Discharge Information

Cervical Cone Biopsy

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • Please refrain from sexual intercourse for 4 weeks.
  • You may shower using soap and water as desired but avoid baths for 4 weeks after your procedure.
  • Use a pad for bleeding. Do not use tampons or douches. You may have some light bleeding or spotting for as long as two weeks. One of the most likely times to experience bleeding complications after this procedure is from 8 to 14 days after your surgery. If, at any time, the bleeding becomes abnormally heavy (saturating one pad repeatedly every 15 minutes) please call Dr. Nascimento on pager 07 56765036.
  • Occasionally, there is a yellow to bloody water discharge, or a dark brown dirt-like discharge. This is normal and should be controlled with a pad.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Disturbed menstrual pattern is common. If you are taking the oral contraceptive pill you should continue to take it as usual.
  • Please refrain from heavy lifting or vigorous exercising (aerobics, calisthenics, weight lifting) for 2 weeks.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Severe abdominal or back/flank pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
  • Foul-smelling discharge that persists for more than 3 days.
Diagnostic Laparoscopy

Download Discharge Information (PDF)

Medication:

  • Resume your preoperative routine medications.
  • Take your pain medications and/or antibiotic as explained to you by our nurses.

Constipation:

  • Some changes in your bowels are normal following any surgery including constipation. To prevent this, drink 6-8 glasses of fluids per day, eat high fibre foods, prunes, etc. Metamucil or Coloxyl & Senna are okay. Call during office hours if these methods are ineffective.

Wound Care:

  • You have “glue dressings”, they will peel off in a few days, you can wash and dry normally.
  • It will take up to 6 months for your incision to mature into its final form. Ridges and raised red scars will diminish in time and smooth out.
  • Notify your local doctor or call our rooms if the wound becomes red, irritated, or purulent discharge develops. A small amount of blood or clear discharge is normal initially.
  • Some mild abdominal distention and/or cramping are normal. Occasionally, patients report right shoulder pain. A warm heating pad and walking should relieve the discomfort.

Activity:

  • After surgery, take it easy for a couple of days before resuming your normal routine.
  • No driving at the day of your surgery.
  • There are no restrictions with regards to heavy lifting.
  • It is important to be up and out of bed, walking, but you may fatigue easily and it is important to get enough rest.
  • There is no limit to stair climbing.

Normal Post-Op Changes:

  • You may feel bloated for a few days following your surgery. This will improve with activity.
  • Some abdominal bruising is normal, as is drainage and small bleeding from your incisions.
  • Vaginal bleeding and discharge are normal for up to 6 weeks if you had any uterine manipulation during your procedure.

Follow-up:

  • If not already scheduled, please call our office at your earliest convenience to make an appointment for 2 weeks after your surgery: 07 55645110.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Severe abdominal or back/flank pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
  • Resume your preoperative routine medications.
  • Take your pain medications and/or antibiotic as explained to you by our nurses.
Examination & Biopsies

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone to drive you home.
  • Please refrain from sexual intercourse for the next 3 days.
  • You may shower using soap and water as desired but avoid baths for 7 days after your procedure.
  • Use a pad if any bleeding. You can use tampons if you wish. You may have some light bleeding or spotting for as long as two weeks. If, at any time, the bleeding becomes abnormally heavy (saturating one pad repeatedly every 15 minutes) please call Dr. Nascimento on pager 07 56765036.
  • Occasionally, there is a yellow to bloody water discharge, or a dark brown dirt-like discharge. This is normal and should be controlled with a pad.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Disturbed menstrual pattern is common. If you are taking the oral contraceptive pill you should continue to take it as usual.
  • Please refrain from heavy lifting or vigorous exercising (aerobics, calisthenics, weight lifting) for 7 days.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Severe abdominal or back/flank pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
  • Foul-smelling discharge that persists for more than 3 days.
Groin Lymphadenectomy

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone to drive you home.
  • Please refrain from sexual intercourse for 1 week.
  • You may shower using soap and water as desired but avoid baths for 2 weeks after your procedure.
  • Wound: occasionally, there is a yellow to bloody water discharge, or a dark brown dirt-like discharge. This is normal and should be controlled with your dressing.
  • Wound care: keep your dressings for 48 hours, and then it is ok to peel them off while you are having your shower. If you only have glue dressings, it will peel off by itself in a few days and you don’t have to remove it.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Please refrain from heavy lifting or vigorous exercising (aerobics & weight lifting) for at least 1 week after your surgery. After that you should resume your activities gradually.
  • You have an appointment to see Dr. Nascimento in a couple of weeks’ time. If this has not been organised, please call our rooms and we will do it for you.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Foul-smelling wound discharge that persists for more than 2 days.
  • Progressive swelling on the groin were biopsy was taken in association with pain.
Hysteroscopy and D&C

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home. You may bathe or shower as desired with plain soap and water.
  • You can use a pad or tampons for vaginal bleeding. You may have some light bleeding or spotting for 7-10 days. If vaginal bleeding becomes abnormally heavy (saturating one pad repeatedly every 15 minutes) please contact Dr. Nascimento on pager 07 56765036.
  • Intercourse should be avoided for 48 hours following your procedure.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Disturbed menstrual pattern is common. If you are taking oral contraceptive pill you should continue to take it as usual.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Severe abdominal or back/flank pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Foul-smelling discharge that persists for more than 3 days.
Insertion of Intra-Peritoneal (IP) Port

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • You may shower using plain soap and water as desired. Carefully dry your dressing after shower.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Please refrain from heavy lifting or vigorous exercising (aerobics and weight lifting) for one week.
  • You can remove your dressing on day 3 after your procedure.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Severe abdominal pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
Removal of Intra-peritoneal port

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • You may shower using plain soap and water as desired. Carefully dry your dressing after shower.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Please refrain from heavy lifting or vigorous exercising (aerobics and weight lifting) for one week.
  • You can remove your dressing on day 3 after your procedure.

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Severe abdominal pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.

 

Laparoscopic Surgery

Download Discharge Information (PDF)

Medication:

  • Resume your preoperative routine medications.
  • Take your pain medications and/or antibiotic as explained to you by our nurses.

Constipation:

  • Some changes in your bowels are normal following any surgery. Constipation may last for a couple of weeks after the procedure. To prevent this, drink 6-8 glasses of fluids per day, eat high fibre foods, prunes, etc. Metamucil or Coloxyl with Senna are okay. Call during office hours if these methods are ineffective.

Wound Care:

  • Wound care: keep your dressings for 48 hours, and then it is ok to peel them off while you are having your shower. If you only have glue dressings, they will peel off by themselves in a few days and you don’t have to remove them.
  • No baths or swimming pool exposure for 4 weeks if you had a total laparoscopic hysterectomy (TLH), or for 1 week for any other procedures e.g. removal of cysts, ovary(s).
  • It will take up to 6 months for your incision to mature into its final form. Ridges and raised red scars will diminish in time and smooth out.
  • Notify your local doctor or call the rooms if the wound becomes red, irritated, or purulent discharge develops. A small amount of blood or clear discharge is normal initially.
  • Some mild abdominal distention and/or cramping are normal. Occasionally, patients report right shoulder pain. A warm heating pad and walking should relieve the discomfort.
  • Sutures will dissolve and fall out in 2 to 3 weeks, you don’t have to remove them, just keep them clean and dry.

Activity:

  • After surgery, take it easy for 4 or 5 days before resuming your routine.
  • No driving for a week after surgery or while you are on prescription pain medications. Please make sure your health insurance company is going to cover you when you start driving.
  • It is important to be up and out of bed, walking, but you may fatigue easily. It is important to get enough rest.
  • There is no limit to stair climbing.
  • Limit yourself to light housework (i.e., dusting) for 1 week.
  • No intercourse for 8 weeks if you had a Total Laparoscopic Hysterectomy and for 2 weeks if you had any other laparoscopic procedure. Gradually increase your level of activity; and remember to listen to your body – IF IT HURTS – DON’T DO IT!

Normal post-surgery changes:

  • You will be bloated for 1-2 weeks following your surgery. This will improve with activity.
  • Some abdominal bruising is normal, as is drainage and small bleeding from your incisions.
  • Vaginal bleeding and discharge are normal for up to 6 weeks.

Follow-up:

  • If not already scheduled, please call our office at your earliest convenience to make an appointment for 2 weeks after your surgery: 07 55645110.
  • If you have questions or concerns before this appointment, please call the rooms for assistance.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Severe abdominal or back/flank pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
Laparotomy

Download Discharge Information (PDF)

Medication:

  • Resume your preoperative routine medications.
  • Take your pain medications and/or antibiotic as explained to you by our nurses.

Constipation:

  • Some changes in your bowels are normal following any surgery. Constipation may last for a couple of weeks after the procedure.
  • To prevent constipation, drink 6-8 glasses of fluids per day, eat high fibre foods, prunes, etc. Metamucil or Coloxyl & Senna are okay. Call during office hours if these methods are ineffective.

Wound Care:

  • Keep your dressing(s) for 5 days; then it is ok to peel them off while you are having your shower.
  • No baths or swimming pool exposure for 4 weeks if you had a total hysterectomy, or for 1 week for any other procedures e.g. removal of cysts, ovary(s).
  • It will take up to 6 months for your incision to mature into its final form. Ridges and raised red scars will diminish in time and smooth out.
  • Notify your local doctor or call our rooms if the wound becomes red, irritated, or purulent discharge develops. A small amount of blood or clear discharge is normal initially.
  • Some mild abdominal distention and/or cramping are normal. A warm heating pad and walking should relieve the discomfort.
  • Sutures will dissolve and fall out in 2 to 3 weeks, you don’t have to remove them, just keep them clean and dry.

Activity:

  • After surgery, take it easy for 4 weeks before resuming your normal routine.
  • No driving for 4 weeks after surgery. You may ride in a car as a passenger as long as you wear a seatbelt. You should avoid long trips. Please make sure your health insurance company is going to cover you when you start driving.
  • No heavy lifting greater than 1Kg for 4 weeks since the day of your operation.
  • It is important to be up and out of bed, walking. You may fatigue easily; enough rest is important.
  • Limit yourself to light housework (i.e., dusting) for 4 weeks.
  • No intercourse for 8 weeks if you had a Total Abdominal Hysterectomy and for 3 weeks if you had any other open surgery (cut through surgery). Gradually increase level of activity; and remember to listen to your body – IF IT HURTS – DON’T DO IT!
  • Most women are able to return to work five weeks after surgery. If you desire to return to work earlier, call Dr. Nascimento’s rooms to discuss the situation before returning to work.

Normal post-surgery changes:

  • You will be bloated for 1-2 weeks following your surgery. This will improve with activity.
  • Some abdominal bruising is normal, especially around your incision, as is drainage and small bleeding.
  • Vaginal bleeding and discharge are normal for up to 6 weeks.

Follow-up:

  • If not already scheduled, please call the office at your earliest convenience to make an appointment for 2 weeks after your surgery: 07 56765036
  • If you have questions or concerns before this appointment, please call the rooms for assistance.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Vaginal bleeding heavier than a period.
  • Severe abdominal or back/flank pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
LLETZ Procedure

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • Please refrain from sexual intercourse for 4 weeks.
  • You may shower using soap and water as desired but avoid baths for 4 weeks.
  • Use a pad for bleeding. Do not use tampons or douches. You may have some light bleeding or spotting for as long as two weeks. One of the most likely times to experience bleeding complications after this procedure is from 8 to 14 days after your surgery. If, at any time, the bleeding becomes abnormally heavy (saturating one pad repeatedly every 15 minutes) please call Dr. Nascimento on pager 07 56765036.
  • Occasionally, there is a yellow to bloody water discharge, or a dark brown dirt-like discharge. This is normal and should be controlled with a pad.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Disturbed menstrual pattern is common. If you are taking the oral contraceptive pill you should continue to take it as usual.
  • Please refrain from heavy lifting or vigorous exercising (aerobics, calisthenics, weight lifting) for 2 weeks.
  • You may notice a small piece of absorbable knitted fabric coming out of the vagina. This is normal; it is used to prevent vaginal bleeding.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Severe abdominal or back/flank pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
  • Foul-smelling discharge that persists for more than 3 days.
Partial Vaginectomy

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • Please refrain from sexual intercourse for 8 weeks.
  • You may shower using plain soap and water as desired but avoid baths for 2 weeks after your procedure.
  • Use a pad for bleeding. Do not use tampons or douches. You may have some light bleeding or spotting for as long as two weeks. One of the most likely times to experience bleeding complications after this procedure is from 8 to 14 days after your surgery. If, at any time, the bleeding becomes abnormally heavy (saturating one pad repeatedly every 15 minutes) please call Dr. Nascimento on pager 07 56765036.
  • Occasionally, there is a yellow to bloody water discharge, or a dark brown dirt-like discharge. This is normal and should be controlled with a pad.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • If no previous hysterectomy: disturbed menstrual pattern is common. If you are taking the oral contraceptive pill you should continue to take it as usual.
  • Please refrain from heavy lifting or vigorous exercising (aerobics and weight lifting) for 2 weeks.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Severe abdominal or back/flank pain, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
  • Foul-smelling discharge that persists for more than 3 days.
Insertion port-a-cath

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • You may shower using plain soap and water as desired. Carefully dry your dressing after shower.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Please refrain from heavy lifting or vigorous exercising (aerobics and weight lifting) for one week.
  • You can remove your dressing on day 3 after your procedure.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Severe pain or shortness of breath, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
Removal of Port-A-Cath

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • You may shower using plain soap and water as desired.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Please refrain from heavy lifting or vigorous exercising (aerobics and weight lifting) for 1 week.
  • Remove your dressing on day 2 after your procedure.

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Severe pain or shortness of breath, severe nausea or vomiting, or shaking chills.
  • Fever over 38°C.
Vulval Mapping Biopsies

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • Please refrain from sexual intercourse for 2 weeks.
  • You may shower using plain soap and water as desired.
  • You may have some light bleeding or spotting for a few days.
  • Pain management at home: Oral Panadol 1g every 6 hours as required.
  • Apply Dalacin V (local antibiotic) to the wound(s) twice a day for the next 5 days.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
  • Foul-smelling discharge that persists for more than 3 days.
Vulval Radical Excision

Download Discharge Information (PDF)

  • Rest at home today and gradually increase your activity as tolerated. Do not drive a car or sign any legal documents today. Have someone drive you home.
  • Please refrain from sexual intercourse for 4 weeks.
  • You may shower using plain soap and water as desired but avoid baths for 2 weeks after your procedure.
  • Use a pad for bleeding. Do not use tampons or douches. You may have some light bleeding or spotting for as long as two weeks.
  • Occasionally, there is a yellow to bloody water discharge, or a dark brown dirt-like discharge. This is normal and should be controlled with a pad.
  • Pain management at home: take Panadol 1g every 6 hours as required.
  • Please refrain from heavy lifting or vigorous exercising (aerobics, calisthenics, weight lifting) for 1 week.
  • Apply Dalacin V (local antibiotic) to the wound(s) twice a day for the next 5 days.
  • Reports from biopsies and final histopathology specimens will be received by Dr. Nascimento within 5 to 7 working days. Dr Nascimento will contact you with the results or discuss them with you on your follow-up visit.

 

Contact Dr. Nascimento (Pager 07 56765036) at any time if you experience:

  • Bleeding heavier than a period.
  • Fever over 38°C.
  • Burning on urination or inability to urinate.
  • Foul-smelling discharge that persists for more than 3 days.

Dr Marcelo Nascimento

MD MSc FRANZCOG CGO

______

I am a clinical specialist in the treatment of gynaecological pre-cancers, cancersand complex non-cancer gynaecological conditions. I am dedicated to improving the quality of life for women with gynaecological conditions providing the highest quality of diagnosis, treatment and recovery pathways in a caring and supporting environment. I work with fertility-preserving surgery whenever possible which allows women more options for treatment without compromising oncologic outcomes.

If you have any questions call us on (07) 5564 5110