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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Wound and Skin

Caring for Perineal Wounds Mohs Surgery Clinic (4230)

Caring for Perineal Wounds Mohs Surgery Clinic (4230) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Wound and Skin

4230


Caring for Perineal Wounds
Mohs Surgery Clinic

This handout tells you how to care for your
wound once you are home. We will go over
the handout with you before you leave. If
you have any questions or concerns after you
are home, please call the phone number at
the end of this handout.

When to do wound care
Your wound may be packed with a material
called Gel Foam. This helps to stop
bleeding. Do not attempt to remove it. It
will slowly wash out on its own when
cleaning your wound.

In the first 24 hours: Gently squirt
lukewarm water from a peri-bottle after each
time you go to the bathroom. Squirt from
front to back, rinsing the perineum well.
Gently pat dry using a clean cloth or toilet
paper. Use a clean peri-pad to absorb
drainage. Change your peri-pad at least
every 4 hours.

After 24 hours: Begin your sitz baths. Fill
the bathtub with lukewarm water (many
inches high) and soak for 15 to 20 minutes.
If you have pain or pressure, sit on a folded
towel or use a “donut.” The warm water
will cleanse and soothe the wound area. Use
a mild soap and gently lather, rinsing well.
You may notice the Gel Foam (which may
be brown-black in color) will rinse away.
After you have patted dry, keep using the
peri-pad to absorb drainage and protect the
wound. Do your sitz baths 3 to 4 times daily
or as often as you can handle it.

Supplies you will need to buy
ξ Peri-bottle (single nozzle squirt-
type)
ξ Peri-pads (such as Kotex®)
ξ Soap, bar or liquid
ξ A “donut” for sitting if you
would like
All supplies can be bought at your local
drugstore.

Bleeding
Avoid the use of alcohol, ibuprofen,
naproxen, aspirin, or medicines that contain
aspirin while your wound is healing unless
approved by your doctor. These may
increase the chance of bleeding. If you do
have bright red bleeding that is soaking a
pad every 10-15 minutes, call the clinic
where you were seen (see numbers listed
below) or go to your local emergency
room. Expect some drainage to be present.
Drainage will decrease as your wound heals.

Tips to prevent bleeding
ξ For the first few days, prop your
hips and legs up on pillows as
much as you can
ξ Avoid straining during bowel
movements
ξ Avoid lifting; no more than 5
pounds for the first week, then as
directed by provider
ξ Avoid tight clothing that will
cause rubbing in the area of the
wound
ξ Avoid sexual activity until the
site is well healed, and there is
no crust, drainage, or discomfort
at the site.

Pain Control
If your wound hurts, you may take Tylenol®
(acetaminophen) by following package
directions. Limit use of over the counter
acetaminophen if you are given a
prescription that contains additional

Tylenol® (acetaminophen). Do not take
medicines that contain aspirin or ibuprofen
while your wound is healing unless
approved by your doctor.

If prescribed a narcotic pain medicine,
please do not drink or drive while taking
this medicine. It is best to take narcotics
with food to prevent nausea/vomiting.
Narcotics may also cause constipation.
You may use over the counter stool
softeners as needed.

If you have a sudden increase in pain that
is not helped by pain medicines and ice
compresses, please call the clinic where
you were seen (numbers listed below).
You may have bleeding under your skin and
need treatment.

Drink plenty of fluids to keep your urine
dilute and reduce stinging when urine
passes. Eat plenty of fiber to assist in
normal bowel movements. Take a stool
softener if needed.

Activities
Do not do heavy activities for the first 2 days
or as directed. Do not lift any objects more
than 5 pounds for at least the first week or as
directed. No sexual activity until there is no
crust, drainage or discomfort at the site. No
swimming or hot tub until your wound is
fully healed and there is no crust, drainage or
discomfort at the site.

Infection
Infection is not common when the wound is
cared for. Take an antibiotic if one was
prescribed for you.
Antibiotic
medicine___________________________

When to call the doctor
ξ If you have bright red bleeding that is
soaking a pad every 10-15 minutes
ξ If you have any signs or symptoms of
infection:
ξ Fever greater than 101ºF for 2
readings taken 4 hours apart
ξ Increased pain or swelling of the
wound
ξ Pus or smelly wound drainage
ξ Redness spreading out from the
wound

Phone Numbers
If you have any questions or concerns call the
Dermatology/Mohs Clinic where you were
seen weekdays between 8:00 am and 4:30
pm. After clinic hours, holidays and
weekends, the clinic number will be answered
by the paging operator. Ask for the
Dermatology or Mohs Surgery doctor on
call. Leave your name and phone number with
the area code. The doctor will call you back.

UW Clinic East Dermatology/Mohs Surgery
5249 E. Terrace Drive
Madison, WI 53718
(608) 265-1288, press option 2

UW Clinic West Mohs Surgery
451 Junction Rd.
Madison, WI 53717
(608) 263-6226





Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 10/2017 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#4230.