G.U. Recon Mang Chen MD  2019  

G.U. Recon Clinic

45 Castro St. Ste 111

San Francisco, CA 94114

Office: 415-481-3890

Fax: 309-328-3827

DISCLAIMER: The content on this website, including all forms, files, documents, text, and photos, are for informational purposes only. It is not intended to replace the care and attention of your physician or other professional medical services. Please speak with your doctor if you have questions about your health. The GU Recon website does not provide specific, individualized medical advice and does not officially endorse any medical or professional service obtained through information provided on this site or any links to this site.

Privacy Notice.

Postop Phalloplasty:

Perineum Concerns

PERINEUM CONCERNS

 

Perineum: the area between the anus and the back of the scrotum.

 

I have an open wound. What do I need to know?

  • The second most common open wound in the perineum is in front of the anus. It is typically small and shallow and will usually resolve and close with wound care, nutrition, and daily to twice daily ointment. If it doesn’t heal with skin, and granulation tissue (pink tissue that bleeds easily) develops instead, silver nitrate topical treatment (done in the office) may be required.

  • This wound can open up with tension (hard bowel movements, not gently sitting from a standing position, etc). Avoid tension to prevent the wound from getting bigger and use stool softeners regularly; miralax is the preferred stool softener.

I have perineal pain. Is this normal?

  • Pain after surgery is expected. It should reach a peak within a day and thereafter remain stable and slowly improve. This pain may worsen with activity and improve with rest.

  • Pain is not normal if the following is noted:

    • The pain progressively worsens.

    • The pain is associated with worse swelling and/or redness.

  • Contact your surgeon should you notice abnormal symptoms.

GU box 12.16.18.png