MEDICATIONS. If hormonal replacement is ordered, be sure the patient understands the dosage, schedule, actions, and side effects of the medication.
PREVENTION. Have the patient demonstrate a testicular self-examination before leaving the hospital. The patient should understand that testicular cancer can recur in the remaining testes and that early detection is a critical factor in the outcome.
SEXUALITY. Inform the patient that if a unilateral orchiectomy was performed, he is still fertile and should not experience impotence. Make sure the patient understands that he has the option of undergoing reconstructive surgery and placement of a testicular prosthesis. Refer the patient to the American Cancer Society to assist with obtaining information and support.
HOME CARE. Teach the patient to do the following:
Avoid prolonged standing because this can increase scrotal edema.
Wear an athletic supporter or snug-fitting undershorts until the area is completely healed.
Avoid heavy lifting for 4 to 6 weeks.
Take a 20-minute tub bath three times a day for 1 week after discharge.
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