TVT / TVT-O Continence Surgery

What Happens After The Operation?

1. After the operation, you may experience:
   • Nausea and occasional vomiting - You should rest and medication will be given to relieve these symptoms.
   • Pain from the wound - This is usually mild and you will be given painkillers.
   • Post-operative care - You should rest and gradually increase your movement. The physiotherapist can help if necessary.
2. If you are given regional anaesthesia, a 6-hour bed rest is recommended before you are allowed to get out of bed. After that, you are encouraged to move around.
3. You will be allowed to drink and eat on the same day of operation.
4. The vaginal pack, if any, will be removed the next day.
5. The urinary catheter, if any, will be removed later on the same day or on the next day. You will be encouraged to void on your own. The volume of the remaining urine will be measured. If you can void adequately, you will be allowed to go home. 6. You are advised not to engage in sexual activity, drive or douch your vagina for a month after surgery.
6. You are advised not to carry heavy weights (of more than 5 kg) in the long run after surgery.
7. You will be given one month's hospitalisation leave.
8. You should return immediately to the Urogynaecology Centre (during office hours) or the Urgent O&G Centre if you have:
   • Severe vaginal bleeding
   • Severe abdominal distension or pain
   • Foul smelling discharge from the wound
   • High fever
   • Pain when passing urine
   • Difficulty in passing urine or motion
   • Pain or swelling of the calves

Follow-Up Visits

After the surgery, you will be seen at 1 week, 1 month, 6 months and yearly intervals thereafter. Urodynamic studies will be repeated at 6 months after surgery to confirm cure and to exclude other bladder disorders.