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.
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5 Weeks, 6 Days: Twinges of pain

I’ve had some twinges of pain today and they’ve all been in the left side of my scrotum. I know I have a bit of swelling on that side but I’m not sure why. Fluid build up of some kind, I’m sure, but I don’t know what. The right side is still “deflated” and has been for several days.

Yesterday I was pretty active in the earlier part of the day. I thought (hoped?) I was beyond having pain after activity. Well, at least after only moderate activity anyway. I really didn’t do a lot or do anything heavy. I’ve been walking more closely to normal in recent days but today I’m giving the boys a little more space. That swelling doesn’t make for comfortable walking.

The next few days are going to be relatively busy so we’ll see how it goes. Nothing particularly taxing just some shopping, some time away from home, and a bit of driving. I’ll keep you posted.

5 Weeks, 5 Days: Drainage less but ongoing

I’m still feeling pretty good. I have arranged to return to work on the 18th (in 12 days) and I’m looking forward to it. I might have been able to go back later this week and been alright but I feel confident that I’ll be good to go by the end of next week.

I still have a tiny amount of yellow-colored fluid draining from the hole left at the vaginal closure but I’m hopeful that it will stop soon. I have a couple of antibiotics left so we’ll see what happens. If I still have yellow-colored drainage in a few days I’ll go see my doctor. I’ll be emailing an update to Miro (my surgeon) on Wednesday so I’ll see what he says.

Feeling better; Thinking about my job

Just a quick update. First, the discharge continues to lessen. With any luck it will stop completely in the next day or two. Since the swelling went down so much in my scrotum I’ve been pushing that tissue around and feeling the implants. It doesn’t hurt at all and I hope it will help prevent more swelling.

Speaking of almost no pain in my scrotum, I was able to sit on a wooden dining room chair today and play cards for almost three hours. It was nice to be able to sit upright without discomfort. I can sit on a cushioned chair but there is still just a bit of discomfort from the cushion pushing up on my scrotum. Even then it isn’t bad but a hard chair is even better because there is no pressure at all.

All of this makes me think about going back to work so I have to think about shifting gears and sitting for extended periods of time. I could go back to work on Thursday (December 9) but I’m going to extend my time off until December 18. I think I could go back this week but I’m not sure how I would hold up. Since I have the option to extend I have decided to play it safe. I’d rather take too much time off than too little.

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.

5 Weeks, 2 Days: Yellow Discharge

If you’ve been reading this blog you know I had my catheter removed on Monday (4 days ago). I had a bit of infection at the entry, including a very small amount of pus discharge, so I have continued antibiotics with the approval of my doctor. I still have 5 more antibiotic pills remaining. The catheter entry point is healing well and does not seem to be unnaturally inflamed.

Now for the yellow-colored discharge.

This morning I had quite a lot of yellow-colored fluid come out of the hole left at the rear end of the vaginal closure along the mid-line of my scrotum. I have had a very tiny amount of blood coming out there for a couple of weeks (which I believe is normal) but today is the first time I have had this yellow discharge. I used baby wipes and saline-soaked cotton sticks (aka Q-tips) to clean the area. This morning it was perhaps 4 or 5 ml of fluid total and it was enough to get on my underwear.

Throughout today I have still had a bit of yellow fluid coming from that hole but not in the amount I had this morning. I only see it now if I touch the spot with a saline-soaked cotton stick, a baby wipe, or toilet paper.

I suspect it may be a yeast (or similar) infection due to the antibiotics. I do take a probiotic daily but that may not be enough to completely counter the effects of the antibiotics. Other suggestions are pus or lymphatic fluid. I have my doubts about this (I think it’s too yellow for lymphatic fluid… but then again, I’m not a doctor, lol). I do wonder if the fluid came from around the testicular implant on the right side. The fluid release seemed to coincide with the disappearance of the swelling on the right side of my scrotum.

I emailed my surgeon and he said the most important thing is that the fluid is not urine (it is not). As long as it is not urine and it is yeast infection or some other type of fluid it is a minor problem. He is not terribly concerned and we agreed to wait to see what happens as we both expect the discharge to stop. I can always go to my doctor for cream or whatever.

EDIT to add:
Another guy had a similar experience at about 5 weeks post-op. He said a round of antibiotics cleared it up.

5 Weeks Post-op (Summary)

My progress at 5 weeks:

 

Healing

  • I don’t often use the strip of gauze I had been wrapping around my penis (to protect sensitive flesh). I think I’ve used it part of two days of the last seven.
  • I had no swelling in my scrotum for a few days which correlated with very little pain. I’ve had just a little bit of swelling the last day or so. This has caused me to be a little achy but it hasn’t been bad. I did take a Norco last night as I was achy enough (with some sharp twinges) that I found it difficult to get to sleep.
  • The “itch attacks” are still rare (a couple of times a week) but I’ve found that a lotion or cream with hydrocortisone helps. I’m pretty sure the itching is from the stitches and possibly dry skin surrounding the stitches. I do have to be careful of rubbing when I itch so that I don’t make myself sore.
  • I can still see some of the stitches around the glans of my penis where it meets the shaft. I can feel a line of stitches on the under side of the shaft, slightly to the left, running from the base to the glans. There are also still visible stitches where the testicular implants were inserted.
  • I can easily see the stitches along the mid-line of my scrotum. The upper/front half has healed enough that I can no longer see stitches. I can still see a few of those on the lower half (back toward the anus). I still have a very small amount of blood coming from the very rear of this stitch line (which is normal – this will stop when the healing is complete).
  • The inside of my cheek is feeling almost normal. It’s a little lumpy but I can no longer feel stitches. I chew normally, on both sides of m mouth, without a second thought about it.

 

Positioning and movement

  • Sitting and standing aren’t too bad – a lot of walking is still the most uncomfortable.
  • As long as I’m sitting on something soft I can sit up for longer periods and a bit straighter (thought not completely upright unless I perch on the edge of the seat).
  • I still walk a little like a cowboy but more out of playing it safe, I think. I feel pressure if I try to walk normally but no pain.
  • I still haven’t slept on my side. I’ve tried doing it a couple of times with a pillow between my legs but I can’t get comfortable. So I’m still sleeping on my back and using pillows to prop my knees so my lower back doesn’t become sore.
  • I have driven my personal vehicle which has an automatic transmission. It is a bit uncomfortable because I can’t keep my legs as far apart as I’d like and because I have to sit almost upright (on a folded, very soft blanket).
  • I am not back at work (thankfully) and won’t go back before 9 December (at the earliest). I will decide on the 6th but will likely take more time off.
  • 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.
  • I’ve taken Tylenol only on a couple of days this week and Norco on two days as well. I took two Norco six days ago (Thanksgiving day) and one last night.
  • The less I’m up and moving around, the less discomfort I experience – things are certainly still improving.
  • Some days there is still a slight increase in discomfort in the evenings.

 

Voiding

  • I still get a little bit of burning when I urinate but it’s very little. And I no longer get blood from the urethra. That faded and stopped after I began urinating through it regularly.
  • I am urinating through my urethra all of the time. I began voiding on day 24 and had the supra-pubic catheter removed on day 33. I would not have waited so long but the holiday made waiting unavoidable.
  • 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. There was just a little bit of pus so I’m continuing the antibiotics as OK’d by my doctor. It looks alright now, I think, as the entry spot has closed with a little scab and the surrounding tissue isn’t too red. Still, I will continue the antibiotics for the next several days.
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