take acetaminophen, which contains 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, please call the office. Some narcotic pain medications cannot be given or refilled by a phone call to a pharmacy and require a paper script.

Incision

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

If there is generalized redness, especially with increasing pain or swelling, call the office. The scrotum will very likely get "black and blue" as the blood in the tissues spreads. Sometimes the whole scrotum will turn colors: black and blue is followed by a yellow and brown color. In time, the color will return to normal.

Physical Activity

Restrict your physical activity for the first 48 hours. You should also wear your scrotal support at all times. During the first 7-10 days following surgery, you should avoid lifting any heavy objects (anything greater than 15 pounds), and avoid strenuous exercise.

Depending on your type of work, you may require restrictions. We will write a note to your employer if needed. You should plan to wear a tight pair of jockey shorts or an athletic supporter for the first 4-5 days, even while sleeping.

Ice packs should be placed on and off over the scrotum (over your underwear or athletic supporter) for the first 48 hours. A suggestion is to use frozen peas or corn in a plastic freezer bag, which can be frozen, used, and refrozen. 15 minutes on and 15 minutes off is a reasonable schedule. The ice/cold is a good pain reliever and keeps the swelling down.

You may take a shower 48 hours after surgery. Tub bathing should be restricted for the first 3 weeks after surgery and until cleared by your surgeon.

Diet

You may return to your normal diet within 24 hours following surgery. You may notice some mild nausea and possibly vomiting the first 6-8 hours following surgery. This is usually due to the side effects of anesthesia and will disappear quite soon. Should the nausea persist, call the office. Clear liquids and a very light meal the first evening following surgery are preferred to a heavier meal.

Contact the office if you experience any of the following:

  • Fever or temperature greater than 100.5
  • Moderate or severe swelling that is worsening or causing uncontrolled pain
  • Hives, rash, nausea, or vomiting, which may indicate a reaction to medication

Post-op Follow Up

You should contact our office within 24 hours post-surgery to schedule your follow-up appointment. This visit, during which the doctor will check your incision and progress, is usually scheduled 10-14 days following your surgery.

Miami urologist Dr. Marvin Bondhus performs scrotal surgery on patients from the Miami metro area. For a consultation, call (305) 661-9692 or request an appointment online.