Retropubic Colposuspension

WHAT YOU SHOULD KNOW:

Retropubic colposuspension is surgery to lift your bladder and urethra back into place. The urethra is the tube urine flows through when you urinate.

AFTER YOU LEAVE:

Medicines:

  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Take them as directed.

  • Pain medicine: You may be given medicine to take away or decrease pain. Do not wait until the pain is severe before you take your medicine.

  • 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 primary healthcare provider as directed:

You may need to return to have your Foley catheter removed. Write down your questions so you remember to ask them during your visits.

Foley catheter:

This is a tube that is put into your bladder to drain your urine into a bag. 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 may 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.

Wound care:

When you are allowed to bathe, carefully wash the incisions with soap and water. Put on clean, new bandages as directed. Change your bandages if they get wet or dirty.

Self-care:

  • Ask about Kegel exercises: These are exercises you can do to make your pelvic muscles stronger. Ask your primary healthcare provider how and when to start doing these exercises.

  • Avoid straining: Do not strain to have a bowel movement, lift heavy objects, or stand for long periods of time. Do not perform strenuous exercises, such as running and weight lifting, until your primary healthcare provider says it is okay.

  • Rest when you need to while you heal after surgery: Slowly start to do more each day. Return to your daily activities as directed.

  • Wear support socks: You may need to wear support socks. These socks may help decrease swelling and the risk of a blood clot until you are walking more.

  • Walk as soon as possible: Your primary healthcare provider may have you start walking within a few days after the surgery. This helps prevent the risk of a blood clot.

Contact your primary healthcare provider if:

  • You have a fever.

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

  • You have nausea or vomiting.

  • You have discharge or pain in the area where the urine catheter was inserted.

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

Seek care immediately or call 911 if:

  • You have a bulge out of your vaginal opening or rectum and it will not go back in.

  • You have blood in your urine or you are unable to urinate

  • You have pain when you urinate or have sex.

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

  • Your incision has blood, pus, or smells bad.

  • Blood soaks through your bandage.

  • Your 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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