Archive for the ‘ Sleeping ’ Category

2 Months Post-op (Detailed Summary)

My progress at 2
months:

General Healing
In general I am pretty comfortable most of the time. I am, however, aware of occasional discomfort. I don’t know if this is from the tissue around my penis pressing on it, or from swelling issues I’ve had with my scrotum. I have been working on losing some weight (a few pounds already) and will get back in
the gym next week. I hope that (a) weight loss will help; and (b) there won’t be any more infection issues in my scrotum.

  • The swelling in the left side of my scrotum is either gone or very little. The left side still feels as if there is scar tissue or something semi-solid in there (I can feel the implant as well as other matter). That side is still larger than the right but it is not painful to touch. I can’t tell whether the left side is swollen or just larger because the implant is closer to the surface of the skin (which it is – the right implant is certainly deeper).
  • Over the last week or so I have had no more discharge (neither pus nor blood) from the hole left from the vaginal closure (see posts here and here
    for more about past discharge issues).
  • I finished the antibiotics three days ago. I hope I will not have a
    recurrence of the infections I’ve had in my scrotum.
  • The midline of my scrotum appears to be healing nicely. There haven’t been visible stitches along the midline since my primary care physician removed some stragglers 19 days ago.
  • I can no longer see stitches where the
    testicular implants were inserted though the suture lines are still a little lumpy. These lines are also slightly tender when pressed firmly.
  • The spot where the suprapubic
    catheter was inserted continues to heal well. I have a slight depression at the site which is purple
    in color and about .25 inches across. It is not sensitive.
  • The inside of my
    cheek feels pretty normal and I don’t even think about that donor site unless I touch it with my
    tongue.

Positioning and Movement

  • At this point I’m more comfortable if I walk normally (when my scrotum is swollen, however, all bets are off). I am still careful while sitting or
    driving but that’s mostly about the crotch of my pants. When they pull tight I am uncomfortable. Long hours sitting (while driving in particular) can be uncomfortable so I wear jeans which are as loose-fitting as possible.

  • I’m able to sleep on my side with little trouble. I place pillow(s) beside me so I can place one knee/leg on them but I did this even before surgery. Now it’s as much about
    comfort in my back as keeping pressure off my genitals. In some
    positions I do feel slight pressure but it is no longer really uncomfortable and I’m able to fall asleep – I just have to take care not to “pinch” my penis between my legs.

Pain

  • I started back to work on the 18th (9 days ago) and I drive a truck for a living. Most days, near the end of a long day driving, I have taken a couple of RRET Tylenol. I don’t have pain, really, just quite a bit of discomfort. The discomfort is due to my jeans and underwear rubbing my crotch but I haven’t decided whether my scrotum or my penis is what’s really bugging me. Regardless, by the end of the day I’m ready to get my pants off!

Voiding

  • I still sit to pee. I have too much extra flesh around my penis (fat mons)
    to allow me to grip it to urinate. Also, the urine sometimes comes out in a fan or some other weird formation. Maybe in time I’ll be able to drop trou and urinate standing. Urinating through my fly won’t happen before the mons resection.
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7 Weeks, 3 Days: Back At Work

First: Last night I woke (twice) to find myself on my side in a loose fetal position, legs together, without discomfort. I moved into a different position anyway only because it seemed strange.

Now: I started back to work today and I spent hours sitting behind the wheel (driving) so my scrotum is a bit offended. Operating a clutch wasn’t a problem at all since I have only a small amount of swelling (left side). But the hours of sitting in a very upright position made me a little tender – not painful, just a little uncomfortable. Nothing bad or worrisome, and so far not long-lasting. I’m lying in bed now and have no pain and only very, very mild discomfort.

If I had been able to wear track pants or sweat pants it would have been better for me. Sitting upright caused my pants to pull up fairly snug in the crotch. I wore blue jeans but stuck with my baggy carpenter’s style jeans (I don’t usually wear them at work). Mid-way through the day I began to unbutton and unzipped them while driving. This enabled me to pull them a little further away from my crotch and it helped a lot.

All in all it wasn’t a bad day. I was a bit uncomfortable at times but never had any real pain. Now we’ll see how it goes over the next couple of days and whether the discomfort is cumulative. I sure hope not.

Oh, I haven’t picked up any discharge today from the little hole left at the vaginal closure. Hopefully I’ve seen the end of that but I’m continuing the antibiotics until they’re gone.

6 Weeks Post-op (Detailed Summary)

My progress at 6 weeks:

 

General Healing

  • I don’t often use the strip of gauze I had been wrapping around my penis to protect that sensitive flesh. I used a strip of gauze for a couple of hours one day this week (until I urinated, which necessitates replacement). I didn’t bother to replace it.
  • The flesh of my penis is still sensitive but it’s better than it was a week ago. My underwear rubbing on the head doesn’t bother me the way it did previously.
  • I have had swelling in the left side of my scrotum for a few days and yesterday it was a bit painful. I’m pretty sure it was due to the activity level of the previous day.
  • No itch attacks this week.
  • All visible stitches on and around my penis are gone. There are still visible stitches where the testicular implants were inserted though there are fewer than last week. Occasionally I will notice a long end of a suture and I will cut it off.
  • I can still easily see the stitches along the lower part (back toward the anus) of the mid-line of my scrotum (this is also the vaginal closure). There is still a tiny hole at the back/dorsal end and I still have a very small amount of yellow-colored fluid coming out. This began 5 days ago. I no longer get blood draining from that hole but I do occasionally pick up a small dot of fresh blood from the area. I believe this is from those loose stitches and their knots. Miro (my surgeon) said it’s alright to cut those visible stitches. (I’ve made an appointment with my doctor. I’ll post an update about that when I have one.)
  • The inside of my cheek is feeling almost normal and I don’t even think about that donor site unless I’m brushing my teeth. It is still slightly sensitive (but not painful) to being brushed or bumped.

 

Positioning and Movement

  • I am still being careful while walking, sitting, and driving and have actually been limiting my activity to some degree just to be cautious.
       

    • I am able to sit upright, especially on firm chairs, as long as I am careful. A few days ago I spent a few hours playing cards while sitting on a wooden chair and I was perfectly comfortable. (I don’t think this would be the case if the swelling in my scrotum were greater).
    • I still walk with my legs apart slightly though I am able to walk with them together. I feel pressure if I try to walk normally but no pain.
    • So far I have been limiting my driving and only drive my personal vehicle a couple of times per week.
  • The last couple of nights I have been able to sleep on my side part of the night. Last night was even better. I stack pillows beside me so I can place one knee/leg on them and keep pressure off my genitals. I do feel slight pressure but it is no longer uncomfortable and I’m able to fall asleep. (I wake to move into and out of this position).
  • I am not back at work and won’t go back until 18 December. If I worked at a desk I could have gone back already.
  • Again, I am able to do more and for longer than I could a week ago. Having said that, I’m still taking it easy.

 

Pain

  • My overall pain level has continued to decrease and I have not used any pain medicine this week (neither prescription nor over the counter medication).
  • Yesterday I had some twinges of pain and an increase in discomfort in the evening. I did not take any pain medicine.

 

Voiding

  • I still get a little bit of burning at the tip of my penis when I urinate but it’s very little.
  • The last couple of days before the supra-pubic catheter was removed I began to get a bit of an infection around the entry point. I continued to take antibiotics after the removal and will take my last pill tomorrow. I am going to see my general doctor later today to have some stitches removed and to have this fluid checked.

Discharge update

The discharge I talked about yesterday has decreased as today has progressed. I still get a little bit of reddish yellow-colored fluid come out of the hole left at the dorsal end of the vaginal closure along the mid-line of the scrotum. Obviously there is still a bit of blood coming out there along with the yellow-colored fluid that started coming out yesterday. I’ll keep you posted as things move along.

One thing I did notice is that the initial discharge yesterday coincided with the swelling in my right testicle really dropping. That has certainly helped with my comfort level.

Not much else is going on. I have been a little achy today but not enough for medication. I’m also more tired/sleepy than normal. I’m finding it difficult to get to sleep at night and I’m sick of sleeping on my back. Sometimes it’s really difficult for me to get comfortable. A couple of nights ago I was able to position some pillows to prop one leg so I could lie on my side. Unfortunately, while it was a great change I was not able to sleep soundly in that position.

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