Pain Control

You will have some abdominal pain for a few days.

You will be prescribed a narcotic pain medication as well as an anti-inflammatory medication.  Please use these as directed.

It is important to take a stool softener, such as Colace®, while taking narcotic pain medication such as Percocet or Vicodin. Please purchase a stool softener before your surgery.

Note: If the pain is not relieved by pain medication, becomes worse or you have difficulty breathing, call our office.

Incision Care

Inspect your incision daily.

Your incision was closed with dissolvable staples or sutures. There are no stitches that will need to be removed, they will disappear over six weeks.

A small amount of blood or clear drainage from the incisions is normal and not a cause for concern. Bruising around your incision site is common and not a cause for concern.

Your incisions may be itchy for a few days. This is part of the normal healing process.

As your incision heals, it will change in color and may become numb for several weeks.

If you have steri-strips (small adhesive strips) in place, they will peel and fall off. If they do not fall off in 10 days, carefully peel them off.

Note: If you notice any redness of the skin surrounding the incision, heavy drainage or bleeding from your incision, call our office.

Nutrition

You may resume the diet you had prior to surgery.

Drink 6-8 glasses of water daily.

Bowel Function

For the first several days after surgery, the bowel is usually less active. You may not have a regular bowel movement right away depending on your pre-op bowel prep or pain medication use.

Narcotic pain medication (Percocet, Vicodin, hydrocodone or oxycodone) will increase constipation. Regular bowel movements may be less frequent.

If constipation should occur:

  • Drink more fluids
  • Continue to take a stool softener such as Colace® until constipation resolves
  • Take a mild laxative such as Milk of Magnesia®

Swelling

Mild abdominal swelling can occur following surgery due to slowing of the bowels.

Swelling of the hands and lower extremities is common due to fluids given during surgery.

If you have swelling of the calves that is persistent or associated with redness, call our office.

Activity

It is normal to feel tired for a few days after surgery. Listen to your body and do not overdo it.

Walking is encouraged immediately after surgery, as tolerated. You should NOT be bedridden after surgery, as continued movement will prevent prolonged recovery times due to “deconditioning.”

If you could climb stairs unaided prior to surgery you may resume climbing stairs upon discharge home.

No strenuous activities such as heavy lifting (greater than 10 pounds or a gallon of milk), pushing or pulling for six weeks.

Abdominal exercise should be avoided until after six weeks.

Do not drive while taking prescription pain medication or if your level of discomfort could inhibit your ability to operate a motor vehicle safely.

You may return to work after 4-6 weeks, provided that heavy lifting is not a job requirement. Recovery times vary from patient to patient. Your doctor will make recommendations based on your specific case.

You may shower the day after surgery. Pat incisions dry. Do not rub your incisions with washcloth or towel. Keep your incisions as dry as possible.

You may take a bath after six weeks. You must also wait six weeks to go into a swimming pool, hot tub or the ocean.

Vaginal Bleeding

Light vaginal bleeding, spotting or brown discharge for up to six weeks is common.

Note: If you have heavy, bright red vaginal bleeding, call our office. Bleeding that fills a pad in one hour is considered heavy bleeding.

Sexual Intercourse

Avoid placing anything in the vagina for eight weeks (i.e. tampons, douching and sexual intercourse).

Vaginal closure disruption can occur if sexual intercourse is resumed before healing is complete and will require additional surgery, which can lead to shortening of the vagina and painful intercourse.

Follow-up Appointment

You should schedule a follow-up post-operative appointment at two weeks and at six weeks.

Call the Office if You are Experiencing:

  • A fever higher than 100.4º F
  • Increasing pain not controlled by pain medication
  • Inability to eat or drink without vomiting
  • Shortness of breath
  • Inability to empty your bladder
  • Redness and tenderness at the incision site, or a large amount of drainage
  • Heavy, bright red vaginal bleeding, or foul smelling discharge. You can expect to have a small amount of reddish-brown colored discharge for up to six weeks. Do not be alarmed by this.

If you feel you need to be seen urgently, please go to the Emergency Department where your surgery was performed so that our physicians may care for you.

Any questions regarding your surgery or post-operative recovery should be directed to the staff at the Women’s Clinic of Johnson County rather than your Primary Care Physician.

Anterior and Posterior Repair are performed to correct bladder and rectal prolapse. They are sometimes performed in conjunction with a vaginal hysterectomy and/or incontinence procedures for urine leakage. Patients with prolapse frequently have poor or thin tissue that will stretch out with time. Because of this, you and your doctor may have elected to utilize mesh for your repair. Please refer to the website for the American College of Obstetricians and Gynecologists for more information regarding procedures using surgical mesh.

Pain Control

Please use the narcotic pain medication prescribed only as needed. Narcotics will increase constipation and can exacerbate pain with bowel movements.

It is important to take a stool softener such as Colace® while taking narcotic pain medication such as Percocet or Vicodin. Please purchase a stool softener before your surgery.

You may take “over the counter” pain relievers that do not contain aspirin such as acetaminophen (Tylenol®) or ibuprofen (Motrin® or Advil®). Do not exceed the daily recommended dose.

If the pain is not relieved by pain medication, becomes worse, or you have difficulty breathing, call our office.

Nutrition

You may resume the diet you had prior to surgery.

Drink 6-8 glasses of water daily.

Urinary Function

For the first couple of days following surgery, you may experience discomfort with urination due to catheterization of your bladder during the procedure.

It is normal to have trouble initiating your stream for a few days after the procedure due to swelling.

If you have persistent urinary urgency, pain with urination, or inability to empty your bladder, please call our office.

Bowel Function

It is important to prevent constipation and straining during the healing of your posterior repair.

Your doctor has prescribed stool softeners such as Colace® as well as a laxative such as Miralax® to keep stools soft during the first four weeks after recovery.

Please call our office if you are unable to move your bowels 48 hours after discharge.

Activity

You may gradually return to your normal activity after surgery. No vigorous exercise or activities that strain the incisions.

Wear loose fitting clothing with cotton underwear and a panty liner.

You should not do any heavy lifting, greater than 10 lbs, for six weeks after surgery or until cleared by your doctor.

Do not drive while taking prescription pain medication or if your level of discomfort could inhibit your ability to operate a motor vehicle safely.

You may shower the day after surgery. Do not soak in a bath tub for six weeks after surgery.

Use a spray bottle with warm water to cleanse after using the restroom until the site is healed (approximately two weeks).

Vaginal Bleeding and Discharge

Light vaginal bleeding, spotting or brown discharge are common for up to two weeks after surgery.

Note: If you have heavy, bright red vaginal bleeding, call our office. Bleeding that fills a pad in one hour is considered heavy bleeding.

Sexual Intercourse

Avoid placing anything in the vagina for eight weeks (i.e. tampons, douching and sexual intercourse).

Follow-up Appointment

You should schedule a follow-up post-operative appointment at two weeks and at six weeks.

Call the Office if You are Experiencing:

  • A fever higher than 100.4º F
  • Increasing pain not controlled by pain medication
  • Inability to eat or drink without vomiting
  • Shortness of breath
  • Inability to empty your bladder
  • Redness and tenderness at the incision site, or a large amount of drainage
  • Heavy, bright red vaginal bleeding, or foul smelling discharge. You can expect to have a small amount of reddish-brown colored discharge for up to two weeks. Do not be alarmed by this.

If you feel you need to be seen urgently, please go to the Emergency Department where your surgery was performed so that our physicians may care for you.

Any questions regarding your surgery or post-operative recovery should be directed to the staff at the Women’s Clinic of Johnson County rather than your Primary Care Physician.

Hysteroscopy is performed to determine the cause of abnormal or post-menopausal bleeding or for abnormal findings on an ultrasound. It may be done in conjunction with removal of a polyp (polypectomy), tubal sterilization (Essure® or Adiana®), or endometrial ablation (Novasure®, Thermachoice® or Hydrothermal Ablation) which is a procedure used in the treatment of heavy periods.

Pain Control

You may experience cramping, similar to menstrual cramps for 48 hours after the procedure.

You may take “over the counter” pain relievers that do not contain aspirin such as acetaminophen (Tylenol®) or ibuprofen (Motrin® or Advil®). Do not exceed the daily recommended dose.

Your doctor may have prescribed a narcotic pain medication to use as well.

Note: If the pain is not relieved by pain medication, becomes worse, or you have difficulty breathing, call our office.

Nutrition

You may resume the diet you had prior to surgery.

Drink 6-8 glasses of water daily.

Urinary Function

For the first couple of days following surgery, you may experience discomfort with urination due to catheterization of your bladder during the procedure.

If you have persistent urinary urgency, dysuria, or inability to empty your bladder, please call our office.

Activity

You may return to your normal activity one day after surgery. Most patients are able to return to work one day after surgery.

Do not drive while taking prescription pain medication or if your level of discomfort could inhibit your ability to operate a motor vehicle safely.

You may shower the day after surgery. Do not soak in a bathtub for one week after surgery.

Vaginal Bleeding and Discharge

Light vaginal bleeding, spotting, brown discharge, or watery discharge after surgery are expected for up to two weeks after surgery.

If you underwent an endometrial ablation brown or watery discharge may persist for one month.

Note: If you have heavy, bright red vaginal bleeding soaking one pad or more per hour, call our office.

Sexual Intercourse

Avoid placing anything in the vagina for two weeks (i.e. tampons, douching and sexual intercourse).

Follow-up Appointment

You should schedule a post-operative appointment at two weeks and at six weeks after surgery.

Please remember, if you underwent a tubal sterilization procedure (Essure® or Adiana®), it is very important to schedule a post operative Hysterosalpingogram (HSG) at three months to verify that your tubes are blocked. You must use a back-up method of birth control until this confirmatory test is performed.

Call the Office if You are Experiencing:

  • A fever higher than 100.4º F
  • Increasing pain not controlled by pain medication
  • Inability to eat or drink without vomiting
  • Shortness of breath
  • Inability to empty your bladder
  • Redness and tenderness at the incision site, or a large amount of drainage
  • Heavy, bright red vaginal bleeding, or foul smelling discharge. You can expect to have a small amount of reddish-brown colored discharge for up to two weeks. Do not be alarmed by this.

If you feel you need to be seen urgently, please go to the Emergency Department where your surgery was performed so that our physicians may care for you.

Any questions regarding your surgery or post-operative recovery should be directed to the staff at the Women’s Clinic of Johnson County rather than your Primary Care Physician.

Pain Control

You may experience cramping similar to menstrual cramps for 48 hours after the procedure.

You may take “over the counter” pain relievers that do not contain aspirin such as acetaminophen (Tylenol®) or ibuprofen (Motrin® or Advil®). Do not exceed the daily recommended dose.

Your doctor may have prescribed a narcotic pain medication to use as well.

Note: If the pain is not relieved by pain medication, becomes worse, or you have difficulty breathing, call our office.

Nutrition

You may resume the diet you had prior to surgery.

Drink 6-8 glasses of water daily.

Urinary Function

For the first couple of days following surgery, you may experience discomfort with urination due to catheterization of your bladder during the procedure.

If you have persistent urinary urgency, dysuria, or inability to empty your bladder, please call our office.

Activity

You may return to your normal activity one day after surgery. Most patients are able to return to work one day after surgery.

Do not drive while taking prescription pain medication or if your level of discomfort could inhibit your ability to operate a motor vehicle safely.

You may shower the day after surgery. Do not soak in a bathtub for one week after surgery.

Vaginal Bleeding and Discharge

Vaginal bleeding like a period, spotting, brown discharge, or watery discharge are expected for up to two weeks after surgery.

Note: If you have heavy, bright red vaginal bleeding soaking one pad or more per hour, call our office.

Sexual Intercourse

Avoid placing anything in the vagina for two weeks (i.e. tampons, douching and sexual intercourse).

Follow-up Appointment

You should schedule a follow-up post-operative appointment at two weeks and at six weeks.

Call the Office if You are Experiencing:

  • A fever higher than 100.4º F
  • Increasing pain not controlled by pain medication
  • Inability to eat or drink without vomiting
  • Shortness of breath
  • Inability to empty your bladder
  • Heavy, bright red vaginal bleeding, or foul smelling discharge. You can expect to have a small amount of reddish-brown colored discharge for up to two weeks. Do not be alarmed by this.

If you feel you need to be seen urgently, please go to the Emergency Department where your surgery was performed so that our physicians may care for you.

Any questions regarding your surgery or post-operative recovery should be directed to the staff at the Women’s Clinic of Johnson County rather than your Primary Care Physician.

Laparoscopic surgery may be performed for the diagnosis of pelvic pain, for evaluation of uterine or ovarian masses, for management of ectopic (tubal) pregnancy, for tubal sterilization, or for removal of an ovary or ovarian cyst.

Pain Control

You may feel some chest, shoulder or abdominal discomfort for a few days. This discomfort is a result of the gas that was introduced in the abdomen during surgery. Your body will absorb this gas after 24 to 48 hours. For relief, you may apply heat to your abdomen or lay flat.

It is important to take a stool softener such as Colace® while taking narcotic pain medication such as Percocet or Vicodin. Please purchase a stool softener before your surgery.

You may take “over the counter” pain relievers that do not contain aspirin such as acetaminophen (Tylenol®) or ibuprofen (Motrin® or Advil®). Do not exceed the daily recommended dose.

Note: If the pain is not relieved by pain medication, becomes worse or you have difficulty breathing, call our office.

Incision Care

Laparoscopic incisions are closed with skin adhesive which may have a bluish/shiny appearance on the skin and/or with subcutaneous (under the skin) suture.

Inspect your incisions daily.

A small amount of blood or clear drainage from the incisions is normal and not a cause for concern.

Bruising around your incision sites is common and not a cause for concern.

Your incisions may be itchy for a few days. This is part of the normal healing process.

As your incisions heal, they will change in color and may become numb for several weeks.

If you have small dressings or Band-Aids, they may be removed in 24 hours.

If you have steri-strips (small adhesive strips) in place, they will peel and fall off. If they do not fall off in 10 days, carefully peel them off.

If you have stitches, they will dissolve on their own.

Note: If you notice any redness, heavy drainage, or bleeding from your incisions, call our office.

Nutrition

You may resume the diet you had prior to surgery.

Drink 6-8 glasses of water daily.

Bowel Function

For the first several days after surgery, the bowel is usually less active. You may not have a regular bowel movement right away depending on your pre-op bowel prep or pain medication use.

Narcotic pain medication (Percocet, Vicodin, hydrocodone or oxycodone) will increase constipation. Regular bowel movements may be less frequent.

If constipation should occur:

  • Drink more fluids
  • Continue to take a stool softener such as Colace® until constipation resolves
  • Take a mild laxative such as Milk of Magnesia®

Swelling

Mild abdominal swelling can occur following surgery due to slowing of the bowels and gas used to distend the abdomen during surgery.

Swelling of the hands and lower extremities is common due to fluids given during surgery.

Swelling of the face can occur due to positioning during surgery.

If you have swelling of the calves that is persistent or associated with redness, call our office.

Activity

It is normal to feel tired for a few days after surgery. Listen to your body and do not overdo it.

Walking is encouraged immediately after surgery, as tolerated. You should NOT be bedridden after surgery as continued movement will prevent prolonged recovery times due to “deconditioning.”

If you could climb stairs un-aided prior to surgery you may resume climbing stairs upon discharge home.

If your incisions are 5 millimeters (the width of a pencil), you may resume your normal activities and exercise regimen after two weeks.

If your incisions are 10 millimeters (finger width) or larger, you should avoid strenuous activities such as heavy lifting (greater than 10 pounds or a gallon of milk), pushing or pulling for six weeks.

Do not drive while taking prescription pain medication or if your level of discomfort could inhibit your ability to operate a motor vehicle safely.

Most patients are able to return to work after two weeks. Recovery times vary from patient to patient. Your doctor will make recommendations based on your specific case.

You may shower the day after surgery. Pat incisions dry. Do not rub incisions with washcloth or towel. Keep your incisions as dry as possible.

You may take a bath after six weeks. You must also wait six weeks to go into a swimming pool, hot tub, or the ocean.

Vaginal Bleeding

Light vaginal bleeding, spotting or brown discharge after surgery are common due to the intrauterine instruments used during surgery.

Surgery can alter your menstrual cycles. Your first cycle could occur early or late. If your cycle is more than seven days late, you should take a home pregnancy test if you have been sexually active.

Note: If you have heavy, bright red vaginal bleeding soaking one pad or more per hour, call our office.

Sexual Intercourse

Avoid placing anything in the vagina for two weeks (i.e. tampons, douching and sexual intercourse).

Follow-up Appointment

You should schedule a follow-up post-operative appointment at two weeks and at six weeks.

Call the Office if You are Experiencing:

  • A fever higher than 100.4º F
  • Increasing pain not controlled by pain medication
  • Inability to eat or drink without vomiting
  • Shortness of breath
  • Inability to empty your bladder
  • Redness and tenderness at the incision site, or a large amount of drainage
  • Heavy, bright red vaginal bleeding, or foul smelling discharge. You can expect to have a small amount of reddish-brown colored discharge for up to two weeks. Do not be alarmed by this.

If you feel you need to be seen urgently, please go to the Emergency Department where your surgery was performed so that our physicians may care for you.

Any questions regarding your surgery or post-operative recovery should be directed to the staff at the Women’s Clinic of Johnson County rather than your Primary Care Physician.