Cystocele And Rectocele Repair Care
Cystocele And Rectocele Repair Details
Talk to your doctor about your current medicines. Certain medicines may need to be stopped before the procedure, such as:
- Aspirin or other anti-inflammatory drugs for up to one week before surgery
- Blood-thinning drugs like clopidogrel (Plavix) or warfarin (Coumadin)
- Eat a light meal the evening before the surgery.
- Do not have anything to eat or drink after midnight on the night before the procedure.
- If you are having a rectocele repair, you may need to have an enema the night before the surgery.
You will often have your choice of either general or regional anesthesia . With general anesthesia, you will be asleep. Regional anesthesia will numb your lower body, but you will be awake.Description of the Procedure
A bladder catheter will be inserted in the urethra to decrease pressure on the bladder.
A cut in the skin will be made to expose the involved muscle and tissue. In some cases, the muscles and tissue will be sewn back onto itself. This will make it stronger. In other cases, a mesh-type material will be used to strengthen the tissue. Any tissue that has been weakened by previous surgeries, pregnancies, or age will be removed. Excess vaginal lining will be removed as well.
In some cases, a suspension or elevation procedure may be done to provide extra support to the bladder.How Long Will It Take?
45 minutes to two or more hoursHow Much Will It Hurt?
You will likely experience vaginal discomfort for 1-2 weeks following the surgery. You will be given medicine to help relieve this.Average Hospital Stay
The usual length of stay is 1-2 days. Your doctor may choose to keep you longer if complications arise.Post-procedure Care At the Hospital
- A medicated vaginal packing is usually left in the vagina overnight.
- If you had a rectocele repair, the bladder catheter will be removed as soon as you are able to use the restroom on your own. If you had a cystocele repair, the bladder catheter often needs to stay in longer (sometimes 2-6 days). This will allow the bladder time to begin working normally again.
- You may notice a smelly, even bloody, discharge from the vagina for 1-2 weeks.
When you return home, do the following to help ensure a smooth recovery:
- Avoid lifting anything that weighs more than 10 pounds for about six weeks.
- Avoid sexual intercourse for about six weeks.
- Avoid inserting anything into the vagina (eg, tampons) for about six weeks.
- Have someone to help you at home for a few days following the surgery.
- Drink plenty of fluids and eat a healthy, high fiber diet to keep stools soft.
- Be sure to follow your doctor's instructions .
Learn what the procedure is. Find out how it is performed.
Find out why and when this procedure should be done.
Learn about possible complications and what might increase the risk of them.
What to Expect
Find out how long it will take, what they will be doing and what to expect afterwards.
What are the next steps and other possible tests needed after you have received the results.
Call Your Doctor
What to look out for and when to call your doctor after a procedure has been done.