A patient is recovering from a penile implant procedure. What ...

[Bernana]

A patient is recovering from a penile implant procedure. What should be included in the care of and teaching about the implant?
 
  Select all that apply.
  1. Encourage the patient to practice inflating and deflating the device during the recovery period.
  2. Suggest wearing snug-fitting underwear and loose-fitting trousers to conceal the semi-erection.
  3. Encourage the patient to resume sexual activity within three weeks.
  4. Remind the patient to not inflate or deflate the device for at least four weeks.
  5. Suggest wearing loose-fitting underwear and trousers.

Question 2

A male patient is concerned about ongoing premature ejaculation. What should the nurse do to assist this patient?
 
  1. Suggest that the patient wear a condom with sexual activity.
  2. Suggest that the patient talk with the physician about changing prescribed medications.
  3. Tell the patient that the condition is temporary and will disappear in time.
  4. Review any newly prescribed medications, and check for side effects.

[leahm14]

Answer to Question 1

Correct Answer: 1, 2
For a penile implant, teach the patient and his partner how to use the pump, including how to inflate and deflate the device. Suggest that he practice inflation and deflation during the postoperative period. Suggest wearing snug-fitting underwear with the penis placed in an upright position on the abdomen and loose trousers. The type of clothing worn can improve the ability to conceal the semi-rigid prosthesis and decrease embarrassment. Provide information about length of healing, and that sexual activity may resume within six to eight weeks following surgery. Recovery from surgery is necessary before resuming sexual activity. Practice using the pump will maintain the pump position and promote tissue growth around the implant.

Answer to Question 2

Correct Answer: 1
The man can experiment with wearing condoms to decrease sensitivity. Premature ejaculation is very responsive to medical management. Using relaxation and guided imagery can delay sexual excitement. Mechanical devices, such as constrictive rings around the base of the penis, can help the man delay ejaculation and sustain an erection. Premature ejaculation is not generally a side effect of medications.