Post-op Instructions After Pelvic Surgery
patient that has recently undergone pelvic surgery, it is now your turn to play
an important role in the ultimate success of your surgical treatment. Studies
show that it will take approximately 12 weeks for the tissues that have been
operated on to heal to 80% of their eventual strength. In addition, it may take
up to six months to achieve 90% wound strength and full wound strength will not
be completely achieved until two years following surgery. Based on this, we
recommend that certain restrictions and recommendations be followed, especially
for the initial 12 weeks following pelvic surgery.
remember that during the postoperative period, anything that increases the
pressure within your abdominal cavity will tend to disrupt and tear down the
surgical repair prematurely. For this reason, we ask you to refrain from
lifting anything heavier than about 10 pounds, roughly the weight of a gallon of
milk. We also highly recommend the use of a stool softener for at least 12
weeks after surgery so that you do not strain at the time of bowel movements.
Chronic constipation has been implicated in causing your pelvic problems in the
first place and must be avoided now and in the future.
need to reach something on the floor, you should either sit down in a chair and
scoop it up or slowly bend down on your knees to pick up the object. In
addition, you should avoid swimming, biking, aerobics and all strenuous
activities for 12 weeks. Likewise, we do not recommend intercourse for 12 weeks
after surgery. Routine activities such as getting dressed, shaving legs,
climbing stairs, etc., are fine as long as you take it slow. Listen to your
body as pain may be a signal you are overdoing it.
is beneficial to your healing and highly encouraged. We recommend walking a
minimum of 30 minutes per day. Please refrain from baths or swimming for 4
weeks after surgery, although showers are fine. Please resume all of your prior
medications unless specifically directed by our office.
might go home from the hospital with a catheter in your bladder. Some bladders
"wake up" after surgery a little later than others. If so, our nurse will
remove the catheter in the office 3-5 days after you leave the hospital. This
visit is called a "voiding trial" and is routine. In addition, we would like to
have you come back to the office in 1-2 weeks after surgery for an initial
post-operative visit with the doctor. We will then see you again at six weeks
after surgery for a second postoperative check-up.
should understand that when you are first at home not every day will be a good
day. You will notice you are more fatigued than you were prior to surgery and
that you do not have the same stamina you used to have. This should resolve
over the next four to six weeks. During the first weeks after surgery, some
people also may become slightly blue or depressed. If you notice this
happening, and it does not seem to be resolving on its own, you should contact
our office and let us know. In addition, if there is any problem with your
wound, excessive pain or bleeding, a fever, or trouble emptying your bladder
after the catheter is removed, please contact our office. If you have any
questions, please do not hesitate to call the office.
reminder, you can always reach us during the day at 485-5700. If you call on
the weekend or after hours, please use the same number and your call will be
answered by the answering service. They will page either Dr. Wolpmann or the
doctor covering his calls if he is out of town.
you follow these instructions, we believe that you will have the best possible
chance of healing well after surgery. Optimal healing is the best way to
achieve a good, long-lasting, and successful repair of your problem.
We hope these
instructions will be useful to you and if you have any questions not covered by
the instructions, please contact us at the above number.
to download Bowel Prep Instructions