Among the many bladder prolapse treatment and the other types of pelvic organ prolapse, surgery is just one of them. Most of the time, an invasive procedure is only chosen after all the other alternative treatments have been tried and when nothing else seem to work with the patient.
Laparoscopic colposuspension is a slightly invasive procedure used to repair the anatomical deformity in pelvic organ prolapse by creating a small incision through the abdomen. A flexible instrument used to view and perform a minor surgery is inserted through this small hole in the abdomen. This is often preferred by women who need an abdominal operation, since its complications are minimal.
Patients who go through this type of surgical procedure may be required for a one to two days hospital stay to be observed for any potential complications that may arise following the surgery.
After the operation, you will be wheeled to the post-anesthesia care unit (PACU). In there, staffs will closely monitor you for any serious anesthetic-related effects or immediate post-surgical complications. Your vital signs will be constantly checked such as blood pressure, heart rate, breathing frequency, and for systemic reactions like fever, pain, and bleeding.
When your vital signs are stabilized, you may then be transferred to your room, but constant monitoring will be continued. Administration of IV pain medication will be given by the nurse or will be controlled by the patient through the use of a patient-controlled analgesia (PCA) pump. This pump will be set by the doctor to limit the dose of pain medication that may be used up by the patient in an hour.
Commonly, an abdominal discomfort or spasm may be experienced by the patient, but this usually goes away after a while. However, if it gets worse, it may be relieved by medications that will then be prescribed by the doctor.
Dizziness and feeling nauseous are common side effects of anesthesia that are expected in the first 24 hours following surgery. If it does not subside or if it becomes discomforting to the patient, an antiemetic may be given.
An indwelling urinary catheter may be kept in place for 24 to 48 hours after surgery, since you will not be able to control urination immediately after the procedure. Your urinary output will be monitored in an hourly basis to detect problems like urinary retention. A gauze pack will also be inserted in the genitalia to drain any presence of blood. This will be later removed after 24 hours.
You will still be kept on nothing by mouth (NPO) status until you are able to pass gas. After you do, you will be started on sips of water and gradually resumed to regular diet after 24 hours, depending on your recovery and your body’s response to medications. Your doctor will then give you post-operative medications and specific instructions to continue treatment at home.
Lately, the use of a synthetic mesh in colposuspension has been widely practiced by urology surgeons. Despite the expression of confidence expressed by health care professionals on the device, complications are still inevitable and will be experienced by many of their patients. In fact, cases of mesh lawsuit are also on the rise these days.
References:
urology.jhu.edu/MIS/colposuspension.php
drugs.com/cg/retropubic-colposuspension-aftercare-instructions.html
canberracuresclinic.com.au/LapColp.htm
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