Laparoscopic Retropubic Suspension Surgery: What to Expect at Home

Rest when you feel tired. Getting enough sleep will help you recover.

Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.

Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for 4 to 6 weeks or until your doctor says it is okay.

For 4 to 6 weeks or until your doctor says it is okay, avoid lifting anything that would make you strain. This may include heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, a child, or a vacuum cleaner.

Ask your doctor when you can drive again.

You will probably need to take 2 to 4 weeks off from work. It depends on the type of work you do and how you feel.

You may shower as usual. Pat the cuts (incisions) dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay.

Ask your doctor when it is okay for you to have sex.

You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.

Drink plenty of fluids (unless your doctor tells you not to).

You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fiber supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.

Your doctor will tell you if and when you can restart your medicines. You will also get instructions about taking any new medicines.

If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.

Take pain medicines exactly as directed.

• If the doctor gave you a prescription medicine for pain, take it as prescribed.

• If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.

If you think your pain medicine is making you sick to your stomach:

• Take your medicine after meals (unless your doctor has told you not to).

• Ask your doctor for a different pain medicine.

If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

If you have strips of tape on the incisions, leave the tape on for a week or until it falls off.

Wash the area daily with warm, soapy water, and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day.

Keep the area clean and dry.

Ask your doctor when you can do pelvic floor (Kegel) exercises, which tighten and strengthen pelvic muscles. Your doctor may want you to wait several weeks after surgery before you do them.

To do Kegel exercises:

• Squeeze your muscles as if you were trying not to pass gas. Or squeeze your muscles as if you were stopping the flow of urine. Your belly, legs, and buttocks shouldn't move.

• Hold the squeeze for 3 seconds, then relax for 5 to 10 seconds.

• Start with 3 seconds, then add 1 second each week until you are able to squeeze for 10 seconds.

• Repeat the exercise 10 times a session. Do 3 to 8 sessions a day.

If doing these exercises causes pain, stop doing them and talk with your doctor.

You passed out (lost consciousness).

You have severe trouble breathing.

You have sudden chest pain and shortness of breath, or you cough up blood.

You have severe pain in your belly.

You have bright red vaginal bleeding that soaks one or more pads in an hour, or you have large clots.

You are sick to your stomach or cannot keep fluids down.

You have pain that does not get better after you take pain medicine.

You have loose stitches, or your incisions come open.

Your incisions are bleeding.

You have vaginal discharge that has increased in amount or smells bad.

You have signs of infection, such as:

• Increased pain, swelling, warmth, or redness.

• Red streaks leading from the incision.

• Pus draining from the incision.

• Swollen lymph nodes in your neck, armpits, or groin.

• A fever.

You have clots of blood in your urine.

You have trouble passing urine or stool, especially if you have pain or swelling in your lower belly.

You have new or worse pain when you urinate.

You have pain in your back just below your rib cage. This is called flank pain.

You do not have a bowel movement after taking a laxative.