DISCHARGE INSTRUCTIONS Pediatric Urology
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Pediatric Urology – Dr. Michaella Prasad
Meatoplasty / Penile Adhesions / Penile Skin Bridge
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Form Origination Date: 1/13
PATIENT IDENTIFICATION LABEL
Version Date: 1/13
Please read these instructions carefully before you leave the hospital with your child. If you have any questions regarding these
instructions, please ask your physician or nurse.
Children may return to school or day care after 4-5 days. Straddle toys (Exer-saucers, baby-walkers, bikes, jumping toys, straddle swings),
running and other strenuous activity should be avoided for 2 weeks. High chairs, strollers and car seats are safe to use. Swimming may
resume in 2 weeks. Teenagers should not drive for 2 weeks.
All children may resume a regular diet on the day after surgery. Please keep diet to bland food and several small meals (rather than 3 large
ones) for 3-4 days.
Sponge bathe for two days, then resume tub baths or showers on the 3rd day.
DRESSING & WOUND CARE
All sutures should dissolve on their own after a month.
At each diaper change, apply a large amount of antibiotic ointment (for the first 5 days) or petroleum jelly (Vaseline®) to the head of the
penis. If your child does not wear diapers, apply the jelly 3 times per day. Check to see that the skin of the shaft of the penis is not sticking
to any raw areas on the head of the penis. Make sure you can see the full outline of the head of the penis.
If your child is less than 6 months of age, please use only acetaminophen every 4-6 hours as needed for the next 48 hours.
If your child is older than 6 months of age, please alternate acetaminophen (Tylenol®) and ibuprofen (Advil® or Motrin®) every 3 hours for the
next 48 hours. For the first 24 hours, you may want to wake the child to administer one of these medications.
If you received a prescription pain medicine, use it for the first 48 hours only if you think he/she really needs it instead of the
acetaminophen. Older children (>5 years) may need the prescription for a longer period of time (3-5 days). The prescription pain
medicine may have acetaminophen (Tylenol ) in it. If it does, do not use both (the prescription pain medicine and regular
Tylenol®) at the same time.
Your child’s dose of acetaminophen (160 mg/5mL; 10-15 mg/kg/dose):_______________________________________________
o For neonates (< 6 months): maximum dose is 60 mg/kg/day
Your child’s dose of ibuprofen (100 mg/5mL; 4-10 mg/kg/dose):_____________________________________________________
Check that you have the correct concentration/strength of medicine (as in bold above); ask your pharmacist if you are unsure.
WHAT TO EXPECT
Your child may be fussy or irritable the first day and experience some spotting or light bleeding at the site of the surgery.
WHEN TO CALL
Temperature greater than 101.5ºF
Drainage or odor from the incision sites
Heavy bleeding from the incision sites
Persistent nausea and vomiting lasting >24 hours
Pain not relieved by medication
Inability to urinate for more than 8 hours; no bowel movement
for >3 days
Please arrange a follow-up appointment for 4 weeks after surgery at the location most convenient for you (West Ashley, Downtown –
Rutledge Tower, or Mount Pleasant). Appointment line: 843-792-7888. If you need to speak with someone during business hours (8am4pm), please call my assistant at 843-792-5347. If it is outside of regular business hours, or if you are unable to reach my assistant, please
call the hospital operator directly at 843-792-2123 and ask to have the on-call Pediatric Urology resident paged.
These discharge procedures have been explained
to the patient and / or responsible person.
I understand the above instructions.
Original to Medical Record
Patient / responsible person
Copy to Patient
OTE 700807 1/13