Perineal Tears. Obstetrics & Gynaecology Women & Children s Group

Size: px
Start display at page:

Download "Perineal Tears. Obstetrics & Gynaecology Women & Children s Group"

Transcription

1 Perineal Tears Obstetrics & Gynaecology Women & Children s Group This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries that you may have.

2 You have been given this leaflet because you have had a tear during the birth of your baby. What is a perineal tear? Many women, 8-9 out of 10 (85%), have a tear during childbirth. Tears usually occur in the perineum, which is the area between the vagina and the anus (back passage). The tear, which is usually due to overstretching of the soft tissue of the birth canal, may vary in severity and may be identified as follows: 1st degree tears these are small, involving the skin only, which may heal naturally. Some women do not require stitches. 2nd degree tears these are slightly deeper, affecting the perineal muscles as well as the skin. All second degree tears require stitches. For some women (1-9%) the tear may be more extensive, involving the muscle around the anus (the anal sphincters) and/or the lining of the back passage. 3rd degree tears this involves the vaginal wall, and the perineum to the anal sphincter (the muscle that controls the back passage). 4th degree tears As a 3rd degree tear but with damage to the lining of the bowel. Is an episiotomy different to a tear? Yes an episiotomy is a deliberate cut made by a doctor/midwife to increase the outlet space for the delivery of the baby. The cut is made through the vaginal wall and perineum. A tear happens as the baby stretches the vagina during birth. Research has shown that although an episiotomy makes more space for the baby to be born, it does not prevent a 3rd or 4th degree tear from happening. Why did I tear? Although there are known risk factors with perineal tears, in many cases there is no clear reason. Your chance of developing a perineal tear is increased when: You have a large baby (> 4kg or 8lbs 13oz) It is your first vaginal delivery Labour is induced Second stage of labour is longer than 1 hour You have an assisted delivery (forceps or ventouse) Your baby s shoulder gets stuck behind your pubic bone Could the tear have been prevented? Sometimes perineal massage in the antenatal period may reduce your risk of tearing in labour. Unfortunately, there are no medical interventions available during childbirth to prevent a third or fourth degree tear from occurring and it is very difficult to predict when they might happen. How are tears treated? Tears especially 2nd, 3rd and 4th degree tears are treated by surgery. If your doctor/midwife suspects a tear a thorough examination will be performed and a discussion of the findings and options of treatment will be discussed with you. The usual pathway of repair is surgery (stitching).

3 Surgery These tears require specially trained healthcare personnel to repair them immediately after childbirth. Your midwife is the most likely person to suture a 1st or 2nd degree tear. The repair for third and fourth degree tears is carried out in theatre and will require anaesthesia; usually an epidural or spinal but occasionally a general anaesthetic may be required. 3rd or 4th degree tears are sutured by Senior Doctors. Medication Following surgery you may require certain medication, which will include: Antibiotics you will be given antibiotics to reduce the risk of infection. It is vital that you complete the course. Painkillers you will be offered painkillers to ease your discomfort, such as paracetamol, ibuprofen or diclofenac. Laxatives These should be used for at least ten days and help soften your stools. This makes it more comfortable to open your bowels which reduce the strain on the stitches. What should I be doing? Bowel Care Keep the perineum clean. Have a shower or bath daily (you do not need to add anything special to the water); wash your hands before and after changing your sanitary towels or using the toilet. It is important that you avoid constipation. In order to do so the following advice may be helpful: Drink 2-3 litres of water a day. Eat a healthy balanced diet with plenty of fibre. Empty your bowel as soon as you get the urge. Use a sanitary towel to support your perineum when going to the toilet. Passing urine Some women find that it is uncomfortable to pass urine whilst their wound is healing. Passing urine in the bath or pouring warm water over your perineum whilst trying to pass urine often eases this discomfort. If you have had a 3rd or 4th degree tear repaired, you may have a drip in your arm to give you fluids and a catheter (tube) in your bladder. The catheter is important as you may not feel the need to pass urine initially, but it stops your bladder getting over full. When your catheter is removed (usually the next day) you may be asked to keep a chart recording how much fluid you drink and how much urine you pass. Pelvic floor exercises Pelvic floor muscles wrap around the underside of your bladder and bowel. They are important for controlling bowel and bladder function. Pregnancy and tearing weaken these muscles meaning they cannot carry out their function. Doing these exercises aids the healing process by increasing the circulation of blood to the area. It is important that you perform physiotherapy and pelvic floor advice for 6-12 weeks after birth. You will be given a separate leaflet for these exercises.

4 Breastfeeding None of the treatments will prevent you from breastfeeding. Your follow up appointment You should be seen by the obstetric team at the hospital 6-12 weeks after giving birth. They will check your stitches and make sure your wound is healing. You will be asked about your bowel and urinary habits. You should tell the doctor about any other concerns you may have, including sexual intercourse. If there are any complications, you may be referred to a specialist. Can I have sexual intercourse? Many women experience reduced libido after giving birth this is normal. There is no right time for sex; however, it may be best to wait until your stitches have fully healed and bleeding has stopped. Make sure that you have arranged contraception before you begin to have intercourse again as you can conceive straight away. Some women find that they may need to use a vaginal lubricant initially and try different positions that may make it more comfortable. If you are worried about starting to have sex again, make sure that you talk to your partner, and start gently. Will I be able to have another vaginal delivery? This depends on a number of factors. A lot of women do go on to give birth vaginally following 3rd and 4th degree tears, however, you should receive counselling from your doctor before making any decisions. If you still have symptoms associated with your tear, you may be offered a caesarean section to reduce the risk of further problems occurring. If your tear has healed properly and you have no symptoms a vaginal birth is an appropriate option. Are there any long term effects? Most 3rd and 4th degree tears will heal in time but you might experience some of the following: Pain and soreness in the perineum Inability to control flatulence (breaking wind) Problems with your bowels including leakage, urgency and lack of control Haemorrhoids Apprehensive towards sex Concerned about future deliveries Fistula (connection) between the anus and the vagina after the repair has healed. This is uncommon and can be repaired by further surgery When should I contact a Midwife/Doctor? Contact your doctor or midwife if any of the following occur: If your pain is not well managed If you become concerned about your stitches or there is any discharge If you suspect you have a fever If you keep having to rush to the toilet to open your bowels If you cannot control your bowels or flatulence

5 If you have any other concerns or worries do not hesitate to contact your midwife or GP. Useful telephone numbers: Scunthorpe General Hospital Antenatal Clinic: Pregnancy Assessment Centre Diana Princess of Wales Hospital, Grimsby Antenatal Clinic: Antenatal Day Assessment Unit: Goole Midwifery Centre ext Concerns and Queries If you have any concerns / queries about any of the services offered by the Trust, in the first instance, please speak to the person providing your care. For Diana, Princess of Wales Hospital Alternatively you can contact the Patient Advice and Liaison Service (PALS) on (01472) or at the PALS office which is situated near the main entrance. For Scunthorpe General Hospital Alternatively you can contact the Patient Advice and Liaison Service (PALS) on (01724) or at the PALS office which is situated on C Floor. Alternatively you can nlg-tr.pals@nhs.net Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Diana Princess of Wales Hospital Scartho Road Grimsby Scunthorpe General Hospital Cliff Gardens Scunthorpe Goole & District Hospital Woodland Avenue Goole Date of issue: September 2013 Review Period: September 2016 Author: Ward Manager (CDS) IFP-559 v1.1 NLGHFT 2013

Patient Advice for Third & Fourth Degree Tears

Patient Advice for Third & Fourth Degree Tears Patient Advice for Third & Fourth Degree Tears Please read this leaflet carefully. It is important that you take note of any instructions or advice given. If you have any questions or problems that are

More information

Care of your Perineum following 3 rd and 4 th degree tears

Care of your Perineum following 3 rd and 4 th degree tears Maternity Services Care of your Perineum following 3 rd and 4 th degree tears Introduction This leaflet aims to give you information about the repair and aftercare of the third or fourth degree tear you

More information

Inguinal Hernia Repair Advice for parents/carers

Inguinal Hernia Repair Advice for parents/carers Inguinal Hernia Repair Advice for parents/carers Children s Services Women & Children s Group This leaflet has been designed to give you important information about your child s inguinal hernia and to

More information

Rectal Surgery. Day Surgery Surgery and Critical Care

Rectal Surgery. Day Surgery Surgery and Critical Care Rectal Surgery Day Surgery Surgery and Critical Care This leaflet has been designed to give you important information about your condition/procedure, and to answer some common queries that you may have.

More information

Maternity Information Leaflet. Care of the Perineum (including Pelvic Floor Exercises) Version 2

Maternity Information Leaflet. Care of the Perineum (including Pelvic Floor Exercises) Version 2 Maternity Information Leaflet Care of the Perineum (including Pelvic Floor Exercises) Version 2 Pelvic Floor Exercises The pelvic floor muscles are located between your legs, and run from your pubic bone

More information

Physiotherapy advice following your third or fourth degree perineal tear

Physiotherapy advice following your third or fourth degree perineal tear Further sources of information NHS Choices: www.nhs.uk/conditions Our website: www.sfh-tr.nhs.uk INFORMATION FOR PATIENTS Patient Experience Team (PET) PET is available to help with any of your compliments,

More information

Intermittent Self-Catheterisation / Catheterisation Continence Advisory Service Community & Therapy Services North Lincolnshire

Intermittent Self-Catheterisation / Catheterisation Continence Advisory Service Community & Therapy Services North Lincolnshire Intermittent Self-Catheterisation / Catheterisation Continence Advisory Service Community & Therapy Services North Lincolnshire This leaflet has been designed to give you important information about Intermittent

More information

Pyloric Stenosis Advice for Parents & Carers

Pyloric Stenosis Advice for Parents & Carers Pyloric Stenosis Advice for Parents & Carers Children s Services The aim of this leaflet is to provide you as carers or parents all the relevant information regarding Pyloric Stenosis and answer some common

More information

Further information You can get more information and share your experience at

Further information You can get more information and share your experience at CR08 Lateral Internal Sphincterotomy Further information You can get more information and share your experience at www.aboutmyhealth.org Local information You can get information locally from: Taunton

More information

Gastroscopy with Radiofrequency Ablation (RFA) for Oesophageal Dysplasia

Gastroscopy with Radiofrequency Ablation (RFA) for Oesophageal Dysplasia Gastroscopy with Radiofrequency Ablation (RFA) for Oesophageal Dysplasia General Surgery Surgery & Critical Care Diana, Princess of Wales Hospital, Grimsby This leaflet has been designed to give you important

More information

Inguinal Hernia Repair Advice for Parents / Carers

Inguinal Hernia Repair Advice for Parents / Carers Inguinal Hernia Repair Advice for Parents / Carers Name: Who to contact and how: Notes: Diana, Princess of Wales Scartho Road Grimsby DN33 2BA Scunthorpe General Hospital Cliff Gardens Scunthorpe DN15

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Haemorrhoids. Day Surgery Unit

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Haemorrhoids. Day Surgery Unit Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Haemorrhoids Day Surgery Unit What are haemorrhoids? The anal canal (back passage) contains cushions of tissue at the top of

More information

OG24 Posterior Repair

OG24 Posterior Repair www.rcseng.ac.uk www.rcsed.ac.uk www.pre-op.org OG24 Posterior Repair Expires end of February 2018 Issued May 2017 What is a posterior prolapse? A posterior prolapse is a bulge in the back wall of your

More information

Physiotherapy advice following your vaginal birth

Physiotherapy advice following your vaginal birth Further sources of information NHS Choices: www.nhs.uk/conditions Our website: www.sfh-tr.nhs.uk INFORMATION FOR PATIENTS Patient Experience Team (PET) PET is available to help with any of your compliments,

More information

Stretching and Positioning Regime for Upper Limb

Stretching and Positioning Regime for Upper Limb Stretching and Positioning Regime for Upper Limb Physiotherapy Department Community & Therapy Services This leaflet has been designed to remind you of the exercises you have been taught, the correct techniques

More information

Febrile Convulsions (Fever Fits)

Febrile Convulsions (Fever Fits) Febrile Convulsions (Fever Fits) Children s Services Women & Children s Services This leaflet has been designed to give you important information about your condition / procedure, and to answer some common

More information

Haemorrhoidectomy. Colorectal Surgery. Patient Information

Haemorrhoidectomy. Colorectal Surgery. Patient Information Haemorrhoidectomy Colorectal Surgery Patient Information What are haemorrhoids? Haemorrhoids, also know as piles, are soft fleshy lumps just inside the back passage (anus). They have a rich blood supply

More information

Anterior Sphincter Repair Operation

Anterior Sphincter Repair Operation Anterior Sphincter Repair Operation How will the operation help me? The investigations that you have had indicate that your anal sphincter is damaged or very weak, and this is why you are having trouble

More information

Taking care of your perineum before, during and after birth

Taking care of your perineum before, during and after birth Taking care of your perineum before, during and after birth A Parent Information Leaflet Where is is my my perineum and and what what happens happens during childbirth? during childbirth? Your perineum

More information

Coronary Angioplasty Discharge Information

Coronary Angioplasty Discharge Information Coronary Angioplasty Discharge Information Cardiology Services Medicine This leaflet has been designed to give you important information following your coronary angioplasty. It also contains advice on

More information

Having a Regional Anaesthetic Surgery and Critical Care Directorate of Operations

Having a Regional Anaesthetic Surgery and Critical Care Directorate of Operations Having a Regional Anaesthetic Surgery and Critical Care Directorate of Operations Information for patients about spinals, epidurals and nerve blocks. This information leaflet will be given to you by a

More information

Information for Patients/Relatives/Carers on how to prevent pressure ulcers ( bedsores ) Tissue Viability Chief Nurse

Information for Patients/Relatives/Carers on how to prevent pressure ulcers ( bedsores ) Tissue Viability Chief Nurse Information for Patients/Relatives/Carers on how to prevent pressure ulcers ( bedsores ) Tissue Viability Chief Nurse This leaflet has been designed to give you important information and to answer some

More information

Asthma in Children & Young People Advice for parents/carers

Asthma in Children & Young People Advice for parents/carers Asthma in Children & Young People Advice for parents/carers Nursing & Patient Services Children s Services This leaflet has been designed to give you important information about your child s condition,

More information

Uterus (Womb) Rectum. Another problem could be the sensation of something coming down at the birth canal or back passage (prolapse).

Uterus (Womb) Rectum. Another problem could be the sensation of something coming down at the birth canal or back passage (prolapse). Pelvic Floor Exercises for Women Physiotherapy Department Continence Service Introduction This leaflet tells you how to exercise and strengthen your pelvic floor muscles. These muscles form a broad sling

More information

Information about Your Child's MRI Scan

Information about Your Child's MRI Scan Information about Your Child's MRI Scan MRI Department Clinical Support Services Diana Princess of Wales Hospital, Grimsby This leaflet has been designed to give you important information about your condition

More information

Discharge information for patients Fistula plug for anal fistula

Discharge information for patients Fistula plug for anal fistula Discharge information for patients Fistula plug for anal fistula Clinical Sciences Building Colorectal Surgery 0161 206 1249 All Rights Reserved 2017. Document for issue as handout.. What is an anal fistula?

More information

Pain Relief in Labour Epidurals and Spinals

Pain Relief in Labour Epidurals and Spinals Pain Relief in Labour Epidurals and Spinals Information for woman Maternity Services For more information, please contact: Anaesthetics Department Telephone Scarborough: 01723 385202 Telephone York: 01904

More information

Delorme s Operation For Rectal Prolapse

Delorme s Operation For Rectal Prolapse Delorme s Operation For Rectal Prolapse Patient Information Colorectal Surgery Author ID: NM Leaflet Number: Surg 045 Version: 3.1 Name of Leaflet: Delorme s Operation for Rectal Prolapse Date Produced:

More information

Returning to fitness after birth

Returning to fitness after birth Returning to fitness after birth This leaflet is designed for all women, whether you have given birth vaginally or by Caesarean section. During pregnancy your body undergoes many changes to adapt to your

More information

Going home after major gynaecological surgery. Information for patients Gynaecology

Going home after major gynaecological surgery. Information for patients Gynaecology Going home after major gynaecological surgery Information for patients Gynaecology Discharge advice following your surgery You have had a major operation. This booklet gives some useful advice about what

More information

Patient Information Leaflet

Patient Information Leaflet Patient Information Leaflet Your Haemorrhoid Operation What are haemorrhoids? Everyone has swellings in the anal canal (back passage) called anal cushions. These bulges in the lining of the anal canal

More information

Pelvic organ prolapse. Information for patients Continence Service

Pelvic organ prolapse. Information for patients Continence Service Pelvic organ prolapse Information for patients Continence Service What is a pelvic organ prolapse? A pelvic organ prolapse occurs when the uterus (womb), vagina, bladder or bowel slips out of place, resulting

More information

Patient Information Leaflet

Patient Information Leaflet Patient Information Leaflet Haemorrhoid Operation What are haemorrhoids? Everyone has swellings in the anal canal (back passage) called anal cushions. These bulges in the lining of the anal canal act like

More information

Going home after major gynaecological surgery. Information for patients Gynaecology

Going home after major gynaecological surgery. Information for patients Gynaecology Going home after major gynaecological surgery Information for patients Gynaecology page 2 of 16 Discharge advice following your surgery You have had a major operation. This booklet gives some useful advice

More information

Treating your prolapse

Treating your prolapse Treating your prolapse This leaflet explains what a prolapse is, and how it can be treated and managed. If you have any questions or concerns, please speak to a doctor or nurse caring for you. What is

More information

Regional Anaesthetic for Arm and Hand Operations (Upper Limb Surgery)

Regional Anaesthetic for Arm and Hand Operations (Upper Limb Surgery) Regional Anaesthetic for Arm and Hand Operations (Upper Limb Surgery) Surgery & Critical Care Directorate of Operations Diana Princess of Wales Hospital, Grimsby This leaflet explains what to expect when

More information

Abnormal Smear (Cytology) Results What do they mean?

Abnormal Smear (Cytology) Results What do they mean? Abnormal Smear (Cytology) Results What do they mean? Obstetrics & Gynaecology Women & Children s Services This leaflet has been designed to give you important information about your condition / procedure,

More information

Bright-red bleeding: If you have piles, you might see bright-red bleeding on the toilet paper, in the toilet bowl or on the surface of the faeces.

Bright-red bleeding: If you have piles, you might see bright-red bleeding on the toilet paper, in the toilet bowl or on the surface of the faeces. What are haemorrhoids/piles? In the inner lining of the anus there are three haemorrhoidal cushions of tissue, which help to seal the anus and contribute to the control of the bowels (continence). Often,

More information

Gynaecology Department Patient Information Leaflet

Gynaecology Department Patient Information Leaflet Vaginal repair Gynaecology Department Patient Information Leaflet Introduction This leaflet gives information about vaginal repair surgery used to treat a vaginal prolapse. The leaflet explains what a

More information

Tension-free Vaginal Tape (TVT)

Tension-free Vaginal Tape (TVT) Page 1 of 7 Tension-free Vaginal Tape (TVT) Introduction This leaflet will provide you with basic information about the Tension--free Vaginal Tape (TVT) procedure. What is a TVT? TVT is an operation to

More information

Elective DC Cardioversion

Elective DC Cardioversion Elective DC Cardioversion Cardiology Medicine This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries that you may have. Introduction

More information

Permanent Pacemaker Implantation / Box Change - A Guide to the Procedure

Permanent Pacemaker Implantation / Box Change - A Guide to the Procedure Permanent Pacemaker Implantation / Box Change - A Guide to the Procedure Cardiology Department Medicine Forms to be sent out with this information leaflet ECG (green form), blood test and admission form.

More information

There are many types of pelvic floor repair that may have been called:

There are many types of pelvic floor repair that may have been called: Pelvic floor repair This information explains: Overview... 1 Your admission Date... 2 The Anaesthetic... 2 The Repair Operation... 2 After the Operation... 2 Going home... 3 Getting back to Normal... 3

More information

POSTNATAL EXERCISES & ADVICE. Physiotherapy Department

POSTNATAL EXERCISES & ADVICE. Physiotherapy Department POSTNATAL EXERCISES & ADVICE Physiotherapy Department This booklet provides advice and exercises to help you to get back to normal after the birth or your baby. Rest: After having your baby it is important

More information

EXERCISE and ADVICE. after pregnancy

EXERCISE and ADVICE. after pregnancy EXERCISE and ADVICE after pregnancy Contents Introduction...1 Comfort...2 Activity in the early days...3 Caesarean section operation...3 Exercises...4 Regaining your physical well-being...7 Contact information...ibc

More information

Laparoscopic Ventral Mesh Rectopexy

Laparoscopic Ventral Mesh Rectopexy Laparoscopic Ventral Mesh Rectopexy (LVMR) Information for patients General Surgery What is a LVMR? A laparoscopic ventral mesh rectopexy (LVMR) is an operation in which the rectum (last part of the bowel)

More information

Pelvic Girdle Pain (PGP) for Patients Undergoing Physiotherapy

Pelvic Girdle Pain (PGP) for Patients Undergoing Physiotherapy Pelvic Girdle Pain (PGP) for Patients Undergoing Physiotherapy Name: Notes: Diana, Princess of Wales Scartho Road Grimsby DN33 2BA 03033 306999 www.nlg.nhs.uk Scunthorpe General Hospital Cliff Gardens

More information

Maternity Information Leaflet

Maternity Information Leaflet Maternity Information Leaflet Recovery following your Caesarean Section This leaflet provides information to help you recover following a Caesarean Section (CS) birth. Recovery after a CS may take a little

More information

Fundus Fluorescein Angiography Indocyanine Green Angiography

Fundus Fluorescein Angiography Indocyanine Green Angiography Fundus Fluorescein Angiography Indocyanine Green Angiography Clinical Support Services This booklet has been designed to give you some useful information, advice and to answer some commonly asked questions

More information

Vulval Biopsy / Vulval Surgery

Vulval Biopsy / Vulval Surgery Vulval Biopsy / Vulval Surgery Gynaecology What is the vulva? The vulva is the outer, visible part of the genitalia. It includes the clitoris, the labia (the outer and inner lips that surround the vagina),

More information

Anorectal physiology test

Anorectal physiology test Anorectal physiology test We hope this factsheet will help to answer some of your questions about having an anorectal physiology test. If you have any further questions or concerns, please don t hesitate

More information

Pelvic Floor Exercises

Pelvic Floor Exercises Pelvic Floor Exercises Physiotherapy Department Patient information leaflet Up to a third of women experience a problem with their pelvic floor muscles at some point during their life. The muscles can

More information

Sacrocolpopexy. Department of Gynaecology. Patient Information

Sacrocolpopexy. Department of Gynaecology. Patient Information Sacrocolpopexy Department of Gynaecology 2 Patient Information What What is is a a sacrocolpopexy? This is an operation carried out to correct prolapse of the vaginal vault in patients who had a hysterectomy.

More information

Third & Fourth Degree Tears guideline (GL926)

Third & Fourth Degree Tears guideline (GL926) Third & Fourth Degree Tears guideline (GL926) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee Chair, Maternity Clinical Governance

More information

Delormes Operation for Rectal Prolapse

Delormes Operation for Rectal Prolapse Delormes Operation for Rectal Prolapse Your Questions Answered What is a rectal prolapse? A rectal prolapse occurs when the normal supports of the rectum become weakened, allowing the muscle of the rectum

More information

Patient Information. Tension Free Vaginal/ Obturator Tape (TVT) Royal Devon and Exeter NHS Foundation Trust

Patient Information. Tension Free Vaginal/ Obturator Tape (TVT) Royal Devon and Exeter NHS Foundation Trust Tension Free Vaginal/Obturator Tape (TVT) Royal Devon and Exeter NHS Foundation Trust Patient Information Tension Free Vaginal/ Obturator Tape (TVT) Reference Number: CW 08 011 003 (version date: September

More information

Vesico-Vaginal Fistula

Vesico-Vaginal Fistula Information for Patients Vesico-Vaginal Fistula Saint Mary s Hospital/Trafford General Hospiatl Uro-gynaecology Service What is a vesico-vaginal fistula? A vesico-vaginal fistula is an abnormal connection

More information

Trans Urethral Resection of Bladder Tumour

Trans Urethral Resection of Bladder Tumour Trans Urethral Resection of Bladder Tumour Department of Urology 2 Patient Information Contents Where is the bladder and what does it do? 3 What is non invasive cancer of the bladder? 4 How is bladder

More information

EXERCISE and ADVICE. after the loss of your baby

EXERCISE and ADVICE. after the loss of your baby EXERCISE and ADVICE after the loss of your baby Contents Introduction... 2 Comfort... 3 Activity in the early days... 4 Caesarean delivery... 5 Exercises... 6 Regaining your physical well being... 10 Contact

More information

Surgical treatment of urinary stress incontinence with tension free vaginal tape

Surgical treatment of urinary stress incontinence with tension free vaginal tape Surgical treatment of urinary stress incontinence with tension free vaginal tape Gynaecology department 01935 384 385 yeovilhospital.nhs.uk Many surgical operations are available for the treatment of

More information

Burch Colposuspension

Burch Colposuspension Burch Colposuspension Department of Gynaecology Patient Information What is is botulinum Burch colposuspension? toxin A? The operation is intended to support the bladder neck, which is the area between

More information

Post Natal Exercises

Post Natal Exercises York Teaching Hospital NHS Foundation Trust Post Natal Exercises Taking care of yourself For more information, please contact: Women s Health Physiotherapy Scarborough Hospital: 01723 342259 Woodlands

More information

Haemorrhoidectomy. Mr. Sanjay Singh MBBS, MS, FRACS, FRCS (UK) Consultant Surgeon 2-4 Charles Street MOGO NSW 2536 Tel: Fax:

Haemorrhoidectomy. Mr. Sanjay Singh MBBS, MS, FRACS, FRCS (UK) Consultant Surgeon 2-4 Charles Street MOGO NSW 2536 Tel: Fax: www.mogodaysurgery.com.au Mr. Sanjay Singh MBBS, MS, FRACS, FRCS (UK) Consultant Surgeon 2-4 Charles Street MOGO NSW 2536 Tel: 02 4474 3774 Fax: 02 4474 3775 Write questions or notes here: Haemorrhoidectomy

More information

Information for men considering a male sling procedure UHB is a no smoking Trust

Information for men considering a male sling procedure UHB is a no smoking Trust Information for men considering a male sling procedure UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm Introduction

More information

Diabetes in pregnancy

Diabetes in pregnancy Diabetes in pregnancy Patient information This leaflet provides information about gestational diabetes during pregnancy and delivery. Sometimes women who are not known to have diabetes develop it during

More information

Introduction to CT Colonography CT Department Diagnostics & Therapeutics

Introduction to CT Colonography CT Department Diagnostics & Therapeutics Introduction to CT Colonography CT Department Diagnostics & Therapeutics This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries

More information

Tension Free vaginal tape. Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD

Tension Free vaginal tape. Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD Tension Free vaginal tape Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD What is a TVT procedure? A TVT (Tension Free Vaginal Tape) procedure is an operation

More information

Patient Information Leaflet. Treating Rectal Prolapse Delormes Operation

Patient Information Leaflet. Treating Rectal Prolapse Delormes Operation Patient Information Leaflet Treating Rectal Prolapse Delormes Operation Treating Rectal Prolapse - Delormes operation What is a rectal prolapse? A rectal prolapse occurs when the normal supports of the

More information

Kent Oncology Centre

Kent Oncology Centre Kent Oncology Centre High Dose Rate Intracavitary Gynaecological Brachytherapy Information for patients We hope this leaflet will help you to understand about brachytherapy (internal radiotherapy) to the

More information

Gynaecology Department Patient Information Leaflet

Gynaecology Department Patient Information Leaflet Vaginal pessaries Gynaecology Department Patient Information Leaflet Introduction We have developed this information leaflet to answer some commonly-asked questions about what a vaginal pessary is, how

More information

After care following insertion of suprapubic catheter

After care following insertion of suprapubic catheter After care following insertion of suprapubic catheter Other formats If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast, British Sign

More information

Colposuspension operation

Colposuspension operation Colposuspension operation This information explains: Overview... 1 Your admission date... 1 The operation... 2 The anaesthetic... 2 After the operation... 3 Problems... 3 Going home... 4 Getting back to

More information

Meningitis and Septicaemia

Meningitis and Septicaemia Meningitis and Septicaemia Name: Who to contact and how: Notes: Diana, Princess of Wales Scartho Road Grimsby DN33 2BA 03033 306999 www.nlg.nhs.uk Scunthorpe General Hospital Cliff Gardens Scunthorpe DN15

More information

Welcome to the Community Dental Service Community Dental Community & Therapy Services Scunthorpe

Welcome to the Community Dental Service Community Dental Community & Therapy Services Scunthorpe Welcome to the Community Dental Service Community Dental Community & Therapy Services This leaflet has been designed to provide important information for patients, relatives, carers and visitors about

More information

gives you e through and Once referred we advice three separation stomach. pelvic pain following Leaflet namee

gives you e through and Once referred we advice three separation stomach. pelvic pain following Leaflet namee Helping your body get back to normal Introduction Congratulations on the birth of your baby! We hope you are a recovering well and hope this booklet gives you some practical advice and exercises to strengthenn

More information

Goole & District Hospital Woodland Avenue Goole DN14 6RX

Goole & District Hospital Woodland Avenue Goole DN14 6RX Cataract Surgery Name: Who to contact and how: Notes: Diana, Princess of Wales Scartho Road Grimsby DN33 2BA 03033 306999 www.nlg.nhs.uk Scunthorpe General Hospital Cliff Gardens Scunthorpe DN15 7BH 03033

More information

Urology Department Percutaneous Nephrolithotomy (PCNL)

Urology Department Percutaneous Nephrolithotomy (PCNL) Urology Department Percutaneous Nephrolithotomy (PCNL) Your consultant has diagnosed that you have a problem with kidney stones and has recommended that you have an operation called a percutaneous nephrolithotomy

More information

Leaving Hospital with a Stoma

Leaving Hospital with a Stoma Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Leaving Hospital with a Stoma General Surgery Contents What is this leaflet all about? 3 What stoma equipment am I using? 3-4

More information

What is Endometriosis?

What is Endometriosis? What is Endometriosis? Obstetrics & Gynaecology Women & Children s Services This leaflet has been designed to give you important information about your condition / procedure, and to answer some common

More information

Laser Trans Urethral Resection of Prostate (TURP)

Laser Trans Urethral Resection of Prostate (TURP) Laser Trans Urethral Resection of Prostate (TURP) Department of Urology Information for patients i Introduction The prostate is a small gland, which is found only in men. It is found at the base of the

More information

Laparoscopy. Department of Gynaecology. Patient information

Laparoscopy. Department of Gynaecology. Patient information Laparoscopy Department of Gynaecology Patient information What is is a a laparoscopy? A laparoscopy is an operation performed under general anaesthetic to help your gynaecologist make a diagnosis by looking

More information

Kelly procedure. How does the urinary system work? What is a Kelly procedure and why does my child need one?

Kelly procedure. How does the urinary system work? What is a Kelly procedure and why does my child need one? Great Ormond Street Hospital for Children NHS Foundation Trust: Information for Families Kelly procedure This information sheet from Great Ormond Street Hospital (GOSH) explains the Kelly procedure used

More information

Knee joint arthroscopy

Knee joint arthroscopy Critical Care, Theatres & Diagnostics Knee joint arthroscopy Information for patients This booklet answers some of the questions you may have about having a knee joint arthroscopy. It explains the risks

More information

Families Unit Division

Families Unit Division Families Unit Division Sub-Urethral Tape Procedure Operations Patient Information Leaflet Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please

More information

Intermittent self catheterisation (ISC) Information for patients Gynaecology

Intermittent self catheterisation (ISC) Information for patients Gynaecology Intermittent self catheterisation (ISC) Information for patients Gynaecology page 2 of 8 What is ISC? Intermittent self catheterisation (ISC) is a simple technique where a narrow tube (catheter) is inserted

More information

Urinary tract infection

Urinary tract infection Urinary tract infection Hascombe Ward Patient information leaflet Understanding the urinary tract There are two kidneys, one on each side of the abdomen. They make urine which drains down the ureters into

More information

THE PELVIC FLOOR, EPISIOTOMY AND PERINEAL REPAIR AND VAGINAL/RECTAL MEDICATIONS

THE PELVIC FLOOR, EPISIOTOMY AND PERINEAL REPAIR AND VAGINAL/RECTAL MEDICATIONS THE PELVIC FLOOR, EPISIOTOMY AND PERINEAL REPAIR AND VAGINAL/RECTAL MEDICATIONS MID2010 LEARNING OBJECTIVE 1 - REVIEW THE ANATOMY OF THE PELVIC FLOOR Superficial layers cavernosus Deep layer Coccygeus

More information

You and Your Anaesthetic Anaesthetics Directorate of Operations

You and Your Anaesthetic Anaesthetics Directorate of Operations You and Your Anaesthetic Anaesthetics Directorate of Operations This leaflet has been designed to provide information to help patients prepare for an anaesthetic. Introduction This leaflet gives basic

More information

Radiotherapy to the pelvis. (bladder, prostate, rectum)

Radiotherapy to the pelvis. (bladder, prostate, rectum) Radiotherapy to the pelvis (bladder, prostate, rectum) General advice Everyone having radiotherapy is different. Your treatment is specific to you and so is the way you react to treatment. If you are worried

More information

Discharge advice following diagnostic and operative laparoscopy

Discharge advice following diagnostic and operative laparoscopy Discharge advice following diagnostic and operative laparoscopy Exceptional healthcare, personally delivered Laparoscopy is a key-hole operation. A diagnostic laparoscopy is when we look inside your tummy

More information

Laparoscopic Ventral. Mesh Rectopexy (LVMR)

Laparoscopic Ventral. Mesh Rectopexy (LVMR) Laparoscopic Ventral Mesh Rectopexy (LVMR) Questions & Answers GLASGOW COLORECTAL CENTRE Ross Hall Hospital 221 Crookston Road Glasgow G52 3NQ e-mail: info@colorectalcentre.co.uk Ph: Main hospital switchboard

More information

Trans urethral resection of prostate (TURP)

Trans urethral resection of prostate (TURP) Trans urethral resection of prostate (TURP) Information for patients Urology PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST What is the prostate? Only men have a prostate

More information

Your Bowel Operation Hartmanns Procedure

Your Bowel Operation Hartmanns Procedure Your Bowel Operation Hartmanns Procedure Introduction You are having an operation called Hartmanns Procedure and this booklet aims to help you to understand your condition and this operation. The nurses

More information

Cryotherapy for localised prostate cancer

Cryotherapy for localised prostate cancer Cryotherapy for localised prostate cancer Introduction This leaflet is written for patients and their family. It provides information on prostate cryotherapy for prostate cancer which has not previously

More information

Bladder neck bulking injection. Information for patients Gynaecology

Bladder neck bulking injection. Information for patients Gynaecology Bladder neck bulking injection Information for patients Gynaecology What is a bladder neck bulking agent? It is a treatment option for stress urinary incontinence in women. What are the benefits of this

More information

Look Good Feel Good. after pregnancy. Physiotherapy advice and exercises for new mums

Look Good Feel Good. after pregnancy. Physiotherapy advice and exercises for new mums Look Good Feel Good after pregnancy Physiotherapy advice and exercises for new mums How to exercise after pregnancy with physiotherapy Bowel Tail Bone Uterus Bladder Pubic Bone Pelvic Floor Muscles Urethra

More information

Treating your enlarged prostate gland using holmium laser enucleation of the prostate (HoLEP)

Treating your enlarged prostate gland using holmium laser enucleation of the prostate (HoLEP) Treating your enlarged prostate gland using holmium laser enucleation of the prostate (HoLEP) This leaflet will answer any questions you may have about having holmium laser treatment for your enlarged

More information

Laparoscopy. Patient Information. Womens Health

Laparoscopy. Patient Information. Womens Health Laparoscopy Patient Information Womens Health What is a Laparoscopy Laparoscopy is a minimally invasive or key hole surgical procedure performed under general anaesthetic. It enables the surgeon to look

More information

University Hospitals Bristol NHS Foundation Trust NHS. Catheterisation using a Mitrofanoff

University Hospitals Bristol NHS Foundation Trust NHS. Catheterisation using a Mitrofanoff University Hospitals Bristol NHS Foundation Trust NHS Tel: 0117 342 8840 DEPARTMENT OF PAEDIATRIC UROLOGY Fax 0117 342 8845 Bristol Royal Hospital for Children Paul O Gorman Building Family information

More information