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Patient Information

Instructions For Care Following PV Sling-Pubo-vaginal Sling and Raz Urethropexy

Activity

  • 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.

Bathing

  • 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.

Diet

  • 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.

Special Considerations

  • 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