Pelvic floor repair. Department of Gynaecology. Patient Information

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Pelvic floor repair. Department of Gynaecology. Patient Information"

Transcription

1 Pelvic floor repair Department of Gynaecology 2 Patient Information

2 What is pelvic floor repair? Vaginal repair is an operation usually performed under a general anaesthetic to correct weakness in the tissues that support the walls of the vagina, known as a prolapse. This is a collapse of the uterus (womb) and / or vaginal walls which occurs over a time and is often caused by damage during childbirth. Being overweight, heavy lifting, chronic constipation and a lack of hormones after the menopause can also create a prolapse. The advice of the doctor is given according to your individual problems and symptoms. Why do I need a pelvic floor repair? To improve or resolve the symptoms of prolapse such as over active bladder, urgency to pass urine, constipation, backache, and to remove the feeling of a lump or bulge within the vagina. The most common methods of repairing the vagina are: 1 Anterior repair, front wall; this should cure a Cystocele, a protrusion of the urinary bladder through the anterior wall of the vagina. 2 Posterior repair, back wall; this should cure a Rectocele, a protrusion of the rectum through the posterior wall of the vagina. 3 Sacrospinous fixation; this involves using the pelvic ligaments to lift and fix / support the top of the vagina. 4 Sacrospinous cervicopexy; this involves using the pelvic ligaments to lift and fix / support the cervix. Your doctor will discuss which method is most suitable for you. 2

3 Your What doctor can will I expect discuss before which method the operation? is most suitable for you. At your pre-op assessment and on your admission day the nurse will go through your hospital stay and explain your operation. Please do let us know about any concerns you have or if there is any information you think we should know about that will make your stay with us more comfortable. You will need to make arrangements for your family, children or any other commitments that you have prior to coming in to hospital and to cover the length of your recovery. You will see an anaesthetist and the doctor performing the surgery before you go to theatre. It is not unusual to feel anxious; the nursing staff will gladly discuss how you are feeling and talk you through your emotions. What does the treatment involve? The repair surgery is performed through the vagina so there is no need to make an excision through the abdomen. It involves repairing and re-supporting the walls of the vagina and or bowel and bladder by using a stitch to lift or elevate the vaginal vault. There are stitches inside the vagina that are tightened against the ligament so that the vagina is pulled back into place. Dissolvable stitches are then used to close the vaginal wall. What are the risks? There are risks with any operation but these are small. The main risks associated with a vaginal repair are: Common risks: Urinary infection, retention and / or frequency Vaginal bleeding Postoperative pain and difficulty and / or pain with intercourse 23

4 Wound infection Excessive bleeding Buttock pain Uncommon risks: Damage to the bladder Damage to the bowel Failure to achieve desired results; recurrence of prolapse Venous thrombosis and pulmonary embolism New or continuing bladder dysfunction In order for you to make an informed choice about your surgery please ask one of the doctors or nurses if you have any questions about the operation before signing the consent form. What can I expect after the operation? As you come round from the anaesthetic you may experience episodes of pain and / or nausea. Please let the nursing staff know and they will assess you and take appropriate action. It is not unusual to experience lower back pain and a feeling of fullness in your bowel and generalised discomfort when sitting. We use a pain score to assess your pain 0-10; 0 = No Pain, 10 = Very Strong Pain. Your nurse will be checking your blood pressure, pulse, respirations and temperature and monitor any vaginal bleeding. S/he will also ask you to move from side to side and to do leg and breathing exercises once you are able, this will help prevent any pressure damage, a DVT (deep vein thrombosis) or chest infection. Day 1 after the operation You will have a drip attached (intravenous infusion); once you are fully awake you will be able to start drinking and eating. Your drip will then be discontinued. You may also have a catheter which will drain your urine. This is normally removed 4

5 after hours. We will monitor your urine output to make sure you are emptying your bladder properly and ask to measure 2 samples after the catheter has been removed. We may scan your bladder after you have passed urine to make sure your bladder is emptying well. You may have a vaginal pack which helps prevent excess bleeding by putting pressure on the vaginal walls. This is quite uncomfortable but it is usually removed the day after your operation. The nursing staff will assist with washing as necessary and encourage early mobilisation. We would normally expect you to sit out of bed the day after your operation. Day 2 after the operation You will be able to shower and mobilise around the ward on the second day of your operation. It may be painful to open your bowels at first, we will give you mild laxatives to soften your stools and prevent constipation and straining. What about going home? Each day you will be assessed by nursing and medical staff to check on your recovery and decisions will be made about your care, this information will be shared with you. Please feel free to ask questions about your operation and recovery at any time. The average length of stay following a vaginal repair is 2 days. As you physically recover from your operation, the nursing team will discuss your convalescence. To prevent your surgery from failing you should take note of the following: Rest: During the first two weeks at home it is common to feel tired and exhausted, you should relax during the day gradually increasing the number of things you do each day. 5

6 Vaginal bleeding: You will have vaginal discharge / bleeding for up to 2-3 weeks after surgery, this will turn from red to a brownish colour and is quite normal. You will have internal stitches and occasionally red spotting or fresh bleeding may occur when these stitches start to dissolve and fall out of the vagina. Sanitary towels should be used not tampons. It is important that you keep the vaginal area as clean and dry as possible. To help reduce the risk of infection we advise daily showering. Housework: Weeks 1-2 We recommend that you do no housework, cooking, or heavy lifting (not more than 1.5 kgs in each hand). Weeks 3-4 We recommend that you gradually introduce lighter household chores, dusting, washing up, making beds and ironing. You may begin to prepare food and cook remembering not to lift any heavy saucepans. Weeks 4-6 Gradually increase lifting of weights over 3 kgs. Do not vacuum or do any heavy lifting before 6 weeks of convalescence. By 8 weeks you can carry a bag of shopping or lift a basket of washing. Exercise: Exercise is important and it is advisable to go for short walks each day, increasing the distance gradually. You may return to cycling and other light exercise after 6 weeks, swimming may also be resumed if vaginal bleeding has stopped. You will be able to manage the stairs on your arrival home. Diet: A well balanced nutritious diet with a high fibre content is essential to avoid constipation or straining. This should include at least 5 portions of fruit and vegetables per day. You should aim to drink at least 2 litres of water per day. 6

7 Sex: The operation should not stop you having a good sex life. You may even find that your sex life improves after the operation. You may wish to discuss any worries or concerns with your doctor or nurse before the operation. You should usually wait 4 6 weeks after the operation before having sex providing vaginal bleeding has stopped. If after this time you are experiencing pain or any problems with intercourse then you should see your GP. Returning to work: Depending on the surgery you will need 2 6 weeks off work. Most women are able to return to work after 2 4 weeks, please discuss this with the doctor or nurse. The hospital doctor will provide a sick certificate for this period. Driving: It is usually safe to drive between 2 4 weeks but this will depend on your level of concentration and ability to perform an emergency stop. Are there any alternatives to having a vaginal repair? You may decide not to have surgery and want to try alternative methods of improving you symptoms such as; Physiotherapy Pelvic floor exercises Vaginal pessary (a plastic device inserted into the vagina to hold the prolapse These can be discussed with your doctor. 7

8 Who Who can can I contact I contact with with any concerns any concerns or questions? or questions? If you have any problems or are worried, please do not hesitate to contact us on the gynaecology ward: Royal Sussex County Hospital Level 11 Telephone: Ext Princess Royal Hospital Horsted Keynes Telephone: Ext References/useful links 1 National Institute for Health and Clinical Excellence. (2008). Understanding Nice Guidance: Treating vaginal wall prolapse with surgery using mesh. London: NICE 2 Patient UK. (2008). Information Leaflets: Women s Health Category. ( co.uk). 3 Royal College of Obstetricians and Gynaecologists. (October 2009). Vaginal Surgery for Prolapse. Consent Advice No. 5. London : RCOG. 4 Royal College of Obstetricians and Gynecologists (July 2010). Recovering Well: information for you after a pelvic-floor repair operation. London: RCOG This information sheet has been produced by the Gynaecology Ward Sister. Brighton and Sussex University Hospitals NHS Trust Disclaimer The information in this leaflet is for guidance purposes only and is in no way intended to replace professional clinical advice by a qualified practitioner. C P I G Reference no. 267 Publish Date: September 2010 Review Date: September 2012 carer and patient information group approved

Abdominal Hysterectomy

Abdominal Hysterectomy Abdominal Hysterectomy Department of Gynaecology Patient Information What is an abdominal hysterectomy? What is an abdominal hysterectomy? An abdominal hysterectomy is an operation performed under general

More information

Laparoscopic Hysterectomy

Laparoscopic Hysterectomy Laparoscopic Hysterectomy Department of Gynaecology Patient Information What is is a a laparoscopic hysterectomy? hysterectomy? A laparoscopic hysterectomy is an operation performed under general anaesthetic

More information

Laparoscopy. Department of Gynaecology. Patient information

Laparoscopy. Department of Gynaecology. Patient information Laparoscopy Department of Gynaecology Patient information What is is a a laparoscopy? A laparoscopy is an operation performed under general anaesthetic to help your gynaecologist make a diagnosis by looking

More information

Open/Laparoscopic Myomectomy

Open/Laparoscopic Myomectomy Open/Laparoscopic Myomectomy Department of Gynaecology Patient information What is is the a Gynaecology Myomectomy? Assessment Unit? A Myomectomy is an operation performed under general anaesthesia to

More information

Botulinum Toxin A Bladder Wall Injection

Botulinum Toxin A Bladder Wall Injection Botulinum Toxin A Bladder Wall Injection Department of Gynaecology Patient Information What is is botulinum toxin toxin A? A? Botulinum toxin is a chemical that relaxes muscles. It is commonly used for

More information

What is a pelvic floor repair? What does the operation involve? What are the benefits of having a pelvic floor repair?

What is a pelvic floor repair? What does the operation involve? What are the benefits of having a pelvic floor repair? Pelvic floor repair 2 This information has been written to explain your operation, and the benefits and risks. The medical and nursing staff will be happy to answer any questions you may have. What is

More information

Vaginal hysterectomy and vaginal repair

Vaginal hysterectomy and vaginal repair Women s Service Vaginal hysterectomy and vaginal repair Information for patients Vaginal hysterectomy and vaginal repair This leaflet is for women who have been advised to have a vaginal hysterectomy.

More information

Genitourinary Prolapse (1 of 6) What is a genitourinary prolapse? How common is a GU prolapse? What causes a GU prolapse?

Genitourinary Prolapse (1 of 6) What is a genitourinary prolapse? How common is a GU prolapse? What causes a GU prolapse? Genitourinary Prolapse (1 of 6) i If you need this information in another language or medium (audio, large print, etc) please contact Customer Care on 0800 374 208 email: customercare@ salisbury.nhs.uk.

More information

SACROSPINOUS FIXATION

SACROSPINOUS FIXATION SACROSPINOUS FIXATION Information Leaflet Your Health. Our Priority. Page 2 of 9 What is a vaginal vault prolapse? The vagina is held in position by the body's natural supporting structures. A vaginal

More information

DEPARTMENT OF GYNAECOLOGY SURGERY FOR VAGINAL PROLAPSE. Patient information leaflet. WHISTON HOSPITAL Warrington Road Prescot L35 5DR

DEPARTMENT OF GYNAECOLOGY SURGERY FOR VAGINAL PROLAPSE. Patient information leaflet. WHISTON HOSPITAL Warrington Road Prescot L35 5DR DEPARTMENT OF GYNAECOLOGY 0151 430 1522 SURGERY FOR VAGINAL PROLAPSE Patient information leaflet Creation Date January 2013 Review Date January 2016 Produced by Department of Gynaecology WHISTON HOSPITAL

More information

Treating your prolapse

Treating your prolapse Treating your prolapse This leaflet explains what a prolapse is, and how it can be treated and managed. If you have any questions or concerns, please speak to a member of staff caring for you. What is

More information

Surgical Information Sheet for Women having Surgery for Uterine Prolapse

Surgical Information Sheet for Women having Surgery for Uterine Prolapse Surgical Information Sheet for Women having Surgery for Uterine Prolapse 1. Proposed operations: Removal of uterus (hysterectomy) Preservation of uterus (suspension) Pelvic floor repair Urinary incontinence

More information

Vaginal Repair Surgery Obstetrics & Gynaecology Women & Children s Group

Vaginal Repair Surgery Obstetrics & Gynaecology Women & Children s Group Vaginal Repair Surgery Obstetrics & Gynaecology Women & Children s Group This leaflet has been designed to give you important information about your prolapse and vaginal repair surgery, and to answer some

More information

Vaginal prolapse repair surgery with mesh

Vaginal prolapse repair surgery with mesh Vaginal prolapse repair surgery with mesh Your doctor has recommended a vaginal reconstructive procedure using mesh to treat your condition. The operation involves surgery to reattach the vagina to its

More information

Management of Vaginal Prolapse

Management of Vaginal Prolapse Saint Mary s Hospital The Warrell Unit Management of Vaginal Prolapse Information for Patients Contents Lifestyle advice 3 Treatment of vaginal prolapse 4 1 Non-surgical treatments 4 2. Surgical treatment

More information

An operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy

An operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy Information For Patients 1 What is a prolapse? Prolapse is a bulge or lump

More information

Prolapse. Patient Information. Obstetrics & Gynaecology Department

Prolapse. Patient Information. Obstetrics & Gynaecology Department Prolapse Patient Information Obstetrics & Gynaecology Department Author ID: JD Leaflet Number: Gyn 058 Version: 1 Name of Leaflet: Prolapse Date Produced: Feb 2015 Review Date: Feb 2017 Prolapse Page 1

More information

RECOVERING WELL. Information for you after a Pelvic Floor Repair Operation

RECOVERING WELL. Information for you after a Pelvic Floor Repair Operation RECOVERING WELL Information for you after a Pelvic Floor Repair Operation How to navigate when viewing this information online From the contents page you can quickly and easily access all the topics listed.

More information

Advice after prolapse surgery in the vagina

Advice after prolapse surgery in the vagina 45 Advice after prolapse surgery in the vagina Patient Information Women and Children - Obstetrics and Gynaecology Post operative advice after prolapse surgery Please read this leaflet so you know what

More information

Guide to prolapse repair

Guide to prolapse repair University Teaching Trust Guide to prolapse repair Brooke Building Womens Services 0161 206 1681 All Rights Reserved 2016. Document for issue as handout. Information for patients having one of the following

More information

Total Vaginal Hysterectomy with an Anterior and Posterior Repair

Total Vaginal Hysterectomy with an Anterior and Posterior Repair Total Vaginal Hysterectomy with an Anterior and Posterior Repair What is a total vaginal hysterectomy with an anterior and posterior repair? Total vaginal hysterectomy is the removal of the uterus and

More information

Vaginal Prolapse Repair with SIS mesh

Vaginal Prolapse Repair with SIS mesh Vaginal Prolapse Repair with SIS mesh Department of Urogynaecology Page 16 Patient Information Further Information We endeavour to provide an excellent service at all times, but should you have any concerns

More information

An operation for prolapse Colpocleisis

An operation for prolapse Colpocleisis Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Colpocleisis Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused by sagging

More information

Department of Neurosurgery. Lumbar Spine Surgery. Information for patients

Department of Neurosurgery. Lumbar Spine Surgery. Information for patients Department of Neurosurgery Lumbar Spine Surgery Information for patients Lumbar spine surgery This leaflet explains what to expect when you are in hospital and during the recovery period. The name of your

More information

Surgery for Stress Incontinence

Surgery for Stress Incontinence Directorate of Women s Services Surgery for Stress Incontinence Tension Free Vaginal Tape Information for Patients Direct dial number Ward 40 0191 282 5640 Stress Incontinence Stress incontinence is a

More information

Prolapse, vaginal hysterectomy and pelvic floor repair

Prolapse, vaginal hysterectomy and pelvic floor repair Prolapse, vaginal hysterectomy and pelvic floor repair Gynaecology department 01935 384 385 yeovilhospital.nhs.uk The pelvic floor Ut er us (w o mb) Blad der Spine Blad der out let supported by pelvic

More information

RECOVERING WELL. Information about recovering from Surgical Management of a Miscarriage

RECOVERING WELL. Information about recovering from Surgical Management of a Miscarriage RECOVERING WELL Information about recovering from Surgical Management of a Miscarriage How to navigate when viewing this information online From the contents page you can quickly and easily access all

More information

Royal College of Obstetricians and Gynaecologists. Information for you after an abdominal hysterectomy

Royal College of Obstetricians and Gynaecologists. Information for you after an abdominal hysterectomy Royal College of Obstetricians and Gynaecologists Information for you after an abdominal hysterectomy Who is this information for? This information is for you if you are about to have, or you are recovering

More information

Enhancing your recovery after pelvic floor surgery

Enhancing your recovery after pelvic floor surgery Enhancing your recovery after pelvic floor surgery Anterior and / or posterior vaginal repair Perineal repair Re-attachment of the vaginal apex (sacrospinous fixation of the uterus or vault) Vaginal hysterectomy

More information

Periurethral bulking agent for stress urinary incontinence (macroplastique)

Periurethral bulking agent for stress urinary incontinence (macroplastique) PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection

More information

RECOVERING WELL. Information for you after an Abdominal Hysterectomy

RECOVERING WELL. Information for you after an Abdominal Hysterectomy RECOVERING WELL Information for you after an Abdominal Hysterectomy How to navigate when viewing this information online Contents From the contents page you can quickly and easily access all the topics

More information

Exercise and Advice for. Vaginal Prolapse. Patient Information Leaflet. Therapy Services Physiotherapy

Exercise and Advice for. Vaginal Prolapse. Patient Information Leaflet. Therapy Services Physiotherapy If you have any queries or concerns please contact the physiotherapist on: 0191 2825484 Monday Friday 9.00am 4.30pm Exercise and Advice for Vaginal Prolapse Patient Information Leaflet Therapy Services

More information

Vaginal Hysterectomy for Uterine Prolapse

Vaginal Hysterectomy for Uterine Prolapse Vaginal Hysterectomy for Uterine Prolapse Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee

More information

An operation for prolapse Laparoscopic Sacrocolpopexy

An operation for prolapse Laparoscopic Sacrocolpopexy Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Laparoscopic Sacrocolpopexy Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused

More information

Information for Patients

Information for Patients Healthcare Associated Infections How can I help to reduce Healthcare Associated Infections? Infection control is important to the wellbeing of our patients, and for that reason we have infection control

More information

Abdominal Hysterectomy

Abdominal Hysterectomy Abdominal Hysterectomy Families Division Patient Information Leaflet Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please call: 01253 955588

More information

Total Vaginal Hysterectomy

Total Vaginal Hysterectomy What is a total vaginal hysterectomy? Is the removal of the uterus and cervix through the vagina. Removal of the ovaries and tubes depends on the patient. Why is this surgery used? To treat disease of

More information

Laparoscopic Hysterectomy

Laparoscopic Hysterectomy Any further questions? Please contact the matron for Women s Health on 020 7288 5161 (answerphone) Monday - Thursday 9am - 5pm. For more information: Royal College of Obstetrics and Gynaecology Recovering

More information

Information for Patients

Information for Patients Notes Information for Patients Sling procedure for urinary stress incontinence Aysha Qureshi Version 1, June 2010 Review date June 2013 Date of publication: June 2010 Ref: RUH GYN/002 Royal United Hospital

More information

Inguinal Hernia (Female)

Inguinal Hernia (Female) Inguinal Hernia (Female) WHAT IS AN INGUINAL HERNIA? 2 WHAT CAUSES AN INGUINAL HERNIA? 2 WHAT DOES TREATMENT / MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS

More information

Laparoscopic Nephrectomy

Laparoscopic Nephrectomy Laparoscopic Nephrectomy Information for Patients This leaflet explains: What is a Nephrectomy?... 2 Why do I need a nephrectomy?... 3 What are the risks and side effects of laparoscopic nephrectomy?...

More information

Femoral Hernia Repair

Femoral Hernia Repair Femoral Hernia Repair WHAT IS A FEMORAL HERNIA REPAIR? 2 WHAT CAUSES A FEMORAL HERNIA? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS

More information

The main surgical options for treating early stage cervical cancer are:

The main surgical options for treating early stage cervical cancer are: INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet

More information

Royal College of Obstetricians and Gynaecologists. Information for you after an endometrial ablation

Royal College of Obstetricians and Gynaecologists. Information for you after an endometrial ablation Royal College of Obstetricians and Gynaecologists Information for you after an endometrial ablation Who is this information for? This information is for you if you are about to have, or you have had, a

More information

Treating your abdominal aortic aneurysm by open repair (surgery)

Treating your abdominal aortic aneurysm by open repair (surgery) Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,

More information

Suspended Mesh Kit Posterior / Vault Prolapse Repair

Suspended Mesh Kit Posterior / Vault Prolapse Repair Suspended Mesh Kit Posterior / Vault Prolapse Repair Patient Information Leaflet Please note this is a relatively new operation and long term information is not available. BSUG Patient Information Sheet

More information

VAGINAL MESH FAQ. How do you decide who should get mesh as part of their repair?

VAGINAL MESH FAQ. How do you decide who should get mesh as part of their repair? VAGINAL MESH FAQ How do you decide who should get mesh as part of their repair? Each patient with pelvic organ prolapse (POP) is considered individually. In younger women, women with an uncomplicated prolapse

More information

Having a laparoscopic donor nephrectomy. Information for patients Sheffield Kidney Institute (Renal Unit)

Having a laparoscopic donor nephrectomy. Information for patients Sheffield Kidney Institute (Renal Unit) Having a laparoscopic donor nephrectomy Information for patients Sheffield Kidney Institute (Renal Unit) What is a living donor? A living donor transplant is when a person gives one of their kidneys to

More information

Suspended Mesh Kit Posterior / Vault Prolapse Repair

Suspended Mesh Kit Posterior / Vault Prolapse Repair Suspended Mesh Kit Posterior / Vault Prolapse Repair Patient Information Leaflet Please note this is a relatively new operation and long term information is not available. BSUG Patient Information Sheet

More information

Vaginal pessary for prolapse

Vaginal pessary for prolapse Vaginal pessary for prolapse Information for patients This leaflet sheet answers some of the questions you may have about having a vaginal pessary fitted. It explains the benefits, the risks and the alternatives

More information

Department of Neurosurgery. Trigeminal Neuralgia TIC Injection What happens when you come into hospital

Department of Neurosurgery. Trigeminal Neuralgia TIC Injection What happens when you come into hospital Department of Neurosurgery Trigeminal Neuralgia TIC Injection What happens when you come into hospital TIC Injection This leaflet explains what to expect when you are in hospital for a TIC injection and

More information

Robotic Partial Nephrectomy. Department of Urology Information for patients

Robotic Partial Nephrectomy. Department of Urology Information for patients Robotic Partial Nephrectomy Department of Urology Information for patients i Introduction You have recently been told that you need to have a tumour removed from your kidney. The standard operation to

More information

Royal College of Obstetricians and Gynaecologists. Information for you after a mid-urethral sling operation for stress urinary incontinence

Royal College of Obstetricians and Gynaecologists. Information for you after a mid-urethral sling operation for stress urinary incontinence Royal College of Obstetricians and Gynaecologists Information for you after a mid-urethral sling operation for stress urinary incontinence Who is this information for? What is stress urinary incontinence?

More information

Total Abdominal Hysterectomy

Total Abdominal Hysterectomy What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.

More information

Inducing your labour with Propess -

Inducing your labour with Propess - Inducing your labour with Propess - going home during the process Parent Information If your baby is over-due You have agreed to have your labour induced. If you need more information about your options

More information

An Operation for Anterior Vaginal Wall Prolapse

An Operation for Anterior Vaginal Wall Prolapse An Operation for Anterior Vaginal Wall Prolapse Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee

More information

An operation for prolapse Laparoscopic Sacrohysteropexy

An operation for prolapse Laparoscopic Sacrohysteropexy Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Laparoscopic Sacrohysteropexy Information for Patients What is a prolapse? Uterine prolapse is a bulge or lump in the vagina

More information

Colposuspension for stress urinary incontinence

Colposuspension for stress urinary incontinence Colposuspension for stress urinary incontinence Information for patients This leaflet sheet answers some of the questions you may have about colposuspension. It explains the benefits, the risks and the

More information

Laparoscopic Nephrectomy

Laparoscopic Nephrectomy Laparoscopic Nephrectomy Exceptional healthcare, personally delivered You have been advised that you need a nephrectomy (removal of the kidney). The aim of this leaflet is to give you information regarding

More information

Excision of Vaginal Mesh

Excision of Vaginal Mesh What is excision of vaginal mesh? This procedure is done to remove mesh from the vagina. When is this surgery used? If mesh has eroded into the vagina, bladder, urethra, or bowel If there is pain associated

More information

Pessaries for vaginal prolapse. Information for patients Gynaecology

Pessaries for vaginal prolapse. Information for patients Gynaecology Pessaries for vaginal prolapse Information for patients Gynaecology We have written this information to help explain the use of vaginal pessaries in the treatment of women with prolapse. If you need any

More information

Surgery for ovarian cancer

Surgery for ovarian cancer This information is an extract from the booklet Understanding cancer of the ovary. You may find the full booklet helpful. We can send you a free copy see page 8. Contents About surgery About surgery Type

More information

Posterior Vaginal Wall Prolapse Repair And Repair of Perineum

Posterior Vaginal Wall Prolapse Repair And Repair of Perineum Posterior Vaginal Wall Prolapse Repair And Repair of Perineum Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG

More information

Laparoscopy and Pelviscopy Procedures

Laparoscopy and Pelviscopy Procedures gynaecology program Pre- and Post-operative Instructions: Laparoscopy and Pelviscopy Procedures Informed Consent As part of informed consent, your doctor will talk to you about: What will be done during

More information

PROLAPSE AND ITS TREATMENT

PROLAPSE AND ITS TREATMENT PROLAPSE AND ITS TREATMENT Information Leaflet Your Health. Our Priority. Page 2 of 14 What is a prolapse? A prolapse occurs when the muscles and ligaments supporting the uterus become weak and the vaginal

More information

Advice Following Perineal Injury

Advice Following Perineal Injury Advice Following Perineal Injury Patient Information Leaflet Therapy Services Physiotherapy This leaflet will provide you with information and advice following perineal trauma which occurred when your

More information

Caring for your perineum and pelvic floor after a 3rd or 4th degree tear

Caring for your perineum and pelvic floor after a 3rd or 4th degree tear Caring for your perineum and pelvic floor after a 3rd or 4th degree tear Most women, up to nine in ten (90%), tear to some extent during childbirth. Most tears occur in the perineum, the area between the

More information

Transobturator tape sling Female sling system

Transobturator tape sling Female sling system Transobturator tape sling Female sling system Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

PROLAPSE WHAT IS A VAGINAL (OR PELVIC ORGAN) PROLAPSE? WHAT ARE THE SIGNS OF PROLAPSE?

PROLAPSE WHAT IS A VAGINAL (OR PELVIC ORGAN) PROLAPSE? WHAT ARE THE SIGNS OF PROLAPSE? WHAT IS A VAGINAL (OR PELVIC ORGAN)? Your pelvic organs include your bladder, uterus (womb) and rectum (back passage). These organs are held in place by tissues called fascia and ligaments. These tissues

More information

Vaginal Hysterectomy and Pelvic Floor Repair

Vaginal Hysterectomy and Pelvic Floor Repair 906743-Z-WZZ1040 31/10/2013 16:46 Page 1 Approvals: Gynae Guidelines Group: V1 Sep 07 & Apr 08, V3 Dec 2011/Aug 2012 MSLC: Jan 2012 Divisional Board: V1 Jan 08. V3 Jan 2012 Clinical Guidelines Subgroup:

More information

LAPAROSCOPIC NEPHRECTOMY

LAPAROSCOPIC NEPHRECTOMY LAPAROSCOPIC NEPHRECTOMY Date of Surgery Please bring this booklet the day of your surgery. QHC#36 The kidneys are a pair of organs which remove excess fluid and waste material from the blood. They are

More information

Information for patients having Total Laparoscopic Hysterectomy (TLH)

Information for patients having Total Laparoscopic Hysterectomy (TLH) 1 TOTAL LAPAROSCOPIC HYSTERECTOMY LEAFLET (For patients, relatives and hospital personnel) Information for patients having Total Laparoscopic Hysterectomy (TLH) You have been given this information sheet

More information

An Operation for Stress Incontinence. Tension Free Vaginal Tape - TVT (Retropubic tape)

An Operation for Stress Incontinence. Tension Free Vaginal Tape - TVT (Retropubic tape) An Operation for Stress Incontinence Tension Free Vaginal Tape - TVT (Retropubic tape) Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together

More information

Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place.

Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place. What is an abdominal myomectomy? Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place. When is this surgery used? Treatment

More information

Colposuspension for Stress Incontinence

Colposuspension for Stress Incontinence Colposuspension for Stress Incontinence Patient information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee

More information

Abdominal Surgery. Surgical removal of a mass or masses from the abdomen through an abdominal incision-either up and down or bikini cut.

Abdominal Surgery. Surgical removal of a mass or masses from the abdomen through an abdominal incision-either up and down or bikini cut. What is an abdominal surgery? Surgical removal of a mass or masses from the abdomen through an abdominal incision-either up and down or bikini cut. Why is this surgery used? To treat disease of the uterus,

More information

Sacrohysteropexy for Uterine Prolapse

Sacrohysteropexy for Uterine Prolapse Sacrohysteropexy for Uterine Prolapse Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee paying

More information

Your Guide to a Laparotomy (Major Abdominal Surgery)

Your Guide to a Laparotomy (Major Abdominal Surgery) Women s Health Unit Your Guide to a Laparotomy (Major Abdominal Surgery) Leighton Hospital Middlewich Road Crewe Cheshire CW1 4QJ www.mcht.nhs.uk November 2005 Impressions 01270 767661 Direct Line: 01270

More information

Radical Hysterectomy and Pelvic Lymph Node Dissection

Radical Hysterectomy and Pelvic Lymph Node Dissection Radical Hysterectomy and Pelvic Lymph Node Dissection Tena koutou katoa, Kia orana, Talofa lava, Malo e lelei, Fakaalofa lahi atu, Taloha Ni, Ni Sa Bula Vinaka, Greetings and Welcome to National Women's

More information

Contents. Overview. Removing the womb (hysterectomy) Overview

Contents. Overview. Removing the womb (hysterectomy) Overview This information is an extract from the booklet Understanding womb (endometrial) cancer. You may find the full booklet helpful. We can send you a free copy see page 9. Overview Contents Overview Removing

More information

Posterior (back) vaginal wall repair

Posterior (back) vaginal wall repair 34 Posterior (back) vaginal wall repair Patient Information Women and Children - Obstetrics and Gynaecology Posterior vaginal wall prolapse Contents About this booklet What is a posterior vaginal wall

More information

Femoral artery bypass graft (Including femoral crossover graft)

Femoral artery bypass graft (Including femoral crossover graft) Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to

More information

Total Laparoscopic Hysterectomy

Total Laparoscopic Hysterectomy What is a total laparoscopic hysterectomy? Is the removal of the uterus and cervix through four small (1/2-1 ) abdominal incisions. Removal of the ovaries and tubes depends on the patient. Why is this

More information

Epigastric Hernia Repair

Epigastric Hernia Repair Epigastric Hernia Repair WHAT IS EPIGASTRIC HERNIA REPAIR? 2 WHAT CAUSES IT? 2 WHAT DOES TREATMENT/MANAGEMENT INVOLVE? 2 WHAT WOULD HAPPEN IF THE HERNIA WAS NOT TREATED? 3 EPIGASTRIC HERNIA REPAIR 3 WHAT

More information

Laparoscopic or open Resection - Rectopexy Patient Leaflet. Prepared by Mr Deya Marzouk

Laparoscopic or open Resection - Rectopexy Patient Leaflet. Prepared by Mr Deya Marzouk Laparoscopic or open Resection - Rectopexy Patient Leaflet Prepared by Mr Deya Marzouk Introduction This leaflet is about the procedure known as resection-rectopexy for internal & external prolapse of

More information

An Operation for Stress Incontinence. Transobturator Tape (TOT, TVT-O)

An Operation for Stress Incontinence. Transobturator Tape (TOT, TVT-O) An Operation for Stress Incontinence Transobturator Tape (TOT, TVT-O) Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of

More information

Pilonidal Sinus. Information for patients

Pilonidal Sinus. Information for patients Pilonidal Sinus Information for patients Information for patients 2 What is a pilonidal sinus? A pilonidal sinus is a small hole or tunnel in the skin, usually at the top of the cleft between the buttocks.

More information

Spigelian Hernia Repair

Spigelian Hernia Repair Spigelian Hernia Repair WHAT IS A SPIGELIAN HERNIA? 2 WHAT CAUSES IT? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 2 WHAT WOULD HAPPEN IF THE HERNIA WAS NOT TREATED? 2 SPIGELIAN HERNIA REPAIR 3 WHAT ARE

More information

Bladder reconstruction (neo-bladder)

Bladder reconstruction (neo-bladder) Bladder reconstruction (neo-bladder) We have written this leaflet to help you understand about your operation. It is designed to help you answer any questions you may have. The leaflet contains the following

More information

Hysteroscopy (Out Patient, Day Case or In Patient)

Hysteroscopy (Out Patient, Day Case or In Patient) Hysteroscopy (Out Patient, Day Case or In Patient) Exceptional healthcare, personally delivered Introduction This leaflet explains the procedure of hysteroscopy. If you have any other questions do not

More information

Vaginal Repair- with Mesh A. Interpreter / cultural needs B. Condition and treatment C. Risks of a vaginal repair- with mesh

Vaginal Repair- with Mesh A. Interpreter / cultural needs B. Condition and treatment C. Risks of a vaginal repair- with mesh The State of Queensland (Queensland Health), 2011 Permission to reproduce should be sought from ip_officer@health.qld.gov.au DO NOT WRITE IN THIS BINDING MARGIN v2.00-03/2011 SW9226 Facility: A. Interpreter

More information

Problems in Early Pregnancy

Problems in Early Pregnancy Problems in Early Pregnancy Exceptional healthcare, personally delivered This information answers queries about issues that may arise in early pregnancy. Not all of these issues will apply to you. It provides

More information

Perineal tears Information and advice for mums-to-be. Maternity

Perineal tears Information and advice for mums-to-be. Maternity Perineal tears Information and advice for mums-to-be Maternity What is a perineal tear? A perineal tear is a tear to the perineum the area between the vagina and the anus (back passage) that occurs during

More information

Recto-vaginal Fistula Repair

Recto-vaginal Fistula Repair What is a recto-vaginal fistula repair? Rectovaginal fistula repair is a procedure in which the healthy tissue between the rectum and vagina is closed in multiple tissue layers. An incision is made either

More information

Da Vinci Robotic Hysterectomy and removal of ovaries (oophorectomy) with discharge information

Da Vinci Robotic Hysterectomy and removal of ovaries (oophorectomy) with discharge information Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Da Vinci Robotic Hysterectomy and removal of ovaries (oophorectomy) with discharge information Royal Surrey County Hospital

More information

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2 This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery

More information

MISCARRIAGE AND OPTIONS FOR MANAGEMENT

MISCARRIAGE AND OPTIONS FOR MANAGEMENT MISCARRIAGE AND OPTIONS FOR MANAGEMENT Information Leaflet Your Health. Our Priority. Page 2 of 8 Why did it happen? Was it my fault? When you conceive and a baby is created, it takes half its genes from

More information

Discectomy. Information for patients Orthopaedics - Spinal Physiotherapy

Discectomy. Information for patients Orthopaedics - Spinal Physiotherapy Discectomy Information for patients Orthopaedics - Spinal Physiotherapy Introduction We have written this booklet to explain how you can prepare for your operation and to give you advice on your recovery

More information

Third and Fourth Degree Perineal Tears after Childbirth

Third and Fourth Degree Perineal Tears after Childbirth Third and Fourth Degree Perineal Tears after Childbirth Information for Patients Excellent care with compassion Introduction This leaflet aims to give you more information about the repair and aftercare

More information

Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence

Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence This leaflet explains more about tension-free vaginal tape (TVT) including the benefits, risks and any alternatives, and

More information