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Post Operative Instructions

Novasure or Essure

Diet:

As you feel up to it, slowly return to your normal diet.

Activity:

Avoid strenuous exercise for about a week. No douching, sex, or tub baths for 2 weeks.

Pain Relief:

Take prescription pain relief medication as ordered. Pain medication should be taken before pain becomes severe and repeated as prescribed. No aspirin or aspirin products.

What to Expect:

Bleeding from the vagina and cramping (like you have during a period). Bleeding or discharge may persist for 6-8 weeks. Use sanitary pads, not tampons, to avoid infection.

Follow-up Appointment:

A follow-up appointment will be scheduled for 1-2 weeks after the procedure.

When to call the Doctor:

  • Tempreture of 101 degrees
  • Persistent or heavy vaginal bleeding
  • Increased pain not relieved by the pain medication

We are concerned about your well-being. We will attempt to call you and see how you are doing following your procedure. However, please feel free to call with any questions or concerns at (208) 855-2710.

Vaginal Surgery

Pain:

A prescription for pain will be provided, as there will still be some abdominal/vaginal discomfort. Take it as needed following the directions on the bottle. Ibuprofen, up to 800 mg. four times a day, with food, or Tylenol, 1000 mg. four times a day may also be used and may reduce the dizziness or sleepiness that narcotics sometimes induce. Please notify physician’s office if pain is increased, excessive or severe. If you think you will need a refill on the prescription, please call during physician’s office hours.

Incision/Stitches:

Vaginal stitches will dissolve automatically in about 8 weeks. Do not be alarmed by a sticking or pulling sensation around the vaginal area (or buttocks pain if you had a vaginal vault suspension); it is entirely normal. It is also normal to have a slightly malodorous vaginal discharge for several weeks. If this becomes offensive, please call the physician’s office and a helpful vaginal cream will be prescribed. Notify the physician’s office of any excessive pain in your vagina, abdomen, or legs, or redness in your legs, or is your temperature is over 100.5°F.

Activity:

Lifting greater than 15 pounds may cause pain and should be avoided for 3-4 weeks. Light housekeeping (dusting, meal preparation, etc.) is okay, but start slowly, gradually increasing your level of activity, and take morning and afternoon rest periods. Driving is not permitted for 1 week. To see if you are ready to drive again, sit in the driver’s seat of a parked car with you seatbelt on and push on the floor pedals with force and move the steering wheel back and forth to see if this causes any pain. Going up and down stairs is permitted as long as you feel safe and have a hand on the handrail. Marital relations must be avoided for 4 weeks, as must douches and tampons. You will probably be able to go back to work after 3-4 weeks if your job doesn’t require heavy lifting or being on your feet for long periods of time. It often takes 4-6 weeks to feel comfortable with a full day’s work.

Bowels:

Constipation is common for 2-3 weeks after surgery. Use any stool softener as necessary, but call the physician’s office before using any laxative.

Bladder:

It is common to have urinary frequency, hesitancy, or urgency after vaginal surgery, especially of you had an anterior vaginal repair to bladder neck suspension. If you develop burning or stinging when you urinate, or low back or low abdominal pain, or have a fever (over 100.5°F), please call the physician’s office.

Bathing:

Showers, sponge baths, and washing of your hair are permissible at any time after you are stable to stand on your feet. If possible, postpone tub baths for 2-3 weeks

Bleeding:

Vaginal spotting and discharge is normal, is no cause for alarm, and may continue for 3-6 weeks. Notify the physician’s office if it is unusually heavy. Post-operative appointment: Please call the physician’s office (208-855-2710) to make an appointment for 1-2 weeks after your surgery.

Laparoscopy

Pain:

A prescription for pain medicine will be provided, as there will still be some abdominal/vaginal discomfort. Take it as needed following the directions on the bottle. Ibuprofen, up to 800 mg. four times a day, with food, or Tylenol, 1000 mg. four times a day, may also be used and may reduce the dizziness or sleepiness that narcotics sometimes induce. You may have pain in one or both shoulders for 1-2 days, which can be reduced by lying on your right side with your head down. Please notify physician’s office if pain is increased, excessive or severe. If you think you will need a refill on the prescription, please call during office hours.

Diet:

You may return to your normal diet as tolerated.

Activity:

You may be active as your body will permit, except no intimate relations for 1 week. You may not drive yourself home from the hospital/surgery center.

Incision:

Most of the time you incisions will be covered with a clear glue that makes the underlying skin look dingy. Do not pick at your incisions. Showering, using soap and water on them, is fine. Call the office if the incision is swollen, red, tender, or has pus-like drainage, or if your temperature is greater than 101.0 degrees F.

Bathing:

You may shower the day after surgery and have a tub bath 5 days after surgery.

Bleeding:

Some vaginal bleeding and discharge is normal for 1-2 weeks after surgery, but if bleeding becomes heavy (greater than 1 pad per hour or golfball-sized clots), notify the physician’s office.

Post-operative appointment:

Please call Dr. Fox’s office (208-855-2710) to make an appointment for 1-2 weeks after surgery.

Abdominal Surgery (hysterectomy, tubal, myomectomy)

Pain:

A prescription for pain medicine will be provided as there will be some abdominal/incision discomfort. Take it as needed following the directions on the bottle. Ibuprofen 800 mg. or Tylenol 1000 mg. for times a day may also be used and may reduce the dizziness or sleepiness that narcotics sometimes induce. Please notify our office if pain is increased, excessive or severe. If you think you will need a refill on the prescription, please call during office hours.

Incision:

Stitches or staples are usually removed from 3-7 days after surgery, and you will need to make an appointment at the office for this if you will be going home from the hospital before then. If steristrips are applied to the incision, they may be removed at 7-10 days after surgery. Notify our office if the incision becomes swollen, red, tender, or has pus-like draining, or if your temperature is over 101.0°F. You may clean the incision with hydrogen peroxide or let water in the shower run over it, but otherwise, keep it dry.

Activity

Lifting greater than 15 pounds may cause pain and should be avoided for 3-4 weeks. Light housekeeping (dusting, meal preparation, etc.) is okay, but start slowly, gradually increasing your level of activity, and take morning and afternoon rest periods. Driving is not permitted for 1 week. To see if you are ready to drive again, sir in the driver’s seat of a parked car with you seatbelt on and push on the floor pedals with force and move the steering wheel back and forth to see if this causes any pain. Going up and down stairs is permitted as long as you feel safe and have a hand on the handrail. Marital relations must be avoided for 4 weeks if your job doesn’t require heavy lifting or being on your feet for long periods of time. It often takes 4-6 weeks to feel comfortable with a full day’s work.

Bowels

Constipation is common for 2-3 weeks after surgery. Use any stool softener as necessary, but call the physician’s office before using any laxative.

Bathing:

Showers, sponge baths, and washing of your hair are permissible at any time after you are able to stand on your feet. If possible, postpone tub baths for 2-3 weeks, and then soak for less than 15 minutes so that you incision does not come apart.

Bleeding:

Vaginal spotting and discharge is normal, is no cause for alarm, and may continue for 3-6 weeks. Notify the physician’s office if it is unusually heavy or develops a foul odor.

Post-Operative appointment:

Please call the physician’s office (208-855-2710) to make an appointment for 2 weeks after your surgery.