Post-Operative Care Instructions for Mons Pubis Reduction
1) Post-operative processes after the Mons Pubis Reduction
- You may experience dizziness caused by the General Anesthesia, so you should take a rest until recovery.
- You will be monitored at recovery room for 1-2 hours. When you are conscious with normal vital sign, the anesthesiologist will allow you to be monitored in the Inpatient Building.
- In the Inpatient Building you will get some antibiotics, an anti-inflammatory, an acetaminophen, and a laxative. If the acetaminophen tablet does not work, you will be injected analgesic medicine for pain relief. You should take a rest to monitor and reduce pain and inflammation around the surgical wound.
- After the Mons Pubis Reduction, the surgical wound needs to be covered with a gauze pack after the surgery to stop the bleeding. The blood and lymph drainage tubes (wound drain) were placed and put on the abdominal surface. You may also need a urethral catheter for 3-5 days after the surgery.
- Within 2-3 days after the Mons Pubis Reduction, you will be able to have movement and walk around. You should not take a shower which may potentially cause infection (perhaps rub the body dry), cleaning the perineum area after fecal excretion may be done using water and toweling gently.
- After 3-5 days of the Mons Pubis Reduction, Dr. Vitasna will remove a gauze pack, the blood and lymph drainage tubes, and a urethral catheter, and she will clean the surgical wound with antiseptic. The surgical wound will then be covered with the Tegaderm ® to prevent moisture around the surgical wound which may potentially cause infection. Dr. Vitasna will allow you to return home after the following things are checked,–1) no more blood or lymph in the tubes are reported, 2) no abnormal bleeding occurs from the surgical wound, 3) you are asked to review post-operative care instructions, and 4) you can urinate by yourself after the urinary catheter removal.
2) Post-operative care instructions at home after the Mons Pubis Reduction
- At home, after the Mons Pubis Reduction, you must take an antibiotic, an anti-inflammatory, a laxative drug, and an acetaminophen, especially the antibiotic which should be wholly completed.
- Within 5-7 days after the Mons Pubis Reduction, you should take a rest (refrain from work) and be still to enable the wound to heal faster, and have little movement as possible to avoid wound disruption. You are not allowed to take a shower which may potentially cause infection–perhaps rub the body dry.
- After 5-7 days of the Mons Pubis Reduction , you are allowed to take a quick shower to avoid the water get in to the surgical wound which may potentially cause infection.
- You may experience light reddish bleeding out of the surgical wound in around 1 week after the Mons Pubis Reduction. In case of excessive bleeding or reddish blood clot, swollen wound and high fever, please contact the Center immediately for suggestions or come to see Dr. Vitasna for the surgical wound examination.
- Dr. Vitasna will have a post-operative appointment with you 1 week after the Mons Pubis Reduction. She will check the surgical wound, and you may need to keep the Tegaderm ® for one more week in case of incomplete healing of the surgical wound.
- Within 2 weeks after the Mons Pubis Reduction, cleaning the perineum area after urinary excretion may be done with sanitary wipes and after fecal excretion done using water and toweling gently. You should try to avoid moisture around the surgical wound to keep the area dry to let it heal faster.
- You may have all kinds of food but should refrain from alcoholic drinks, pickled food, and smoking for about 2 weeks after the Mons Pubis Reduction.
- After the Mons Pubis Reduction, you may experience itching or green-curd like discharge as a result of vaginal fungal infection, possibly following taking antibiotic to avoid post-operative infection, and needing anti-fungal medication or suppository.
3) Recovery period after the Mons Pubis Reduction
- Recovery varies with each woman. You may return to work after 5-7 days of the surgery. Moreover, you should follow the physician’s appointment for follow up examination or treatment.
- Within 2 weeks after the Mons Pubis Reduction, tissues are beginning to produce and form new blood capillaries and the surgical wound are expected to start healing. You may start your daily activities gradually.
- Within 2-4 weeks after the Mons Pubis Reduction, the surgical wound is expected to heal appropriately, you may start your usual activities gradually, and strenuous physical activities should be limited.
- After 4 weeks of the Mons Pubis Reduction, you may resume your usual activities. Relaxing exercises and lifting light weights are permitted. However, you should refrain from running, soaking in the bathtub, swimming, heavy lifting, cycling, other heavy activities, and sexual intercourse for 6-8 weeks after the surgery.
4) Suture removal after the Mons Pubis Reduction
- The material (s) used is the suture which dissolves slowly (within 4-6 weeks). However, for some women, the suture takes longer than 6 weeks to completely dissolve, consequently causing irritation. For women who experience itching caused by the dissolving sutures and the process of healing, they will be prescribed antihistamine to control the itching.
5) Appointment after the Mons Pubis Reduction
Dr. Vitasna will have a post-operative appointment in 1-2 weeks after the Mons Pubis Reduction or as appropriate. Please do not hesitate to contact us with any questions or concerns.