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Post-op Urinary Dripping


Audrey

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Hi all, I have a question for other post-op vaginoplasty people on the forums. I am two months post-op and healing well without major concerns or trouble dilating. However, I have noticed that despite my best efforts to void completely, contract my pelvic floor muscles, and wipe properly and fully, I end up with about 10-15 mL of urine in my pad after a few hours. No sense of urgency or even feeling anything. I wonder if this has been anyone else's experience, if I could improve my post-void habits, or if it just goes away with time. *I have already reached out to my urologist.*

 

Love,

~Audrey.

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Depending on the type of surgery and construction, it may NOT be urine.  My form of penile inversion harvested the mucous tissue that had been in the urethral lining of the penis and incorporated it into my labia minora  where it produced mucous that has been both a good and bad thing since I had the surgery in 2013.  Other techniques have that in the neo vagina, so it too will "goo up" as I ruefully refer to it. It is a little thing they never let us in on before hand but it does make our underside more feminine in a gooey sticky way.   Check with your Gynecologist about douching in a safe way to keep the mucous a little easier to deal with.

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I thought about that, @VickySGV - but color and smell are telltale signs. My specific surgery - peritoneal flap vaginoplasty - also harvests the urethral mucosa for the labia minora. There may be some of the same secretions you describe going on too, but I wanted to be sure. After hospital discharge, I had my Foley catheter for about a week at home due to retention but fortunately that issue has gone away on its own.

I am still using the 0.9% sterile normal saline solution for douching as was prescribed at hospital discharge. It is expensive but works so well.

 

Love,

~Audrey.

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@Audrey I just remembered that I did have one internal suture for several weeks that did tug on my sphincter area and kept things open a tiny bit.  Swelling went down, suture absorbed yada yada --just so much.  Go back in the Post Surgery stuff for 2013 here and you can get my rantings and ramblings as I came together again it was a trip to be sure. 

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Hi Audrey,

           I am not sure of procedures in the US but did you not get issued with a cleaning kit? and told to bathe in a bath with salt in? My mum passed down to me that if you have UTi infections try some Cranberry Juice and drink plenty of fluids, as with any healthcare advice you know your own body, we in the Uk were given a specialist nurses contact number to ring should the need arise.

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Fortunately I have avoided any urinary tract infections and have plenty of feminine hygiene products. I did have a minor infection on one of the external incision sites that has since gone away, and some general swelling and bruising that has also gone away, along with general hypersensitivity to touch and pressure. It is helpful to hear about and read others' experiences. I have also attended a post-op support group offered by the clinic a few times and plan to raise this question during the next group session.

 

The clinic has been highly accessible and responsive including for non-urgent concerns, and an evenings/weekends urgent call number just in case.

 

Love,

~Audrey.

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  • 1 month later...

Hi all, another update on this. Fortunately the dripping issue went away on its own. It seems that strengthening my pelvic floor muscles has helped a great deal with fully voiding. My physical therapist introduced me to a way to exercise the muscles as part of my dilation routine. Now the pads are catching very little other than lube. I had my three-month post-op visit the other day with the surgeons and all healing is well on track. There is no pain or swelling anymore, the incisions have become much more difficult to see, and all aesthetic and tactile considerations are exceeding any expectations I had pre-op. Just taking extra care not to become lackadaisical about dilating!

 

Love,

~Audrey.

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9 hours ago, Audrey said:

There is no pain or swelling anymore, the incisions have become much more difficult to see, and all aesthetic and tactile considerations are exceeding any expectations I had pre-op.

This is great news Audrey. Thank you for sharing your experience, I'm sure it will be very helpful to others in the future.

 

Hugs,

 

Mindy🌈🐛🏳️‍⚧️🦋

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