MEDICATIONS

Pain control on the day of surgery and the next 48 hours:
Hycet (pediatric narcotic) and Children’s Motrin: For the first 48 hours (day 1 and day 2) alternate Hycet and Motrin, while awake then transition to alternating only Tylenol and Motrin. Starting with first Hycet then following with Motrin (for example: 12 noon Tylenol, 3 pm Motrin, 6 pm Tylenol, 9 pm Motrin). Common side effects of Hycet are nausea, vomiting, constipation, lightheadedness, and upset stomach. For constipation you may give an over the counter stool softener until your son has a bowel movement.

Pain control day 3 until the catheter is removed:
Children’s Tylenol and Motrin: Alternating every 3 hours while awake for the first 48 hours (day 3 and day 4), then as needed. Starting with first Tylenol then following with Motrin (for example: 12 noon Tylenol, 3 pm Motrin, 6 pm Tylenol, 9 pm Motrin).

Pain control for bladder spasms:
Ditropan (Oxybutynin): For ages 12 months to 2.5 years old take twice a day until the catheter is removed. For ages 2.5 years old and older take three times a day until the catheter is removed. Common side effects are flush/dry appearance, hot skin, hyperactive, constipation or diarrhea, and/or upset stomach. If you notice this you can decrease the dosage from three times daily to twice a day or from twice a day to once a day. For constipation you may give an over the counter stool softener until your son has a bowel movement.

For Pain Control:
Norco (Hydrocodone): Alternating every 6 hours while awake with Motrin (for example: 12 noon norco, 3 pm Motrin, 6 pm norco, 9 pm Motrin). Common side effects are anxiety, dizziness, nausea, vomiting, constipation, lightheadedness, and upset stomach.

For bladder spasm pain:
Ditropan (Oxybutynin): Take once or twice a day as needed until the catheter is removed. Common side effects are flush/dry appearance, hot skin, hyperactive, constipation or diarrhea, and/or upset stomach

For erections while the catheter is in place:
Valium (Diazepam): Take nightly to prevent night time erections while the catheter is in. Common side effects are drowsiness, irritability, nausea, dry mouth, and/or restlessness.

Magic Mouth Wash:
Used for mouth pain from where the graft was taken. This medication should be swish, gargled, and spit to provide pain relief to the affected area. If a kiddo cannot swish, gargle, and spit you can try using a syringe or q-tip to place the medication to a localized and specific area.

Betamethasone steroid ointment or cream:
The cream or ointment are both used for our patients and are specific to the type of repair performed. The use of both are the exact same in that it should be used on the surgical site in order to increase blood flow to the penis which improves the elasticity of the skin. It should be applied twice daily to the surgery site for 3 months, beginning 1 month after surgery.