Transvaginal-Transobturator Sling Information

Voiding after foley catheter is removed:
You should be able to void and empty after the catheter has been removed. Pain, pain medication and decreased mobility are all things that can cause difficulty voiding. The first few times, it often will take longer to empty your bladder. Try to void every two hours during the first few days after surgery while awake. There can be some urgency and frequency after surgery. This typically improves day-by-day, week-by-week. If you are unable to void or having problems that seem out of the ordinary, please call immediately.

Dressing:
The abdominal/inner thigh incisions are typically covered with Band-Aids. There is “new skin” on the two small incisions. The dressing can be removed in 48 hours and it is then ok to shower. Please do not take a bath until after your follow up visit. The vaginal incision may have some oozing/drainage. If it is severe, call immediately. It is not uncommon to need a pad after the procedure for the first 3-7 days. The vaginal packing is typically removed the day of the procedure. Please do not use a tampon.

Foley catheter:
This typically stays in overnight. The morning after surgery, take a scissors and cut off the valve which is typically peach, red or yellow in color. Cut beneath the valve, wait 20-30 seconds for the water to drain, and then pull out the foley catheter. It should come out easily.

Pain control:
You will generally be given a prescription for a narcotic. Do not drive or do anything dangerous if you are taking narcotics. Often, extra strength Tylenol or Motrin will give excellent pain relief. Narcotics can cause constipation. If this occurs, take whatever works for you. Milk of Magnesia, prune juice, Miralax, Dulcolax or Magnesium Citrate are a few options.

Blood thinners:
If you are on a blood thinner such as Aspirin, Coumadin, Plavix, Pradaxa or any other blood thinner, please ask your physician when it is safe to restart these medications. If you have a cardiac stent, often Aspirin is continured pre and postoperatively and it is essential that you discuss continuing/going back on any of these medications with your urologist, primary care physician and/or cardiologist.

Activity:
It is recommended not to lift more than fifteen pounds for six weeks. You can walk on a treadmill after two weeks but do not run or do heavy activity. If it hurts, don’t do it.

Food:
Eat what you feel like. Sometimes after surgery people are not hungry or don’t eat much. As long as you are able to eat/drink without nausea or vomiting, this is fine. Start slowly.

Fever:
Call if there is a fever over 100 degrees.

Driving:
Do not drive if you are taking narcotics. Ideally, wait 5-7 days to drive. We just want you to be sure you will not be in pain and have an accident, hurt yourself or anyone else. If you question the ability to drive, wait until you are comfortable that you can safely drive.

Follow up:
Please call the day of surgery or the next business day to arrange an appointment in 3 weeks.

If you have any questions before that, please call the office for further information/instructions.

Sincerely,

Urologic Specialists of Northwest Indiana