Instructions For Care Following PV Sling-Pubo-vaginal Sling and Raz Urethropexy
- Walk each day, gradually increasing the amount of time you walk. Start with short frequent walks of 5 minutes at least 3-4 times a day.
- Take planned rest periods each day.
- Do not lift heavy objects or anything heavier than a gallon of milk. Lifting causes abdominal pressure and put stress on the incision.
- Do not bend. Bending increases abdominal pressure and incision stress.
- Walk up and down stairs slowly.
- It is recommended to avoid sexual activity prior to your follow-up appointment, this will be discussed at that time.
- Do not drive for four weeks or as advised by your doctor.
- Do not operate any motorized machinery or vehicle, or sign legal documents while taking narcotic medication. The medication may cause alterations in visual perceptions and impair judgement.
- You may shower. Gently bathe your incision with antibacterial soap (i.e. dial) and water. Pat dry.
- If you have white strips called "steri-strips" on your incision they should fall off in about seven days. If they fall off, leave them off. After about seven days you may peel them off.
- Resume your regular diet. Do not drink Alcohol while taking pain medications.
- Drink plenty of fluids, to keep your body well hydrated and to decrease constipation.
- ISC (intermittent self-catheterization ) read instructions in pamphlet given to you.
- Follow frequency for cathing that has been prescribed for you. Attempt to void every 3-4 hours. The goal is to keep the bladder volume less than 300cc.
- Keep a record of the amount you void and catheterize and bring it to your follow-up appointment.
- Example 8/3 Amount Voided 1:00 p.m. Amount Cathed 150cc
- If after voiding your residual catheterization is consistently below or equal to 60cc, you can stop cathing.
- Decrease drinking fluids after the evening meal. This will keep urine volumes lower at night, which decreases the frequency of having to catheterize. Then resume normal intake during the day.
- Take a stool softener to prevent constipation and straining when you have a bowel movement. Your doctor might