Burch Colposuspension

​Post-operative advice

1. Immediately after the operation, you may experience:
   • Nausea and occasionally vomiting - You should rest; medication will be given to relieve these symptoms.
   • Pain from the wound - this can be relieved by painkillers.
   • Tiredness / weakness - You should rest and gradually increase your activity until you feel fit to return to your normal activities. A physiotherapist is available to help you.
2. One day after surgery, you should be able to drink and eat. You are encouraged to move around.
3. Bladder training process will start 2 days after surgery. The urinary tube will be clamped or removed, and you would be encouraged to pass urine as much as you can, and the volume of any remaining urine in your bladder will be measured. If you are able to empty your bladder adequately, the tube will be removed on the following day.
4. The drain will be removed one to 2 days after surgery when the drainage is minimal.
5. You are expected to stay in hospital for an average of 4 days.
6. You are advised not to engage in sexual activity, drive or douch your vagina for a month after surgery.
7. You are advised not to carry heavy weights (of more than 5 kg) in the long run and not to do abdomen exercise for the first 2 months after surgery.
8. You will be given one month of hospitalisation leave upon your discharge.
9. You should immediately return to the Urogynaecology Centre (during office hours) or the KK 24-hour Women's Clinic if you have the following symptoms:
   • Heavy vaginal bleeding
   • Severe abdominal distension and / or pain
   • Foul-smelling discharge from wound
   • High fever
   • Pain when passing urine
   • Difficulty in passing urine
   • Constipation
   • Pain or swelling in the calves

Follow-up visits

After the operation, you are required to return for regular follow-up care. You will be seen at 1 week, 1 month, 6 months, 1 year and yearly thereafter. Urodynamic studies will be repeated at 6 months after surgery to confirm cure and to exclude other bladder disorders.