Post Operative Management
Patients receive antibiotics, heparin anticoagulation and appropriate analgesia.
Intravenous fluids are given until oral fluids can be taken in sufficient
quantity. Patients remain on bed rest for 4 days. Drains and outer dressings are
removed on Day 2.The vaginal pack is removed on Day 4 and light diet is
commenced. The catheter is removed on Day 6 and vaginal dilatation and douching
is started on Day 7.Patients are discharged on Day 8 with instructions to dilate
vaginally three times a day for a period of 15 minutes on each occasion and to
gradually increase the size of the dilator. Douching should take place once a
day. Hormones are recommenced at 3 weeks and patients are reviewed at 6 weeks.
Patients are encouraged to contact the ward if there are any problems. Most
patients are able to return to sedentary work by week 7.
