Fibroid Center Patient Information

Preoperative instructions for enhanced recovery after surgery.

Prior to Surgery

 

On the day before surgery there are no dietary restrictions and you may eat what you like unless otherwise instructed.

  • Starting at midnight before your surgery, you may continue to drink clear liquids only.
  • You must stop drinking 2 hours prior to arriving to the hospital. If you continue to drink, or drink anything other than water or clear fluids (i.e. Gatorade® or Vitamin Water®) between midnight and 2 hours prior to your surgery, your surgery will be canceled for safety reasons.
  • You will need someone to drive you home after surgery, so please arrange this in advance.

After Care

Pain Relief

 For best pain relief, take ibuprofen (Advil) and acetaminophen (Tylenol) together.

  • Ibuprofen 600 mg, 1 pill every 6 hours, for the first 4 days

After 4 days, continue using the ibuprofen as needed for pain and soreness.

Always take ibuprofen with food.

  • Acetaminophen 325 mg, 2 pills, every 6 hours for 4 days

After 4 days, continue using the Acetaminophen as needed for pain and soreness.

Purchase acetaminophen before surgery; it may also be prescribed.

If you still have pain after taking ibuprofen and acetaminophen:

  • Add Oxycodone 5 mg, 1 or 2 tablets depending on the severity of your pain.

Repeat the oxycodone every 4 hours, as needed for strong pain

--OR--

  • Take medications as instructed by your provider.

For hysteroscopic procedures, you will likely need only ibuprofen or acetaminophen taken as instructed above.

Wound Care

  • If you have a clear bandage and gauze in your belly button, remove it 2 days after surgery 
  • If you have Steri-strips over the incisions, remove them 1 week after surgery. Or, there may be sterile glue over the incisions which will disappear on its own, usually after 1 week. 
  • Shower as usual and pat your abdomen dry with a towel. 
  • Avoid baths, hot tubs, and swimming for 2 weeks.  

Bowel Function 

Constipation is common after surgery, especially if using narcotics. To avoid constipation, it is recommended that you: 

  • Stay well hydrated and eat lots of fruits and vegetables for fiber. 
  • Take Miralax or polyethylene glycol (a mild laxative).  Dissolve 1 packet or 1 capful in 4-8 oz of liquid and take daily until bowel movements are normal. Stop for loose stool. 
  • If you haven't had a bowel movement 5 days after surgery, take a stronger laxative such as magnesium citrate or Milk of Magnesia. 
  • Contact the office if these measures do not work. 

Exercise/Activities 

  • Walking and climbing stairs is fine. 
  • Avoid baths, hot tubs, and swimming for 2 weeks. 
  • Nothing in the vagina for 1 week for hysteroscopy, 2 weeks for myomectomy OR 6 weeks for hysterectomy 
  • It is normal to have vaginal bleeding postoperatively. 

Call for the Following: 

  • Temperature >100.4F 
  • Worsening pain 
  • Multiple episodes of vomiting 
  • Vaginal bleeding ≥1 pad an hour for ≥2 hours 
  • Pain or burning with urination 

Contact Information 

  • For urgent issues, like those listed above, call 415-855-7788. 
  • For post-op questions, call 415-885-7788, weekdays from 8am to 5pm. 
  • For non-urgent messages, email using MyChart. It may take 48 to 72 hours to reply.  

Time-sensitive, post-operative questions? Please call instead of using MyChart: 415-885-7788