After the operation, you will be taken in bed from the operating room to the recovery room where you will stay until you are fully awake or until the spinal anesthesia has worn off. A doctor will inform you about how the operation went after it is over. When you are back on the ward, you will receive help getting out of bed.
PainIt's normal to have pain towards the rectum, but this usually subsides after 1-2 weeks. You will receive pain medication regularly and as needed. You should have Paracetamol and Ibux at home for use as needed. If you need other types of pain medication in addition, you will receive a prescription from the hospital when you are discharged.
: UrinationAfter the operation, it can sometimes be difficult to empty the bladder. The urinary catheter will therefore remain in place until a day after the operation. The urinary catheter and any tampons that have been inserted into the vagina will be removed. Once the urinary catheter is removed, we will check that you are emptying your bladder satisfactorily. To ensure that you are emptying your bladder properly after the procedure, you will be monitored with a bladder scanner/ultrasound or a disposable urinary catheter after the operation. You may go home when it is going well to empty your bladder as normal. Usually, this is the same day, or up to two days after the operation.
Sting: The sutures are sewn with a special thread that dissolves on its own. Small pieces of thread may come out for a few weeks, which is normal.
: Bleeding: Minor bleeding is common in the first few days after surgery and can last up to a couple of weeks. After that, you will have increased discharge that may be blood-tinged for up to 6 weeks.
: Lying time: Usually, you will be discharged on the first or second day after the operation.
Sick leave: Sick leave is usually for 2-4 weeks. A longer period of sick leave may be relevant depending on the type of work you do.
: Complications
There is a risk of complications with all surgical procedures. The most common complications with this operation are blood clots in the surgical area, infection in the surgical area, or cystitis (bladder infection). Rare complications include blood clots and severe infection.
Later on, it may be common to experience pain during intercourse for a while, and a feeling of a too-tight vagina. This is due to scar tissue that can be stiff. Usually, this goes away. Some may also experience increased urine leakage.
After the operation
: To prevent infection, you are advised to wait with baths and swimming in public pools, as well as to avoid using tampons as long as you are bleeding.
The first 6 weeks after surgery, you should avoid:
- : Heavy lifting (more than 5 kg)
- : Heavy work (floor washing, vacuuming)
- : Hard training like aerobics and similar activities.
- Activity that triggers pain.
- Constipation and forceful straining can ruin the result of the operation.
- : Sexual intercourse
We recommend that you use hormone cream or vaginal suppositories twice a week for two to three months after the operation. You should start treatment 4 weeks after the operation. If you are in menopause, you will likely continue this for the rest of your life. Both estradiol hormone cream (Ovesterin) and estradiol vaginal tablets (Vagifem) can be purchased over-the-counter at the pharmacy or with a prescription from your family doctor. If you are unsure whether you can use the tablets for a longer period, you can talk to your doctor about this before you go home after the operation.
: Good advice
- Drink plenty of fluids, eat a high-fiber diet, and stay active as much as possible.
- You should use a laxative (Duphalac/Lactulose). This can be purchased over-the-counter at the pharmacy, but should not be used continuously for more than 4 weeks.
- You can have intercourse as early as 6 weeks after the operation.