Home of the first board accredited Female Pelvic Medicine

and Reconstructive Surgery Fellowship Program in the nation!

Urogynecology Associates, PC

 

Douglass S. Hale, MD, F.A.C.O.G, FACS     |     Michael H. Heit, MD, PhD, FACOG, FACS

Postoperative Care

POST-OPERATIVE INSTRUCTIONS

 

 The following list should give you a general idea of your plan of care upon dismissal from the hospital.  We will review these instructions with you again after your surgery.  You may want to bring this information with you to the hospital to take additional notes in case we give you more specific discharge instructions.

1. Please call us with any questions or problems you may have once you get home.  One of us can be reached 24 hours a day by calling the office number (317) 962-6600.

 

2. Please call our office the day you are released to schedule an appointment for approximately two weeks from the day of discharge.  When calling from the hospital you may dial 26600 directly.  From outside the hospital call (317) 962-6600.      Please take your temperature two to three times daily for the first several days following discharge, especially if you feel warm or chilled.  Please call us if your temperature goes over 100.4ºF.

 

3. You should not drive for two weeks, but you may ride in the car for short distances.  You may use the stairs - just take them slowly and not more than two to three times a day.  You should not lift, push, or pull any objects which weigh more than 10-15 pounds.

 

4. Eat a well balanced diet.  If you find your appetite is poor try eating smaller amounts more frequently throughout the day.  You may also use supplements such as Ensure, Boost, or Carnation Instant Breakfast until your appetite returns to normal.  These will give you needed protein, carbohydrates, and fats to help your body heal.  You may take a multivitamin in the morning and later in the day take an extra 500mg of Vitamin C.

 

5. Do not strain when trying to have a bowel movement. You will almost always be discharged on a stool softner, Colace to be taken twice a day.   If your bowels do not move by your second day home, you may take Phillips Milk of Magnesia.  This may be taken at night or in the morning using 2-4 tablespoons followed by a glass of water.  If you are still having trouble regulating your bowels, please give us a call.

 

6. If you are sent home with a suprapubic catheter, please follow the specific    instructions, which we have given you.  If you go home without any type of catheter, please be sure to call if you are having any trouble urinating.Use extra strength Tylenol for pain. You may need to take two tablets every four to six hours for the first several days after you get home in order to control any pain.  We ask that you use Tylenol extra strength as narcotics can slow bowel and bladder function. If needed, you may supplement the Tylenol with the prescription pain medication we have given you. Your total acetaminophen dose should not exceed 4 grams in 24 hours.  If your pain is not adequately controlled, please call us.

 

7. Use extra strength Tylenol for pain. You may need to take two tablets every four to six hours for the first several days after you get home in order to control any pain.  We ask that you use Tylenol extra strength as narcotics can slow bowel and bladder function. If needed, you may supplement the Tylenol with the prescription pain medication we have given you. Your total acetaminophen dose should not exceed 4 grams in 24 hours.  If your pain is not adequately controlled, please call us.

 

8. Do not have intercourse, douche, or place anything in the vagina for six weeks following surgery.

 

9. Please inspect any visible incisions daily for signs of excessive redness, excessive warmth, drainage, or any other sign that an incision might be getting infected. It is important to keep your incision clean and dry.  You may use warm water and soap twice a day to gently clean the area.  Please call if you are concerned about your incisions.

 

10. It is normal to have a minimal amount of vaginal discharge, which may last up to six weeks following surgery.  This discharge may be bloody or may be yellow in color.  Please call if you think it is excessive.

 

11. If you were using the Sitz bath during your hospital stay please take it home with you and continue using it.   As an alternative, a hand-held shower can be used This should be done at least 3 times per day.  Please check with us at your first post-operative check to see if you need to continue to use it even longer.

 

12. Many of our patients need special instructions on pelvic muscle exercises after surgery.  We will discuss this with you further at your post-operative check up appointments.

 

13. You will need to actively walk several times a day when returning home.  This helps your energy level and also helps prevent blood clots from forming.  We recommend at least 5 walks per day beginning with 2 in the morning, 2 in the afternoon, and 1 in the evening.   The length of time should get progressively longer up to 30 minutes per walk.  When resting, try and move your legs on a regular basis.

 

 

More Information: What to expect after surgery

 

 

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Sincerely,

 Urogynecology Associates, PC

1633 North Capitol Avenue. | Indianapolis, IN  46202 | Phone: 317.962.6600 | Fax: 317.962.2049