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Kontakt

Praxis für Urologie
Dr. med. Aref El-Seweifi
Forum Zehlendorf
Teltower Dam 35
D-14169 Berlin
Deutschland

Tel.: +49 30 804 90 950
Fax: +49 30 804 90 951
info@masculine.de
Wounds
General information for care of wounds:
  • Wash your hands and disinfect it and do not touch the wound except after wearing sterile gloves
  • Cover the area surrounding the wound with sterile blankets to avoid its infection.
  • Take a swab from the wound or the wound of the catheter if the wound smells bad or if there is oozing, changes or redness
  • Spray the wound with a disinfectant after removal of the bandage.
  • Use a sterile forceps to touch the wound
  • Have the help of another nurse while dressing a wound to hand you whatever you want from the non sterile area to the sterile area (body of the patient).
General wounds of the body:
  • Avoid any strike to the wound.
  • Change the dressing daily.
  • On dressing the wound remove the bandage with care and gentleness, disinfect it, cover the surrounding area, apply an antibiotic powder or ointment and cover it using a new sterile bandage.
Dressing of circumcision wound:
  • Remove the dressing  and immerse the penis in Kamilomil decoction for 10 minutes.
  • On dressing the wound remove the bandage with care and gentleness, disinfect it, cover the surrounding area, apply an antibiotic powder or ointment and cover it using a new sterile bandage.
  • Protect the wound with a new dressing.
  • Repeat dressing twice daily.
Implantation of penile prosthesis:
  • Keep a compression bandage around the penis for a week.
  • nform the doctor if you observe haematoma to evacuate it.
  • Watch out if there is any local or general sign of infection.
  • On dressing the wound remove the bandage with care and gentleness, disinfect it, cover the surrounding area, apply an antibiotic powder or ointment and cover it using a new sterile bandage.
  • Put the penis in erection for 1-2 hours daily until complete healing.
  • Notice that the glans penis is well supplied by blood.
Dressing of the penile curvature:
  • Keep a compression bandage on the penis for a week.
  • Observe if there is haematoma to treat it immediately.
  • Watch out any local or general sign of infection.
  • On dressing the wound remove the bandage with care and gentleness, disinfect it, cover the surrounding area, apply an antibiotic powder or ointment and cover it using a new sterile bandage.
Penile lengthening:
  • If the wound is shaped like Y at the lower abdomen, then keep the shaft of the penis down to maintain the blood supply of the shaft. Do not adhere the penis on the abdomen in this case.
  • Leave the drain inside the wound to drain the fluids. It must be removed after asking the doctor (about 2 days).
  • Look for any local or general sign of infection.
  • On dressing the wound remove the bandage with care and gentleness, disinfect it, cover the surrounding area, apply an antibiotic powder or ointment and cover it using a new sterile bandage.
  • Put the penis under stretch using an adhesive tape to stick it to the upper medial part of the thigh.
  • If you observe ischemia (shortness of blood supply to the wound), keep it dry and apply a special dressing with a metal surface (Metaline) and change it daily until complete healing.
  • Please inform the doctor if you notice hardness or start of formation of fibrous tissue under the skin. Local cortisone infiltration twice weekly for 4-5 weeks is then indicated to weaken the scar.
Penile thickening:
  • Please leave the drain in the wound (if present) to avoid any collection and do not remove it except after asking the doctor (after 2 days).
  • Notice any local or general sign of infection.
  • On dressing the wound remove the bandage with care and gentleness, disinfect it, cover the surrounding area, apply an antibiotic powder or ointment and cover it using a new sterile bandage.
  • Keep a compression bandage around the penis and be sure that there is good blood supply to the glans penis.
  • You can adhere the penis to the lower abdominal wall to enhance healing of the wound.
Liposuction:
  • Advise the patient to wear a corset around the treated area for 8-12 weeks continuously.
  • Recommend this corset for another 3 months only afternoon.
  • Dress the wounds daily and empty the collecting bags stuck to the wounds.
  • Notice any local or general sign of infection to treat it immediately