Vaginal Hysterectomy Postop Instructions
No heavy lifting greater than 10-15 pounds.
The only excercise allowed is walking. Nonstrenuous housekeeping is acceptable such as dusting and light cooking. This does not include running a sweeper, riding a stationary bike or lifting heavy loads of laundry. You may gradually increase your activity once you feel stronger (after 3-4 weeks).
Do not drive a car for 2 to 4 weeks or if you are on a narcotic pain medication. You should have someone accompany you the first time that you drive.
Stair climbing as tolerated.
Vaginal precautions which includes no tampons, douching or sexual activity until evaluated at your postoperative appointment.
Please remember that everyone heals differently. The usual time to heal from your surgery is 6-8 weeks.
Resume any medications prior to surgery unless otherwise specificed and/or newly prescribed medications
If you are given a prescription for a narcotic for pain relief, please take only if you are having strong pain to avoid constipation and other problems. For mild pain you may take Tylenol or Iboprofen (one to two every four to six hours as needed).
III. BOWEL HABITS
Do not strain to move bowels to avoid strain on your incision. Notify the office if you have not had a bowel movement for one week. You may use a stool softener (Colace or Surfak) or suppository (Dulcolax).
IV. VAGINAL BLEEDING
A vaginal discharge may occur off and on for approximately 4-6 weeks. The vagina is usually closed with absorbable sutures. If your bleeding is more than one pad an hour please notify your doctor.
V. BLADDER REPAIR
If you had bladder surgery you may be sent home with a foley or suprapubic catheter to allow your bladder to drain. This is to avoid overdistention of the bladder which may lead to breakdown of the repair.
See below for when you should return to the office for catheter removal. You may be sent home with prophylactic antibiotics. This is to prevent a bladder infection until the catheter is removed. It is important to take them as directed.
Maintain a nourishing diet with fruits, vegetables, protein and high fiber foods. Drink plenty of fluids. It is recommended that you take a multivitamin. Your doctor will let you know if you need to take iron supplementation or other nutritional supplements such as Ensure.
VII. WARNING SIGNS / SYMPTOMS
Call the office immediately for any problems such as:
-Severe pain despite pain medications
-Fever/chills with temperature over 100.4 degrees Fahrenheit
-Foul vaginal odor or excessive vaginal bleeding (greater than 1 pad per hour)
-Persistant nausea or vomiting or diarrhea
-Difficulty voiding with burning, pain, or back discomfort
Phone answers 24 hours a day. 772-288-2992