Patient Instructions & Handouts.

Vaginal Hysterectomy

Review the following after care instructions for a vaginal hysterectomy.

  • Eat a regular high fiber, protein, fruit, and dairy product diet.
  • Plan on taking 2-4 weeks off of work. Earlier return might be arranged if necessary.
  • No intercourse, douching or tampon use for 4 weeks after surgery or until the final visit with your physician.
  • You may drive if needed, use good judgment. Do not drive if you are taking prescription medication.
  • Use the stairs only as tolerated – one step at a time.
  • Expect a non-odorous discharge or spotting for 3-4 weeks.
  • Sutures are internal and will dissolve in 6-8 weeks. You may occasionally notice a suture on your pad or in the toilet – this means that the healing process is taking place.
  • You should schedule your follow up office visit 4 weeks from the date of surgery, or sooner if going back to work.¬† Please schedule this follow-up visit prior to your operation.
  • Medications might include; estrogen patches or pills and pain medications.
  • There are no bathing restrictions.
  • No strenuous activity: long walks, exercise, housework, heavy lifting, or pushing, for up to 6 weeks or until the final visit with your physician. No lifting over 20 lbs for 2-3 weeks.
  • Use Milk of Magnesia for constipation. Drink plenty of water and fruit juices and use gentle pressure with bowel movements.
  • Expect low back pain as well as generalized abdominal pain following your operation.

Notify your physician if you have any of the following:

  • Fever of 100.4F or chills
  • Heavy vaginal bleeding; heavier than light menstrual period
  • Bleeding, drainage or separation at the incision site
  • Severe or unusual pain that is not controlled by your pain pills
  • Burning, frequency or difficulty urinating
  • Pain or swelling in legs
  • Foul smelling vaginal discharge