Urinary incontinence surgery - female - discharge
Stress incontinence is a leakage of urine that happens when you are active or when there is pressure on your pelvic area. You had surgery to correct this problem. This article tells you how to take care of yourself after you leave the hospital.
Open retropubic colposuspension - discharge; Laparoscopic retropubic colposuspension - discharge; Needle suspension - discharge; Burch colposuspension - discharge; VOS - discharge; Urethral sling - discharge; Pubo-vaginal sling - discharge; Pereyra, Stamey, Raz, and Gittes procedures - discharge; Tension free vaginal tape - discharge; Transobturator sling - discharge; Marshall-Marchetti retropubic bladder suspension - discharge, Marshal-Marcheti-Krantz (MMK) - discharge
When You're in the Hospital
Stress incontinence is a leakage of urine that happens when you are active or when there is pressure on your pelvic area. Walking or doing other exercise, lifting, coughing, sneezing, and laughing can all cause stress incontinence. You had surgery to correct this problem. Your doctor operated on the ligaments and other body tissues that hold your bladder or urethra in place.
What to Expect at Home
You may be tired and need more rest for about 4 weeks. You may have pain or discomfort in your vaginal area or leg for a few months. Light bleeding or discharge from the vagina is normal.
You may go home with a catheter (tube) to drain urine from your bladder.
Take care of your surgical incision (cut).
Nothing should go into the vagina for at least 6 weeks. If you are menstruating, DO NOT use tampons for at least 6 weeks. Use pads instead. DO NOT douche. DO NOT have sexual intercourse during this time.
Try to prevent constipation. Straining during bowel movements will put pressure on your incision.
Your health care provider may ask you to wear compression stockings for 4 to 6 weeks. These will improve your circulation and help prevent blood clots from forming.
Know the signs and symptoms of a urinary tract infection. Ask your provider for information about this. Call your provider if you think you might have a urinary tract infection.
You may slowly start your normal household activities. But be careful not to get overtired.
Walk up and down stairs slowly. Walk each day. Start slowly with 5-minute walks 3 or 4 times a day. Slowly increase the length of your walks.
DO NOT lift anything heavier than 10 pounds (4.5 kg) for at least 4 to 6 weeks. Lifting heavy objects puts too much stress on your incision.
DO NOT do strenuous activities, such as golfing, playing tennis, bowling, running, biking, weight lifting, gardening or mowing, and vacuuming for 6 to 8 weeks. Ask your provider when it is OK to start.
You may be able to return to work within a few weeks if your work is not strenuous. Ask your provider when it will be ok for you to go back.
You may start sexual activity after 6 weeks. Ask your provider when it will be ok to start.
Going Home with a Urinary Catheter
Your provider may send you home with a urinary catheter if you cannot urinate on your own yet. The catheter is a tube that drains urine from your bladder into a bag. You will be taught how to use and care for your catheter before you go home.
You may also need to do self-catheterization.
When to Call the Doctor
Call your health care provider if you have:
Chapple CR. Retropubic suspension surgery for incontinence in women. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 82.
Paraiso MFR, Chen CCG. The use of biologic tissue and synthetic mesh in urogynecology and reconstructive pelvic surgery. In: Walters MD, Karram MM, eds. Urogynecology and Reconstructive Pelvic Surgery. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 28.
Wagg AS. Urinary incontinence. In: Fillit HM, Rockwood K, Young J, eds. Brocklehurst's Textbook of Geriatric Medicine and Gerontology. 8th ed. Philadelphia, PA: Elsevier, 2017:chap 106.
Review Date: 1/31/2019
Reviewed By: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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