Anterior Vaginal Repair

WHAT YOU SHOULD KNOW:

An anterior vaginal repair is a procedure to lift or tighten the front vaginal wall. This can help prevent you from leaking urine. The procedure is also called an anterior colporrhaphy.

AFTER YOU LEAVE:

Medicines:

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your healthcare provider. Do not stop taking your medicine unless directed by your healthcare provider. Never save antibiotics or take leftover antibiotics that were given to you for another illness.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Self-care:

  • Kegel exercises: To do kegel exercises, squeeze your pelvic floor muscles for 5 to 10 seconds, then release. Regular kegel exercises will help your pelvic floor muscles become stronger. This will help prevent you from leaking urine. Ask your primary healthcare provider (PHP) when to start these exercises and how often to do them.

  • Sanitary pad: Change your sanitary pad regularly. Keep track of how often you change the pad.

  • Foley catheter: Keep the bag below your waist. This will help prevent infection and other problems caused by urine flowing back into your bladder. Do not pull on the catheter because this can cause pain and bleeding, and the catheter could come out. Keep the catheter tubing free of kinks so your urine will flow into the bag. Your PHP will remove the catheter as soon as possible, to help prevent infection.

  • Wound care: When you are allowed to bathe or shower, carefully wash your vaginal area with soap and water.

  • Do not put pressure on your abdomen: This will help prevent damage to your surgery area. Do not strain, lift heavy objects, or stand for a very long time. Do not perform strenuous exercises, such as running and weight lifting.

  • Activity: You may need to start walking within a few days after your procedure. Ask your PHP when to start and how long you should walk. Ask about any other exercises that may be right for you.

  • Support socks: You may need to wear support socks. These are tight socks that help increase the circulation in your legs until you are more active. This helps prevent blood clots.

Contact your primary healthcare provider if:

  • You soak a sanitary pad with blood every hour for 4 hours.

  • You have vaginal pain that does not go away even after you take pain medicine.

  • You have pus or a foul-smelling discharge from your genital area.

  • You see blood in your urine.

  • You have pain during sex.

  • You have a fever, chills, a cough, or feel weak and achy.

  • You have nausea and vomiting.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You feel something is bulging out into your vagina or rectum and not going back in.

  • You cannot urinate.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

  • You suddenly feel lightheaded and short of breath.

  • You have chest pain. You may have more pain when you take a deep breath or cough. You may cough up blood.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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