Patients are normally well 1 week after the surgery.
Natalia Gennaro, expert gynecologist, specialised in laparoscopic surgery and the pelvic floor.
The surgical procedure for prolapse can be performed with regional anesthesia (epidural or spinal) if it’s through vaginal route, and general anesthetic if the procedure is laparoscopic.
The patient can normally discharge from hospital the same day as the surgery. They should be hospitalised for a maximum of 24 hours. It’s not usual to be hospitalised for more than 2 days.
At the time of discharge, the patient must be able to walk, go up and down stairs, eat a normal diet and control their bladder (urinate):
During the immediate postsurgical period (1st day), the patient may feel vaginal pain, abdominal pain, or vaginal bleeding.
There are no dietary restrictions. Patients should avoid doing exercise and excessive effort for up to 4 to 6 weeks after the surgery. They can return to work 4 to 6 weeks after the surgery.
After surgery, some patients may find themselves fatigued, which may interfere with their lives, despite the surgery being minor. This is due to the patient’s reaction to surgical stress, amongst other things.
It’s also possible to have symptoms of a urinary tract infection that requires antibiotics. Some surgeries can provoke constipation during the immediate postsurgical period, which requires diet restrictions and mild laxatives.
One possible complication of vaginal slings is its erosion or extrusion, which consists of part of it coming out through the vaginal mucosa. This complication does not tend to happen when the sling is inserted through laparoscopic route, however, it is more frequent when inserted through the vagina and, particularly, when the sling is ample in size. This can occasionally require surgery in order to clip the visible part of the vaginal sling.
One serious complication with prolapse surgery is relapse. This is when the prolapse that was operated on, happens again. In order to avoid relapse, it’s important to receive a comprehensive diagnosis, the most appropriate type of surgery and, most importantly, reduce the risk factors that are associated with relapse. Laparoscopic surgery has a lower risk factor than vaginal surgery.