Surgery Overview

Retropubic suspension surgery is used to treat urinary incontinence by lifting the sagging bladder neck and urethra that have dropped abnormally low in the pelvic area. Retropubic suspension is abdominal surgery, where access to the bladder and urethra is gained by making an incision in the abdominal wall. This surgery can be done by making one big incision (open surgery) or several small incisions (laparoscopic surgery).

The most common procedure used for retropubic suspension is:

• Burch colposuspension, in which the vaginal wall is attached to a ligament (Cooper's ligament) next to the pubic bone.

What To Expect After Surgery

Since these procedures involve abdominal surgery, hospitalization is required. To allow healing of the urinary tract, a catheter is placed into the bladder through the urethra (or abdominal wall) to allow urine to drain. The catheter is usually removed in about 10 days.

You will likely go home 2 to 3 days after the surgery if there have been no complications. The time it takes for you to recover depends on if you had open or laparoscopic surgery.

If you had laparoscopic surgery, you will probably be able to go back to work and most of your usual activities in 1 to 2 weeks. If you had open surgery, it may take a little longer, about 2 to 4 weeks. For either surgery, you may need 4 to 6 weeks to fully recover. Try to avoid heavy lifting and strenuous activities. These might put extra pressure on your bladder.

The amount of pain you experience after surgery depends on the exact nature of your procedure, your physical condition at the time of surgery, and your own response to pain. You will probably feel some pain at the incision site and may feel some cramping in your abdomen. Your doctor will prescribe medicine to relieve your discomfort during the first few days after surgery. Be sure to call your doctor if you cannot get relief from pain.

Women who have laparoscopic surgery usually have shorter recovery times. They may also have less pain after surgery, have a shorter hospital stay, and return to normal activities faster than women who have open surgery.¹

Many women have some constipation after this surgery. You can try some things to avoid constipation:

• Include fruits, vegetables, beans, and whole grains in your diet each day. These foods are high in fiber.
• Drink plenty of fluids, enough so that your urine is light yellow or clear like water.
• Take a fiber supplement, such as Citrucel or Metamucil, every day if needed. Start with a small dose and very slowly increase the dose over a month or more.
• Schedule time each day for a bowel movement. Having a daily routine may help. Take your time and do not strain when having a bowel movement.