If you choose not to have surgery, you should still see your urologist for follow-up care.
If you have surgery:
- You will have antibiotics for at least 24 hours.
- You will be sent home with a catheter in place for 2-3 weeks.
- You may have bladder spasms, which can be managed with drugs.
Two to 3 weeks after surgery, a voiding cystourethrogram (VCUG, an x-ray using dye) will be done.
- If there is no fluid leaking, the catheter will be removed.
- If fluid is seen, repeat VCUG will be done weekly until leaking ends.
- In most cases the leaking will end in a few weeks.
Common issues after surgery are:
- Accidental loss of urine
- UD that comes back
- Ongoing symptoms
- Urethrovaginal fistula (an abnormal passage between the urethra and vagina, which is a serious problem that needs treatment)
If UD returns, it may be due to a few things. For example: the pouching is not completely removed, the opening is not completely sealed, remaining dead space, or other technical issues. Repeat surgery can be difficult. This surgery requires a high level of technical skill.