Post-Op Instructions

DISCOVER THE CIGC DIFFERENCE


RECOVERY FROM A CIGC SACROSPINOUS
LIGAMENT FIXATION IS FAST.


YOUR POST-OP INSTRUCTIONS:

SACROSPINOUS LIGAMENT FIXATION WITH OR WITHOUT ANTERIOR/POSTERIOR REPAIR

The Center for Innovative GYN Care is committed to ensuring that your post-operative experience is as comfortable as possible. The following information will help answer frequently asked questions and will help you understand some of the common experiences that may occur after your surgery. Please do not hesitate to call the office with any additional questions about your recovery.

  • Call the office to schedule a post-operative appointment two to four weeks after your surgery.
  • If an ER visit is necessary post-operatively, always go to your nearest hospital emergency room.
  • Call your doctor right away if you experience:
    • Fever higher than 100.4 degrees
    • Shortness of breath
    • Dizziness
    • Heavy vaginal bleeding
    • Severe pain not relieved with your pain medication
  • Office # (301) 652-4800
  • Physician on-call # (301) 801-1717

HOW MUCH ACTIVITY CAN I DO AFTER SURGERY?

General. Use common sense when deciding what activities you are willing to perform after surgery. Every patient is different, and different patients will have differing degrees of recovery. Start out slow and gradually advance your activity as you feel comfortable.

Stairs. You are allowed to use the stairs if you feel you are able.

Exercise. Use common sense when starting an exercise routine after surgery. Start out slowly and gradually increase time, distance and speed.

Driving. Driving can begin only after you have stopped taking narcotics, and if you feel strong enough to be able to stop the vehicle in an emergency. If you are not confident, have someone drive you.

WHEN CAN I RESUME SEX?

Sexual intercourse should not be engaged in for six weeks, while the surgical area is healing.

WHEN CAN I TAKE A SHOWER?

You may shower as usual. Avoid tub baths for two weeks.

HOW LONG WILL I HAVE BLEEDING AFTER SURGERY?

Vaginal bleeding or spotting can last up to six weeks, and is usually light. This is from the normal healing process. If bleeding becomes heavy, please inform the office immediately. Bleeding that fills a pad in an hour is heavy bleeding. Call the office if you have urinary or rectal bleeding.

HOW SHOULD I MANAGE MY PAIN AFTER SURGERY?

You will be given a prescription for Motrin prior to surgery (start Motrin after surgery). Depending on the nature of your surgery, you might also be given a narcotic (Percocet, Tylenol 3, or Vicodin) at the hospital prior to your discharge. To be effective, Motrin should be used in doses of 600 mg every six hours, or 800 mg every eight hours. Narcotics should be used sparingly since they will cause constipation. Using a heating pad on the lower abdomen is safe. Coughing can be uncomfortable initially because of abdominal discomfort. Placing a pillow on the abdomen to support your abdomen while coughing can be helpful. It is common to have a pulling pain that may be slightly more on the right side. This is normal and should improve with time.

I HAVE CONSTIPATION, WHAT SHOULD I DO?

Constipation can cause severe pain that can get worse with increased amounts of medication. To help prevent constipation, drink lots of fluid, eat a high fiber diet, and start a stool softener after surgery. You may also use a mild laxative, such as Milk of Magnesia or Miralax. No prescription is required for either.

I HAVE DIARRHEA, WHAT SHOULD I DO?

Diarrhea sometimes is caused by antibiotics and will resolve once the antibiotics are stopped. A probiotic such as lactobacillus can help with this process. Rarely, severe diarrhea can develop. Call your doctor if you have severe diarrhea, bloody diarrhea, or if your diarrhea is accompanied by fever or worsening pain.

I’M NAUSEATED, WHAT CAN I DO?

Anesthesia is the main cause for nausea immediately after surgery. After the first 24 hours, nausea is more likely caused by either your narcotic pain medication or your antibiotics. If you are experiencing severe or persistent nausea, please call your doctor.

I NEED TO URINATE BUT I CAN’T, OR I ONLY PASS A FEW DROPS

Urinary retention is the inability to pass urine through the bladder. A very small number of patients will develop this problem due to the anesthetic used for the surgery. Most patients will have their bladder catheter removed immediately after the surgery. If you are sent home and are not able to pass urine, please go to a local emergency room. A catheter will be placed to allow the bladder to “rest” after the surgery, and will be removed several days later in the office. It is important to have this catheter placed to avoid injury to the bladder.