When you return from theatre you will have an intravenous cannula and a catheter in most cases. If you have only had a sling inserted and no other prolapse surgery the following applies. If you have had additional prolapse surgery such as a vaginal repair see the Pelvic floor repair notes.
If well you will be discharged from hospital after you have had 3 successful attempts at passing urine leaving less than 100 ml in your bladder. This will be measured by means of ultrasound by the nurses on the ward.
You can expect to notice the following:
You must please report if you have:
It takes 3 weeks for the tissue to start gaining strength and from week 3 to week 6 to fully heal. It is important that you follow the guidelines to allow this to happen.
As far as activities go,
Please avoid the temptation to self-explore the vaginal wounds as there are sutures there and this may often make you worry unnecessarily.
Having had the Endometrial Ablation you would usually be allowed to go home on the same day of the operation. You will notice that you will have some cramping abdominal pain which is a reaction of the uterus to the surgery as well as mild to moderate vaginal bleeding.
Over the next 2 to 3 weeks you will have a blood stained watery discharge which may be quite profuse.
We would like you to report if the following occur:
We would encourage you to:
As you are aware, Hysteroscopy is a relatively minor procedure where the cavity of the uterus is examined with a telescope. The procedure is normally performed as a day procedure and there is occasionally additional surgery such as resection of a uterine fibroid or endometrial ablation performed.
Most patients will awake from the anaesthetic feeling quite comfortable. At the worst they may have low grade cramping abdominal pain and a watery blood stained discharge. This will continue for a few days. Patients are normally allowed home on the same day.
We would like you to report if you have:
We ask that you do not:
Laparoscopy or key-hole surgery involves a variable amount of operating. Most patients will wake feeling quite comfortable with some bloating of the abdomen and pain in the shoulder due to diaphragmatic distension from the gas that is used during the procedure. Generally patients will be allowed to go home on the same day.
You should expect to have:
Activities to be restricted:
We ask you to report if you get worsening pain, worsening abdominal distension, heavy bleeding or an offensive discharge.
The dressings would normally stay on for 5 days after the operation when they could be removed and the sutures usually do not require removing because they are either absorbable or the wound has been closed using sterile strips.
Results will be generally discussed with Dr Luiz when you come in for a wound check.
Most Patients who have undergone a Laparoscopic Hysterectomy will return to the ward with an intravenous cannula and no catheter. They will be provided with analgesia in the ward and usually discharged the next day or 2 days after the operation.
We would ask that the patients who have undergone this procedure report the following:
Once home, we would encourage you to:
There are number of different types of Pelvic Floor Repair Surgery, but they all require the same post-operative recovery. The post-operative recovery is based on the initial need to get your bladder and bowel functioning once again and then to allow time for the tissues to heal and strength to be regained.
When you return from surgery you will generally have a drip in your arm, a catheter in the bladder and cotton wool wadding in the vagina to act as compression. The first day after surgery the cotton wool wadding will be removed. Once we are certain that you pelvic floor has relaxed sufficiently, we can remove the catheter. This usually occurs in the third day after you bowels have acted. On the fourth day you should be allowed home.
We would ask that once you go home that you report the following:
Your activities are designed to ensure that the above healing can occur. We would ask that you follow this fastidiously: