Urethral Suspension - Retropubic Procedure Care
Urethral Suspension - Retropubic Procedure Details
Your doctor will try to find out why you are leaking urine through some or all of the following:
- Medical history-information about medicines, illnesses, number of pregnancies, and previous surgeries; pattern of leaking and how it is affecting your life
- Urine sample-to look for the presence of infection or other problems
- Physical exam -includes a rectal and vaginal exam
Additional testing may be ordered to evaluate bladder function and urine flow, such as:
- Urodynamic testing (urine flow studies)-a temporary catheter is placed to study bladder function
- Cystoscopy -a procedure done to view the inside of the bladder
Leading up to surgery:
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure. like:
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as warfarin (Coumadin)
- Clopidogrel (Plavix)
- Arrange for a ride home from the hospital.
- Do not eat or drink anything after midnight the night before.
You may receive a spinal anesthetic to numb your lower body. General anesthesia may also be used, in which case you will be asleep.Description of Procedure
An incision will be made in the lower abdomen. Sutures will be placed near the bladder and urethra. The threads of the sutures will then be secured to the pelvic bone or other structures in the pelvis. This supports the bladder by forming a cradle for it.Immediately After Procedure
After surgery, you will be monitored in a recovery room. You will most likely have a catheter in place to drain your urine.How Long Will It Take?
1-1½ hoursHow Much Will It Hurt?
Anesthesia will block pain during the surgery. After surgery, you may experience some pain or soreness. You will be given pain medicine to relieve discomfort.Average Hospital Stay
2-3 daysPostoperative Care At the Hospital
At first, your urine may look bloody. This will resolve over time. When you are able to empty your bladder completely, the catheter will be removed. You may be up and walking the same day or the day after surgery.At Home
Avoid lifting and strenuous exercise for six weeks after surgery. This will allow healing to take place.
To help ensure a smooth recovery, 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.