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Post-op bearing down to start urine stream–possible ruining of repair? How to tell?
Male, late 50’s, good health. During–post-op recovery (as I was kept overnight since living alone)–after robotic mesh repair by a general surgeon (on August 15th, 2018), I had a lot of IV hydration (2-3 bags within the first few hours and ice chips/water and soda orally but no urinating. I tried to use a urinal while lying down but could not start a stream. I could tell my bladder was full, so I tried to bear down quite a bit–over about 15 minutes–to start a urine stream, until I realized this was not wise–I was still a bit cloudy in thinking from being put under. Of questions please . . . Although I did not feel anything abnormal occur during bearing down (and was able to produce almost a full urinal once I was assisted in standing), (1) I am concerned if I may have torn any stitching with the mesh. (2) Can my surgeon tell (during the upcoming follow up appointment) whether the mesh repair is affected? (3) Is the repaired area still a bit prone to feeling some pushing out when coughing (until the body’s tissue forms with the mesh)? I do feel slightly more pressure (when coughing) over the repaired area than the other side but not as much as before surgery. (4) Will the repaired area, if the mesh is secure, become more strengthened by tissue growing into the mesh, making less pressure felt over time when coughing? (5) Is the repaired area typically a bit noticeably outwardly rounder though smooth (not bulging) as compared to the normal other side? It’s only been a week, of course, so it might be some swelling. (6) Can ultrasound or some other imaging approach be used to determine if everything is progressing properly? To conclude, forum members’ comments on any point is appreciates though comments on how to determine whether repair is intact is most concerning–Thank you very much, as I hope to have some insight when meeting with my surgeon for follow up–Most gratefully, JHue.
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