Note: The following information was collected from postoperative patients. Your experience may differ. The day of Surgery is called Postoperative Day 0. The day after surgery is called Postoperative Day 1, etc.
After your 8 hour operation, you will go to the recovery room, possibly to the ICU (Intensive Care Unit) on the 4th floor of CPMC Davies Campus. You will be connected to many of things:
You will stay on the 4th floor as you begin to recover. The nurses will check you every hour initially, less frequently as you get farther out from surgery. The surgeons (Dr. Crane/Chen and the doctors of the Microsurgery team) will visit you daily. You will stay in bed the entire time, though you will be encouraged to wiggle your toes and feet. You won’t eat or drink anything during the first 24 hours in case you need to go back to the operating room emergently. Once 24 hours have passed, however, your diet will be gradually advanced from clear liquids to full liquids to solid food. The nurses will care for your surgical sites, bathe you, and take care of all you needs.
Transfer out of ICU 4th floor to the 3rd floor. You may still be confined to bed at first. As you will not have been out of bed for several days, your legs will be weak, but by day 4, you will be encouraged to get out of bed, first to a chair, and then you will walk with assistance. While in the hospital, you will still have frequent nursing checks and Doppler checks of your phallus, and will be transitioned to oral medication in preparation for leaving the hospital.
Date of discharge. Once you can walk and take all your medications orally, you will be discharged from the hospital, but you will need to stay in the San Francisco area for several weeks for follow-up visits and to be nearby in case complications arise. Your scrotal drain, urethral drain, and internal Doppler device will be removed. The suprapubic tube/catheter stays for 2-3 weeks and will be removed at your 2nd postoperative visit in clinic (Greenbrae). Your arm will be wrapped with a splint by the hand therapy team and they will give you instructions on followup either with them or with hand therapists closer to home. You will see both Dr. Crane or Dr. Chen and a doctor from the micro-surgical team for follow-up visits, and may have other visits depending on which donor site(s) were used for your surgery. Because you will be receiving narcotic pain medication, you may not have a bowel movement while in the hospital. It is important to take a laxative like Miralax (over the counter) for as long as you are on pain meds to avoid constipation. The goal is 1 bowel movement per day.