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Posterior Vaginal Repair

WHAT YOU NEED TO KNOW:

A posterior vaginal repair is surgery to fix a rectocele or vaginal hernia.

DISCHARGE INSTRUCTIONS:

Medicines:

  • Pain medicine will help take away or decrease pain. Do not wait until the pain is severe before you take your medicine.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Bowel movement softeners make it easier for you to have a bowel movement. You may need this medicine to treat or prevent constipation.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her 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 gynecologist in 2 weeks:

You will need to return to have your incision checked. Write down your questions so you remember to ask them during your visits.

Self-care:

  • Do not have sex until your healthcare provider says it is okay.
  • Do not put anything in your vagina for 6 weeks after the surgery. This allows time for the wound to heal.
  • Do not lift more than 10 pounds for at least 6 weeks. Heavy lifting puts pressure on the surgery area and slows healing.
  • Avoid heavy exercise the first few weeks after the surgery. You may try light activity, such as short walks, 3 to 4 weeks after the surgery.
  • Try not to cough or strain to have a bowel movement. This may cause damage to the surgery area. Ask your healthcare provider about ways to make bowel movements easier so you do not have to strain.
  • Eat healthy foods and drink liquids as directed. This will help prevent constipation. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish.

Contact your healthcare provider or gynecologist if:

  • 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 vagina.
  • You have pain during sex.
  • You have a fever or chills.
  • Your wound is red, swollen, or draining pus.
  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You soak a sanitary pad with blood every hour for 4 hours.
  • You feel something is bulging out into your vagina or rectum and not going back in.
  • You cannot urinate.

© 2016 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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