Promedon VICTO+ Instructions D'utilisation page 11

POST-OPERATIVE CARE
IMMEDIATELY POST-OPERATIVE
An indwelling catheter should remain in place
for 24 hours. Antibiotics should be prescribed
at the discretion of the surgeon. After 24 hours
the indwelling catheter should be removed
and the patient should try to void on urge.
If the patient is unable to void without a
large amount of residual urine, it may be
necessary to teach the patient intermittent
catheterization in the case of retention.
Until the pressurization process, the patient
should avoid activities such as sexual
intercourse, strenuous exercise, and heavy
lifting.
NOTE: The physician should inform the
patient (in order to avoid false expectations)
that until the pressurization process, he will
stay incontinent. The patient should continue
to use pads or condom drainage to contain
leakages.
DISCHARGE
The patient can be discharged 2 to 4 days
post-operation at the discretion of the surgeon
and depending on his general health.
Antibiotics should be prescribed at the
discretion of the surgeon.
An outpatient appointment should be made
for 4 to 6 weeks following implantation for
pressurization of the device.
PRESSURIZATION
PROCEDURE
The VICTO+ implant is pressurized by
injecting sterile saline solution through the
self-sealing port in the base of the control
pump. The pressure in the device depends
on the amount of fluid injected. This feature
allows the device to be set at any desired
pressure without having to change the
pressure regulating balloon.
EQUIPMENT REQUIRED
The pressurization procedure is best carried
out as a sterile procedure in a clean clinical
space.
• Sterile saline solution for injection
• 6 ml Luer-lock syringe
• Non-coring needles: 25G x 5/8"
• Sterile dressing pack
• Sterile drapes
• Sterile gloves
IMPORTANT
It is vital that the wall of the pump unit
is not pierced with the needle. If this
occurs, the device may be permanently
damaged, requiring explantation of the
whole device.
It is essential that only the non-coring
needles 25G x 5/8" be used and that the
needle is always aligned parallel to the
sides of the pump and penetrates the
self-sealing port straight and through the
"guard ring." Only the base of the pump
with its metal "guard ring" has the ability
to be injected safely.
PATIENT PREPARATION
• Explain the procedure to the patient.
• Lay the patient supine and identify the
location of the control pump inside the
scrotum.
• Cleanse the scrotum in accordance with
hospital-approved procedure.
NOTE: Local anesthesia around the area
may be applied in accordance with hospital-
approved procedure.
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