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Bladder Neck Suspension

WHAT YOU NEED TO KNOW:

A bladder neck suspension is surgery to move your bladder and urethra back into their correct positions. This surgery is used to treat stress incontinence. You may leak urine when you strain, such as when you cough, sneeze, laugh, or lift a heavy object.


DISCHARGE INSTRUCTIONS:

Medicines:

  • Medicines help decrease pain, prevent an infection, or soften your bowel movements.
  • 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.

Prevent constipation:

  • Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you.
  • Eat high fiber foods. High fiber foods include fruits, bran, and whole-grain breads.
  • Ask when you can return to your daily activities. Exercise helps you have regular bowel movements.

Care for your Foley catheter:

Keep the bag below your waist. This will prevent urine from flowing back into your bladder and causing an infection or other problems. Also, keep the tube free of kinks so the urine will drain properly. Do not pull on the catheter. This can cause pain and bleeding and may cause the catheter to come out. Empty your urine drainage bag when it is ½ to ⅔ full, or every 8 hours. If you have a smaller leg bag, empty it every 3 to 4 hours. Do the following when you empty your urine drainage bag:

  • Hold the urine bag over the toilet or a large container.
  • Remove the drain spout from its sleeve at the bottom of the urine bag. Do not touch the tip of the drain spout. Open the slide valve on the spout.
  • Let the urine flow out of the urine bag into the toilet or container. Do not let the drainage tube touch anything.
  • Clean the end of the drain spout with alcohol when the bag is empty. Ask which cleaning solution is best to use.
  • Close the slide valve and put the drain spout into its sleeve at the bottom of the urine bag. Write down how much urine was in your bag if you were asked to keep a record.

Do Kegel exercises:

Kegel exercises help strengthen your pelvic muscles. Pelvic muscles hold up your pelvic organs, such as your bladder and uterus. These exercises help prevent or control problems with urine leakage:

  • Tighten your pelvic muscles slowly. It may feel like you are trying to hold back urine or gas. Hold these muscles and count to 3. Relax, tighten them quickly, and release. Repeat the cycle 10 times.
  • Do 10 sets of Kegel exercises 5 times a day. Do not hold your breath when you do Kegel exercises. Keep your stomach, back, and leg muscles relaxed.

Contact your healthcare provider if:

  • You have a fever or chills.
  • Your wound is red, swollen, or draining pus.
  • You have nausea or are vomiting.
  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You feel lightheaded, short of breath, and have chest pain.
  • You cough up blood.
  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.
  • Blood soaks through your bandage.
  • Your stitches come apart.

© 2015 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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