I had double nerve sparing surgery four years ago. Penile rehab consisted of the vacuum pump, penile injections, and ED meds. Currently I have no response from any of those options. Implant surgery scheduled (tentatively) Jan 16th. My biggest concern is pain control. My surgeon said there's so little pain involved there's no need for narcotic medication in the hospital or at home.
I've read many patient accounts of implants and some men experience a lot of pain, some not so much. For those who've had the surgery would you suggest narcotic medication for the first night, or for a 90 mile drive home from the hospital the next day? How about for the first few weeks following surgery?
One other question. I've read lots of threads about the first few days/weeks post surgery. I haven't seen very many about whether men are pleased with using the pump.
So beside discussing pain control, would you also say whether or not you are glad you had the surgery.
Thanks,
Rick
Pain control/Is it worth it?
Re: Pain control following implant surgery
Your concerns are very valid. I've never heard of not being prescribed pain killers after implant surgery. I received pain meds through an iv while hospitalized, and was prescribed norco for use after being released
Re: Pain control/Is it worth it?
When I asked for pain control via IV my surgeon said the pain is so light that it isn't necessary. That's easy to say when your surgeon. If enough guys tell me this I'm going to insist on IV pain control post surgery. Thanks for sharing your experience.
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hebrewhammer
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Re: Pain control/Is it worth it?
I was only on pain meds for a few days...but I'm glad I was. I also used some after a long day or when I started pumping...in the hospital I was VERY glad I had it, and I'd like to think my payment for going through the procedure was the bliss of the morphine, lol!
Seriously, I have NEVER come across any paper or physician that concerns penile implants that does not talk about post operative pain management. I had a decent time, but still wanted the pain pills those first couple of days, and definitely in the hospital. The catheter and drain removal sucked, even with pain control.
I do surgeries myself. I would NEVER not prescribe responsible post operative pain management. Ever. Unless there was a history of drug abuse. And even then I would simply change it up a bit. Part of being a surgeon is managing post operative pain.
I'd question them again and make sure you heard them correctly. I'm honestly shocked if this is the full story. Not questioning you, but sometimes there are extenuating circumstances. For instance, if a person is already on pain management I am not allowed to prescribe without first checking with that physician. That's a state by state thing though. Double check, and if all is good, please insist on a 6 day supply of pain pills. That is below addiction threshold and it is important in my opinion.
Seriously, I have NEVER come across any paper or physician that concerns penile implants that does not talk about post operative pain management. I had a decent time, but still wanted the pain pills those first couple of days, and definitely in the hospital. The catheter and drain removal sucked, even with pain control.
I do surgeries myself. I would NEVER not prescribe responsible post operative pain management. Ever. Unless there was a history of drug abuse. And even then I would simply change it up a bit. Part of being a surgeon is managing post operative pain.
I'd question them again and make sure you heard them correctly. I'm honestly shocked if this is the full story. Not questioning you, but sometimes there are extenuating circumstances. For instance, if a person is already on pain management I am not allowed to prescribe without first checking with that physician. That's a state by state thing though. Double check, and if all is good, please insist on a 6 day supply of pain pills. That is below addiction threshold and it is important in my opinion.
Re: Pain control/Is it worth it?
I wish the issue was I heard or misunderstood my surgeon. However I was very clear. I told him about my last stay at UCSF and that I was up all night in pain and that I didn't want a repeat experience. I asked specifically if I could have pain meds delivered to me via my IV. He said and I quote "IV pain meds will not be necessary because there is very little pain involved in this surgery."
I recently read a thread here where one man was given morphine post op following implant surgery. I don't want Tylenol with Codeine my only night in the hospital. When I had my prostate removed they wanted to send me home after 1 night. I told them I was not going to leave the hospital until two things happened.
1. The my pain level is under control to an extent where it would be possible for me to sleep additionally, I threw up at breakfast which put me into more pain than day one.
2. My nausea had to be under control so I could tolerate eating solid food.
Since I had previous experience as a Medical Social Worker, I was certain my insurance would pay for extra days because out of control pain combined with an inability to tolerate solid food are valid reasons to continue to be hospitalized. By day 2 both those conditions were met.
However I wasn't given pain meds before my 90 mile ride home. I spent the entire trip in agonizing pain every time we hit a bump on the road which occurred every few minutes. I had my surgery at UCSF one of the top hospitals in the US. My surgeon was the Head of the Urology Department. I wrongly expected there was no need to discuss pain control prior to surgery because he'd performed thousands of surgeries.
I learned a very important lesson-Discuss pain control BEFORE surgery. This time my surgeon assured me there was very little pain involved, post surgery, but that's not what I've been reading here. Some men report very little in the way of pain, others say it was very painful. I suspect those men who said there was little pain involved say so because they were given some type of narcotic medication on day one.
At this point I doubt my surgeon will honor my request out right, so I'll need to get him to put plan B-Narcotic meds into my chart before surgery. That way I won't be in pain for hours waiting for the staff to reach him so that he could change my pain medication. Been there-done that-don't ever want to do that again.
My wife was with me and I can assure you I heard what he said about post surgical pain management accurately.
I recently read a thread here where one man was given morphine post op following implant surgery. I don't want Tylenol with Codeine my only night in the hospital. When I had my prostate removed they wanted to send me home after 1 night. I told them I was not going to leave the hospital until two things happened.
1. The my pain level is under control to an extent where it would be possible for me to sleep additionally, I threw up at breakfast which put me into more pain than day one.
2. My nausea had to be under control so I could tolerate eating solid food.
Since I had previous experience as a Medical Social Worker, I was certain my insurance would pay for extra days because out of control pain combined with an inability to tolerate solid food are valid reasons to continue to be hospitalized. By day 2 both those conditions were met.
However I wasn't given pain meds before my 90 mile ride home. I spent the entire trip in agonizing pain every time we hit a bump on the road which occurred every few minutes. I had my surgery at UCSF one of the top hospitals in the US. My surgeon was the Head of the Urology Department. I wrongly expected there was no need to discuss pain control prior to surgery because he'd performed thousands of surgeries.
I learned a very important lesson-Discuss pain control BEFORE surgery. This time my surgeon assured me there was very little pain involved, post surgery, but that's not what I've been reading here. Some men report very little in the way of pain, others say it was very painful. I suspect those men who said there was little pain involved say so because they were given some type of narcotic medication on day one.
At this point I doubt my surgeon will honor my request out right, so I'll need to get him to put plan B-Narcotic meds into my chart before surgery. That way I won't be in pain for hours waiting for the staff to reach him so that he could change my pain medication. Been there-done that-don't ever want to do that again.
My wife was with me and I can assure you I heard what he said about post surgical pain management accurately.
Re: Pain control/Is it worth it?
How many implants has this surgeon done?
Re: Pain control/Is it worth it?
Hundreds of implant surgeries
Re: Pain control/Is it worth it?
Wow. I'm really shocked that he recommends no pain medication. I had my implant done with an infrapubic incision, and used the pain meds prescribed to me for a few days immediately following the procedure. After 3 or 4 days I used ibuprofen when needed.
Re: Pain control/Is it worth it?
My Surgeon is offering pain meds, post-surgery, but stated narcotic pain meds are unnecessary. He and I will need to re-visit my post-surgical pain control plan.
Next week I need to get pre surgery tests like EKG, CBC, Chem 7. His office told me to tell my primary Doctor to perform those tests. My primary Doc told me I have no authority to ask him to perform any tests and that the orders must come from my Surgeon. I wish things were more coordinated.
Starting to get pre-surgery jitters.
Next week I need to get pre surgery tests like EKG, CBC, Chem 7. His office told me to tell my primary Doctor to perform those tests. My primary Doc told me I have no authority to ask him to perform any tests and that the orders must come from my Surgeon. I wish things were more coordinated.
Starting to get pre-surgery jitters.
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