Patients are seen by Mr Adams at their first consultation to discuss individual patient requirements. A second consultation can be arranged if necessary. Patients who smoke are advised to stop for a couple of weeks both before and after their surgery. Smoking can increase the risk of infection and wound healing problems. Patients must avoid Aspirin or related anti-inflammatories (including ibuprofen, naproxen and diclofenac) to minimise the risk of bleeding or bruising.
Patients are admitted on the day of surgery. The operation is performed under general anaesthesia or local anaesthesia and usually takes 1 hour to perform. Patients are usually discharged the same day. The stitches are self-dissolving and visible. Chloramphenicol antibiotic ointment is applied to the scars. A simple pad is worn for comfort. Patients are expected to wash daily.
The degree of discomfort is minimal, and passing urine should be normal. Swelling is to be expected for up to a week, and can be aggravated by rubbing or trauma.
Patients are seen by the cosmetic nurse at one week after discharge, if necessary. An appointment to see Mr Adams is made at 6 weeks.
Patients can drive and return to work after a 1-3 days. Exercising or tight fitting clothing should be avoided for 4 weeks. Sexual intercourse should be avoided for 6-8 weeks to allow the wound to heal, and to avoid scar breakdown. Shower daily and avoid baths for 4 weeks.
As with all surgery complications can occur. Bleeding and infection is possible. Swelling is variable and can give the appearance of asymmetry. A onset of Thrush (burning pain in the vagina) may occur from 4-5 days following surgery and it is strongly advisable to have a Canesten pessary available in such emergencies.
