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Tension-free Vaginal Tape Suburethral Suspension (TVT), (TOT), & Monarch Discharge Instructions


You may resume a normal diet after returning home. Climbing stairs, walking, and light housework may be resumed at your own pace. You may resume driving 24 hours following surgery. No sexual intercourse, tampons, or douching for 3 weeks following surgery. You may shower anytime after returning home. No bathing for 2 weeks.

You may have mild cramping and inner thigh pain after this surgery. It is normal to have light bleeding or spotting for up to 1 week after this surgery. If you experience severe pain, fever greater than 100.5°, nausea and vomiting, or heavy bleeding (soaking a pad every hour), contact the office. If you are experiencing difficulty or inability to urinate, contact the office.

Avoid straining when urinating or having a bowel movement. Narcotic pain relievers may cause constipation. You may need to take over the counter stool softeners such as Peri-Colace if you become constipated. If you need something stronger for constipation, contact the office. 

The following medications are recommended for mild cramping or discomfort:

  • Motrin (Advil) 600 mg every 6 hours as needed for cramping.
  • Tylenol (regular or extra strength) 1-2 tablets every 4 hours as needed for pain.
  • A narcotic pain reliever such as Percocet, Vicodin, Darvocet, or Tylenol #3 may be prescribed for the first few weeks following surgery.

You should schedule a post-operative appointment 3-4 weeks following surgery.



*This information is provided as a resource only and not intended to be a recommendation or a substitute for consultation with your physician regarding your healthcare needs.

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