To make your child's recovery easier, here are a few guidelines for you to follow.
1. Your child may have a small stent (tube) in his penis. His urine will drain from this tube. You will need to double diaper until the tube is removed. Cut a hole in the first diaper and put the tube through the hole. Then put on a second diaper as usual.
2. At each diaper change, apply a large amount of antibiotic ointment like Neosporin® to the head of the penis.
3. You can give your son acetaminophen (Tylenol®) every four hours if he is irritable or has a fever. Please call us if he develops a fever over 101.5. If we provided prescription pain medicine, use it only if needed. The prescription pain medicine has Tylenol® in it. Do not give both.
4. Your child may have bladder spasms and suddenly begin crying or acting like he is in pain. The Ditropan prescription will help with this.
5. If your child has a stent we will remove the bandage in the clinic if it has not already fallen off. If your child does not have a stent, you should remove the bandage after five days. You can put your child in the bath to help loosen it, or dampen it with hydrogen peroxide. Slide the dressing off the end. If it gets stuck at the base of the penis it will get too tight and needs to come off immediately. It is okay if the bandage falls off early. Simply clean the area as directed.
6. After the bandage is off, clean the penis with hydrogen peroxide, especially around the stitches. Pat dry and apply a large amount of antibiotic ointment. Do this twice a day for two weeks. This will reduce pain and keep the penis from sticking to the diaper.
7. Do not put your son in the bath or shower for five days. You can use a sponge bath instead. If the dressing becomes soiled use hydrogen peroxide and/or baby wipes, then apply the Neosporin® as usual. It's okay if it doesn't come totally clean. Do the best you can.
8. Redness, swelling, and bruising is normal and will gradually get better. The swelling may get worse after the bandage comes off.
9. Do not let your son swim or play on straddle toys/bikes/straddle swings until after his follow-up appointment.
10. If your child has problems urinating or you have any questions or concerns please call our office at (615) 936-1060.
© 2016 Monroe Carell Jr. Children's Hospital at Vanderbilt