Tension-Free Vaginal Tape (TVT) and Trans-Obturator Tape (TOT or TVT-O) are procedures used to help correct urinary incontinence. During these procedures, a mesh sling is placed under the urethra. The ends of this sling will be placed in one of two locations: at the top of the pelvic bone (a TVT) or at the crease of the thigh (a TOT). Ask your doctor which approach will be done during your surgery.

I have started my period.  Can I still have surgery?

• Yes.

How soon after the procedure will I be allowed to go home?

• You may be able to go home the same day as your surgery.  Occasionally, patients will spend 1-2 days in the hospital after surgery.
• If additional procedures are performed at the same time (such as A&P repair) you should expect to stay in the hospital.

What are some common symptoms that I should expect after surgery?

• You will probably feel tired.
• You may have some pain and light vaginal bleeding.
• You may also experience headache, gas, nausea, diarrhea, or constipation.

Will I have to go home with a catheter?

• Due to swelling and inflammation, many women are sent home with a urinary catheter in place.
• If you are sent home with a catheter, you will be scheduled to come into the office within 3-5 days to have the catheter removed.

Will I have any restrictions on my activities?

• You should not have intercourse, use a tampon, or insert anything into the vagina for at least 4-6 weeks following surgery. We typically ask that you wait until after your post-op appointment so we can check for adequate healing before you insert anything into the vagina.
• You should not drive a vehicle until you are no longer taking prescription pain medication.
• Do not lift anything heavier than 10 pounds, exercise, or do anything strenuous for 4-6 weeks. At your post-op appointment, your doctor will tell you what your long-term restrictions may be.
• You may shower, but do not take a tub bath for at least two weeks.

I am constipated.  Is this normal?  What can I do?

• Due to surgery and the medications used to control pain, constipation is common.  You may not have a bowel movement for 2-3 days following surgery.
• Start by getting plenty of water and increase your dietary fiber.
• You may use a stool softener as well.  We recommend Colace (available over-the-counter). Take 1-2 tabs at bedtime until normal bowel movements occur daily.
• If you are still unable to have a bowel movement, there are other things you can try.  Call the office for further instruction.

What can I eat or drink?

• You may eat food as tolerated. You may want to start with bland, low-fat foods.  Try to eat a healthy, balanced diet that includes foods from each food group.
• Drink plenty of water, at least eight 8oz glasses per day.  Avoid alcohol while you are recovering and/or taking pain medications.

When can I return to work?

• You should be cleared for light duty (no lifting) within 2-3 weeks.
• You will be asked not to lift anything for at least 6 weeks, so if your job requires lifting you may not be able to return until 6 weeks post-op.

What symptoms should I be concerned about, and when should I call the office?

• If you have trouble breathing, shortness of breath, or chest pain you should go to the Emergency Room.
• If you have not had a bowel movement for more than 3-5 days and are experiencing nausea or vomiting, please call the office.
• If you have bright red vaginal bleeding that soaks one or more maxi-pads within 1 hour, call the office.
• If you are passing blood clots from the vagina, call the office.
• If you have pain that does not respond to your pain medication, fever over 100°F (38°C), or a foul smelling vaginal discharge you should call the office.