Postprocedural Care

After the procedure, the patient is instructed not to leave the outpatient care area without confirming her ability to void after the treatment. Transient urinary retention is a rare complication (<1%) that may sometimes be associated with a temporary sensory nerve deficit from the amount of periurethral lidocaine injected at the start of the procedure rather than actual urethral obstruction from the injection medium and bulking agent. Should the patient be unable to void despite bladder fullness, she is catheterized once in the office and instructed on self-catheterization with a 12-French catheter if needed until near-normal voiding resumes (usually within 24 hours). The use of indwelling urethral catheters should be avoided to prevent molding and displacement of the bulking agent. A one-time prophylactic oral antibiotic is administered at the conclusion of the procedure. Routine over-the-counter oral analgesics are suggested for any rare postoperative urethral discomfort. Although restriction of physical activity or intercourse after the procedure has never been shown to influence the outcome of this therapy, the use of common sense surrounding these issues is encouraged for the first several days after the implant procedure.

The patient is informed that additional injections may be necessary to establish complete urinary continence because of resorption or displacement of the injection medium, injectable bulking agent, or local anesthetic agent. Additional factors include the inability to have achieved complete tissue coaptation or, in some instances, the injectable material leaks or displaces from its implanted site. Repeat injections are usually scheduled with a 4- to 6-week waiting period between sessions to allow for local tissue healing, and depending on the surgeon's preference.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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