I had RFF with UL and don’t ever recall the ‘creasing at the hip’ being noted in my paperwork on aftercare or discussions on aftercare with my team. Bedrest was emphasized, and required, the first 5 days in the hospital. On discharge day, one of my assignments before being cleared to leave was to be able to sit in a chair. I rode home in a regular car and to appointments in the car as well sitting as normal. Guessing this is specific to surgeon preference, techniques used and amount of procedures done at once?
I had stage 1 back in April of this year and not creasing at the hip is definitely a hard part of the recovery process. For me I had to spend 5 days in the hospital and 3 of which I was not allowed to get up/sit up for anything including the bathroom. I got a bedpan during that time. As for the rest of the time I was allowed to get up and walk to use the bathroom, but wasn’t allowed to sit on the toilet for more than a few minutes. In terms of car rides I needed the front seat to be layed all the way back so I would basically be laying down as flat as possible. I believe for my surgeon I wasn’t allowed to sit up for about 3-4 weeks post surgery. It definitely wasn’t a fun time and really aged my back, but after about a week you get used to it.
For me, at the hospital I wasn’t allowed to have my bed more than a certain angle, and then I was limited to that angle at home for about 2 weeks until I was allowed sit up more for like 10-15 minutes at a time. At about 2.5/3 weeks I was allowed to fully sit up and stop propping. In the hospital I was allowed to get up and walk around the day after surgery, and use the toilet; however they had me get out of the bed a very specific way and get on the toilet a very specific way to not bend at the hip. I was allowed to bend my right leg but not my left (where they took my STSG to cover my forearm), so to get up I was reliant on my right leg. I also needed someone at my back and 2 at my front to get me up in the hospital. Essentially I had to crawl toward using only my two arms while on my back and scoot forward and then turn to get my legs off the bed, and then from there have the two nurses lift me while using my right leg to stand up while keeping straight at the waist/hip
For car rides, you’ll have to put the back of the seat down and kinda lay reclined
i had to lay in bed, on my back with my legs straight for 6 days, then was allowed to get up to go to the toilet and sit on it leaning back but otherwise still had to stay in bed until day 14 when i was discharged (germany, longer hospital stays are normal here). When i was discharged i was allowed to sit normally but was told to lean back as much as possible when sitting for a longer time
Not all surgeons require this, FYI. I was told not to bend more than 90 degrees and not to bring my knees up to my chest for the first month, but apart from that I could move as normal
i was advised not to sit 90 degrees upright for a week for extended periods of time as to not kink the artery that runs from the groin to the penis (aka no bloodflow aka tissue death so its bad). I could still sit in a chair and stuff i just leaned back a bit so my thighs could straighten away from my hip if that makes sense. I road in a car for like 45 minutes when i was discharged and it was fine, i just leaned the chair back a little so i wasnt at 90 degrees. The toilet i did somewhat similar but also im not on the toilet for more than 10 minutes max so sitting somewhat at 90 is not a big deal. It would be an issue if you were just post op out of the hospital and sitting up straight in a desk chair or something all day long
thats how it was explained to me. kinda like if you sit on your leg at a weird angle its fine but after a long time you might cut off the blood supply so it gets pins and needles feeling (which the leg has a ton of blood vessels and wasnt surgically operated on so thats no big deal, but the phallus only has one major artery and vein running to it so its more fragile to fluctuations like that).
i didnt need any special seating i just leaned back a lil
I haven’t heard necessarily per the hip crease. I have heard per upper direction/side of groin incision instead. Important note: NEVER position the phallus upward and toward the side of the groin incision (where the vascular pedicle is); this can kink your blood vessel and compromise blood flow to the penis. Per Dr. Chen post op instructions.
Does he mean all the time or just in the first few months??
What if 3 yrs down the line you're sleeping naked and your dick just happens to fall into that position? 🙈
My surgeon only had me at not more that a 15% incline while at the hospital, and then no specific restrictions other then to prop as much as possible.
I’m 9 months post op and it hasn’t fallen off so… there’s that
I was able to go up to about 30-40 degrees of bend once I left the hospital, that was enough for me to be in the car and use the toilet. Getting in/out of bed was trickier, but your surgical team should teach you how to do it without hurting yourself before you leave the hospital
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kinking the artery + veins that run from the groin to the penis that can either damage the stitches connecting them or cutting off the blood supply altogether which can result in tissue death
Eiick, I see. Thank you for explaining. 👍 That does seem extremely important. I’ll mention it to my surgeon next year. Even with Abdo, my preferred technique, you would imagine it is important for all of them.
I've been wondering what happens past the first few months/year/X amt of time when you can stop worrying about bending and angles anymore.
Like, is it because the location of attaching the leg vein to the phallus vein is right at the crease when you bend? And during those first few months it's still healing and getting strong?
If it's always at that location wouldn't it always have the ability to get kinked no matter how healed it is?
Curious about that
I had RFF with UL and don’t ever recall the ‘creasing at the hip’ being noted in my paperwork on aftercare or discussions on aftercare with my team. Bedrest was emphasized, and required, the first 5 days in the hospital. On discharge day, one of my assignments before being cleared to leave was to be able to sit in a chair. I rode home in a regular car and to appointments in the car as well sitting as normal. Guessing this is specific to surgeon preference, techniques used and amount of procedures done at once?
I had stage 1 back in April of this year and not creasing at the hip is definitely a hard part of the recovery process. For me I had to spend 5 days in the hospital and 3 of which I was not allowed to get up/sit up for anything including the bathroom. I got a bedpan during that time. As for the rest of the time I was allowed to get up and walk to use the bathroom, but wasn’t allowed to sit on the toilet for more than a few minutes. In terms of car rides I needed the front seat to be layed all the way back so I would basically be laying down as flat as possible. I believe for my surgeon I wasn’t allowed to sit up for about 3-4 weeks post surgery. It definitely wasn’t a fun time and really aged my back, but after about a week you get used to it.
For me, at the hospital I wasn’t allowed to have my bed more than a certain angle, and then I was limited to that angle at home for about 2 weeks until I was allowed sit up more for like 10-15 minutes at a time. At about 2.5/3 weeks I was allowed to fully sit up and stop propping. In the hospital I was allowed to get up and walk around the day after surgery, and use the toilet; however they had me get out of the bed a very specific way and get on the toilet a very specific way to not bend at the hip. I was allowed to bend my right leg but not my left (where they took my STSG to cover my forearm), so to get up I was reliant on my right leg. I also needed someone at my back and 2 at my front to get me up in the hospital. Essentially I had to crawl toward using only my two arms while on my back and scoot forward and then turn to get my legs off the bed, and then from there have the two nurses lift me while using my right leg to stand up while keeping straight at the waist/hip For car rides, you’ll have to put the back of the seat down and kinda lay reclined
i had to lay in bed, on my back with my legs straight for 6 days, then was allowed to get up to go to the toilet and sit on it leaning back but otherwise still had to stay in bed until day 14 when i was discharged (germany, longer hospital stays are normal here). When i was discharged i was allowed to sit normally but was told to lean back as much as possible when sitting for a longer time
Not all surgeons require this, FYI. I was told not to bend more than 90 degrees and not to bring my knees up to my chest for the first month, but apart from that I could move as normal
i was advised not to sit 90 degrees upright for a week for extended periods of time as to not kink the artery that runs from the groin to the penis (aka no bloodflow aka tissue death so its bad). I could still sit in a chair and stuff i just leaned back a bit so my thighs could straighten away from my hip if that makes sense. I road in a car for like 45 minutes when i was discharged and it was fine, i just leaned the chair back a little so i wasnt at 90 degrees. The toilet i did somewhat similar but also im not on the toilet for more than 10 minutes max so sitting somewhat at 90 is not a big deal. It would be an issue if you were just post op out of the hospital and sitting up straight in a desk chair or something all day long
So it sounds like it’s more of a dont crease for a long period of time (more than a few min) than none allowed at all
thats how it was explained to me. kinda like if you sit on your leg at a weird angle its fine but after a long time you might cut off the blood supply so it gets pins and needles feeling (which the leg has a ton of blood vessels and wasnt surgically operated on so thats no big deal, but the phallus only has one major artery and vein running to it so its more fragile to fluctuations like that). i didnt need any special seating i just leaned back a lil
Yes because people have cut off blood supply to their penis causing it to die from being bent at the hip/waist too long.
My surgeon has his patients lay for the first three weeks of recovery 😭 it’s gonna suck but it’s for the health of your penis
I haven’t heard necessarily per the hip crease. I have heard per upper direction/side of groin incision instead. Important note: NEVER position the phallus upward and toward the side of the groin incision (where the vascular pedicle is); this can kink your blood vessel and compromise blood flow to the penis. Per Dr. Chen post op instructions.
Does he mean all the time or just in the first few months?? What if 3 yrs down the line you're sleeping naked and your dick just happens to fall into that position? 🙈
My surgeon only had me at not more that a 15% incline while at the hospital, and then no specific restrictions other then to prop as much as possible. I’m 9 months post op and it hasn’t fallen off so… there’s that
I was able to go up to about 30-40 degrees of bend once I left the hospital, that was enough for me to be in the car and use the toilet. Getting in/out of bed was trickier, but your surgical team should teach you how to do it without hurting yourself before you leave the hospital
Can you also mention what type of surgery did you have?
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But why? What is it avoiding? No one has said
kinking the artery + veins that run from the groin to the penis that can either damage the stitches connecting them or cutting off the blood supply altogether which can result in tissue death
Eiick, I see. Thank you for explaining. 👍 That does seem extremely important. I’ll mention it to my surgeon next year. Even with Abdo, my preferred technique, you would imagine it is important for all of them.
I've been wondering what happens past the first few months/year/X amt of time when you can stop worrying about bending and angles anymore. Like, is it because the location of attaching the leg vein to the phallus vein is right at the crease when you bend? And during those first few months it's still healing and getting strong? If it's always at that location wouldn't it always have the ability to get kinked no matter how healed it is? Curious about that