Pelvic Organ Prolapse: After Surgery

After surgery for pelvic organ prolapse, you may go home the day of surgery or you may stay in the hospital for 1 day or longer. The length of your stay is based on the surgery you had.

After surgery, it may be hard for you to urinate for a few days or weeks. A thin tube (catheter) helps drain your bladder. You may have a Foley catheter, which is put into the bladder through the urethra, or a suprapubic catheter, which is put into the bladder through a small incision in your abdomen. The catheter may be removed while you are in the hospital, or it may stay in place for a few days to weeks after you go home. Tubes may drain fluid from your incision. IV (intravenous) lines give you fluids and medicines. If you have a vaginal incision, you may have gauze packing in your vagina for 24 hours.

While in the hospital, a nurse can give you medicine to control pain. Or you may have a PCA (patient-controlled analgesia) pump attached to your IV line. This pump lets you give yourself pain medicine. It's normal to feel some pain. But if the pain bothers you, tell your nurse right away. If you go home soon after surgery, you will have a prescription for pain medicine to take with you. Contact your health care provider if this medicine doesn't relieve your pain.

You may be asked to get up and walk a little before you leave the hospital. Walking keeps your blood moving and helps prevent blood clots. Once you can get out of bed, you may be helped to the bathroom to see if you can urinate on your own. When you can stand on your own, you may be able to take a shower.

Your health care provider will tell you when you can leave the hospital. An adult friend or family member should drive you home. When you get home, care for yourself as instructed and schedule any needed follow-up visits with your provider.

Don't lift, do strenuous exercise or heavy housework, or have sex for several weeks. Ask your provider when you may resume these activities.

If you are still using the catheter when you leave the hospital, you may be told to:

• Keep the catheter and the skin around it clean.
• Clamp a suprapubic catheter to see whether you can urinate on your own. Then measure the urine that drains from the catheter after you urinate.