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8831133 tn?1415915535

3 weeks post-op

Hello all, I'm 61 yrs old and  had a Da Vinci robotic sacrocolpopexy with Y mesh April 25, 2014 with removal of both ovaries  ( partial hysterectomy in 1974), so I'm almost at my 3 week post-op. No real complications other than a UTI which I understand is common after this type procedure. Doesn't seem like all the feeling has come back yet? And I'm having some leakage if my bladder becomes too full or if I need to go and cough, laugh, sneeze, etc. I'm taking my time as far as getting back into the swing of things, no lifting at all the first 2 weeks. On discharge from the hospital, they said I could lift no more than 8 to 10 lbs, but I haven't done that. Have found myself holding the abdominal muscles when I cough, sore at first, but no pain as of to date. I'm hoping the leakage will finally go away after I'm completely healed and thinking maybe I'm doing this because everything is back in the "normal place?" Constipation was problem at first, but with stool softeners, lots of water and reducing the narcotics, I seem to be over that part. Any advice on the urinary incontinence going away would be so very appreciated. Scheduled for my 6 week check up in June. Thanks ladies :)
2 Responses
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1344197 tn?1392819171
MEDICAL PROFESSIONAL
From your description it appears they did not perform a mid urethral sling.  Studies suggest up to 15% of patients undergoing prolapse repair with have Stress Urinary Incontinence if a sling is not performed at the time of their surgery.   Some surgeons always place a sling and others do not.  I would see your doctor for evaluation of SUI.  You may need a mid urethral sling.  If so, this is an outpatient procedure that is easy to do and recovery is reasonable quick.  J. Kyle Mathews, MD
Helpful - 2
8831133 tn?1415915535
Thanks so much for your response. Upon my initial exam, my urogyn said he did not see any "leakage" and that I could possibly have some incontinence after the surgery. But that was his reasoning for not doing the additional mid urethral sling. I'm now a little over 4 weeks post op and not looking forward to additional surgeries. The incontinence is some better but not completely gone away. I see my urogyn on June 4th. I was so hoping this would take care of everything and I'm somewhat aggravated that it didn't. :( Thanks again for your response.
Helpful - 0

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