Post Surgical precautions for women after C-sections, bladder suspension, hysterectomy, sacrocolpopexy

It is important to follow precautions after any major pelvic surgeries for optimal outcome.

In addition to the guidelines below also follow some nutritional guidelines.

Wait until 6 weeks post-op before commencing pelvic floor muscle training unless otherwise instructed by your surgeon.

  • From immediately post-op definitely brace or in other words activate your low tummy (Transversus Abdominis) and pelvic floor muscles prior to any increase in intra-abdominal pressure-cough, sneeze, bending etc to protect against those early downward forces.
  • Move well, log-rolling through your side to get in and out of bed (forever).
  • Avoid repetitive bending, and don’t lift anything more than 2 litres milk in each hand in the first few weeks. Avoid lifting over 15 kilos forever.
  • Once you are home and feeling like the initial soreness is settling you can start walking but stay close to home and PACE yourself. Short distances initially and then once you have assessed how you feel the next day and there is no drag or heaviness then slowly increase the distance.
  • No cleaning bathrooms or vacuuming until after 6 weeks but if you can organize help and avoid doing these chores till 12 weeks, then better still.Definitely manage your bowels very effectively as straining at stool brings down operations.

Nutritional guidelines: Stay hydrated, drink plenty of water. The rule of the thumb is your urine has to be pale yellow in color. If it is dark yellow you need more water if clear you need less since you will be losing important electrolytes like sodium, potassium, magnesium.

Get rid of bladder aggravants like sodas, too much coffee, tea, anything with too much fructose and sucrose, additives, as well as processed foods

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