What to expect after rectocele surgery

What to expect after rectocele surgery. Understanding what to expect after colorectal surgery is crucial for a successful recovery. Most of the time, your body will return to its usual patterns in several days. Sep 18, 2018 · After surgery, you will not be able to have vaginal intercourse. However, these effects won’t be immediate. How Long Does It Take to Completely Recover? The patients will be required to stay in the hospital for around three to five days on an average. I has been just over 3 weeks that I had the procedure done and I have gone back to work just on 3 weeks not by Drs orders buy more by need from my job. Anterior prolapse. You will need to wear sanitary pads for vaginal bleeding that occurs after surgery. Jul 19, 2024 · The recovery time after gallbladder surgery can vary depending on the type of procedure that is done. A pessary is a plastic or rubber ring that is placed inside your vagina. Surgery is usually used only after you have tried other treatments such as: Doing muscle-strengthening exercises, called Kegel exercises. Avoid strenuous exercise, such as running or jogging, for 6 weeks after your surgery. But you should not have sex until 6 weeks after surgery. If your doctor finds a uterine prolapse, rectocele, or small bowel prolapse (enterocele) during your routine pelvic examination, that problem can also be repaired during surgery. You need to fast from midnight the night before if your surgery is scheduled for the morning, or from 6am if scheduled for the afternoon. Learn about the causes, symptoms, and treatment of enteroceles and rectoceles, when your intestine or rectum bulges into your vagina. Rectocele is a challenging and embarrasing problem to deal with. Sep 20, 2022 · While prolapse can also happen after hysterectomy or due to tissue changes during menopause, pregnancy and childbirth are major culprits behind pelvic floor weakness and injury that can lead to prolapse. The most common type of pelvic reconstructive surgery is that performed to correct pelvic organ prolapse. If after surgery you have symptoms of pain (either at rest or with an activity like sex), urinary urgency or frequency, then tell your doctor. This surgery pulls together the stretched or torn tissue in the area of prolapse. You will be helped to walk as soon as possible after surgery. Hospital Stay. At some medical centers, imaging tests of the rectum may be done to outline the size and location of the rectocele. But I need to know what to expect after surgery. and while working out. Depending on your procedure, you may be asked to stop taking certain Jun 8, 2011 · What can I expect during my recovery from rectocele repair surgery? A rectocele occurs when the fascia, or tissue wall, between the rectum and vagina becomes weak and bulges into the vagina. Regular exercise should help you to return to normal activities as soon as possible. Rectocele repair surgeries are usually done through the vagina or the perineum (the skin between the vagina and the anus). Possible Surgery Complications. Caring for the Surgery Site. Pelvic Surgery Success is a one-of-a-kind program that will take you from feeling depressed, anxious, and consumed by fear of surgery to informed, confident and calm so you can put your nagging symptoms behind you and get back to living life with spontaneity and joy! Oct 2, 2019 · How long do you bleed after Rectocele surgery? You can expect to have some vaginal bleeding for up to 6 weeks after your operation, this is like a light period and is red or brown in color. Possible surgery risks include: Bleeding; Infection; Damage to bowel; Pain with intercourse Because rectocele and enterocele are defects of the pelvic supporting tissue and not the bowel wall, they are treated most successfully with surgery that repairs the vaginal wall. During this surgery, your surgeon pulls together the loose or torn tissue in the area of the prolapse, and strengthens the wall of the vagina. The surgery ended up being more involved than originally anticipated. I can have sex just fine, although it took several months to want to try. 9% sure I have rectocele. 22 Women electing surgical repair of rectocele who have Apr 9, 2024 · Summary .  It has been extremely emotionally distressing. A pack is put in th evagina at the end of sugery and a catheter also. Cystocele stage 1/2 and rectocele stage 2. You will likely be in the hospital 1 night after this kind of surgery. During the procedure After the surgery, I'm REALLY hoping I can get to a point where I'm taking just the milk of magnesia. Find out how to prepare, what to expect during and after the procedure, and how to recover from it. The most common time to experience pelvic organ prolapse is after menopause This can be done through a vaginal surgery and involves the reconstruction of the vaginal wall and tissue between the bladder and the vagina. Sometimes, after a pelvic surgery, a woman might actually feel “tight” or “tense” inside. How it's done. A wall of tough tissue, called the rectovaginal septum, separates the rectum from the vagina. A rectocele, which may also be called a posterior vaginal prolapse, is a common condition, especially after age 50. Here is what you can expect in the first few days, weeks and months after surgery: When you first come home not every day will be a good day. Ask someone to help you out at home for the first week or so. Because rectocele and enterocele are defects of the pelvic supporting tissue and not the bowel wall, they are treated most successfully with surgery that repairs the vaginal wall. Apr 6, 2023 · When surgery is necessary. Within a few days to a few weeks, you may feel well enough to begin doing everyday activities, like walking and driving. Don’t have sex or put anything in your vagina (such as tampons) for 6 weeks after Urethral sling surgery is done to treat stress urinary incontinence in women. Find out what to expect before, during, and after repair surgery, and how to prevent complications. I'm wondering if anyone has gone through this and if anyone has adviceI'm 99. The procedure helps fix problems like blurry vision, glare, and sensitivity to light. This is common. I am recovering from rectocele surgery and I must admit it was painful afterwards until the dissolving stitches fell out. POST-OP INSTRUCTIONS. Surgery Overview. What should I expect after a perineoplasty? As with most procedures, your body needs time to heal after a perineoplasty. The surgery attaches the vaginal vault to the sacrum with surgical mesh. The symptoms of a cystocele withdraw after its repair; however, some symptoms, such as stress incontinence, may require a separate surgery to recede. As with other forms of pelvic organ prolapse (cystoceles, enteroceles, vaginal prolapse) childbirth, chronic cough, chronic constipation, and obesity are predisposing factors. My consultant said it's best to May 5, 2023 · What happens after rectal prolapse surgery (rectopexy)? You may stay in the hospital for two or three days after perineal surgery or up to a week after abdominal surgery. This will help prevent the prolapse from reoccurring. Jul 25, 2023 · To prepare for rectal prolapse surgery, your doctor may ask that you: Clean with special soap. It is not uncommon after surgery to feel like you are taking two steps forward and one step back. People can consult a doctor if their pain is severe or worsens. I am scheduled for cystocele and rectocele repair using apogee and perigee mesh on 9/24/08. Your cataract surgery recovery includes time for your eye to heal and adjust. Rectocele repair refers to the repair of rectum prolapse. John J. Nov 3, 2022 · I had a meeting with consultant last week (he was the one who said it's stage 2 rectocele). Medically reviewed by Drugs. Discover what to expect after colorectal surgery, from recovery processes to common side effects. You may need about 4 to 6 weeks to fully recover from open surgery and 1 to 2 weeks to recover from laparoscopic surgery or vaginal surgery. A pfpt will teach you about managing intraabdominal pressure during everyday movements such as picking up your baby, doing laundry, etc. The opening to your vagina will be too short. Rectocele/Enterocele Repair (Rectal Repair) When the bulge into the vagina comes from the rectum it is called a rectocele or rectal prolapse. Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia; bleeding, which may require a blood Aug 4, 2024 · Estrogen helps keep your pelvic muscles strong and may prevent your rectocele from getting worse. Then you will feel tired for weeks and maybe months later as your body heals and adjusts. This is called reconstructive surgery. May 28, 2024 · anakopa / istock. The woman may be asked to have a liquid diet until the bowel function returns to normal. The extent of surgery will depend on the stage and severity of your prolapse. May 20, 2017 · I had a large rectocele and had it repaired last year, at 41. What you can expect. Jun 29, 2023 · Days after surgery Symptoms to expect; 0–1 • swelling, pain, and bleeding in mouth • swelling and mild bruising in cheeks • stiff, sore jaw • weird taste in mouth The procedure takes about one hour. Apr 1, 2017 · I was recently diagnosed with a bladder prolapse. Symptoms are similar to cystoceles such as pelvic pressure, an […] Walking starts the day after surgery. My consultant said it's best to do surgeries one at a time. A rectocele is a long-term condition that does not heal on its own. Have to meet with a surgeon on February first to discuss a rectocele surgery. You may want to take a fiber supplement every day. Fatigue and low energy level may persist for many weeks after surgery. Recovery from open gallbladder surgery, for example, may take up to six weeks, while recovery from laparoscopic surgery may only take a week or two. A rectocele repair procedure can help with Bladder and urethral prolapse often occur with the prolapse of other pelvic organs, so tell your doctor about any other symptoms you have. Oct 11, 2022 · The risk of complications after a bladder prolapse surgery depends on the type of procedure. Risks of surgery include, but are not limited to, injury to internal organs (such as bladder, ureters (which are the tubes that bring the urine from the kidneys into the bladder), bowel, blood vessels, nerves, bleeding that requires transfusion, complications from the graft that may require re-operation A rectocele and an enterocele may occur together. Care notes; Aftercare; Ambulatory; Discharge; Español; A cystocele is a condition that causes a part of your bladder to fall into your vagina because of weakened or stretched pelvic muscles. The only pain I experienced was when the vaginal packing was removed. A hospital stay is rarely needed. Your discharge time depends on several factors, like when you’re able to have solid foods, pass gas and poop (have a bowel movement). Using only your fingers, apply vaginal estrogen cream once daily on the incision and in the vagina for 4 weeks post-op. It requires surgical repair when it becomes difficult or impossible to pass stool. What to expect pre and post operatively for rectocele surgery. In women with a primary and/or significant complaint of defecatory symptoms who have a co-existing rectocele, clinicians should consider further anorectal testing and conservative management including education, counseling, and behavioral therapies prior to proceeding to surgery. It’s been a year and it’s much better to the point I rarely notice it and I’m able to manage it with PT and making sure I stay active. Doctors must also keep detailed records about the type of surgery they do, including any complications you get after you have had your surgery. Aug 29, 2024 · You can resume work about six weeks after surgery. Choi, General Surgery, Colon and Rectal Surgery, Nuvance Health . Often, the surgery is performed vaginally and involves lifting the prolapsed bladder back into place using stitches and removing any excess vaginal tissue. You can return to work once your doctor has said you are well enough to do so (usually after 6 to 8 weeks). - doctor told me kegels - this made the rectocele (rectum prolapse) reduce to gulf ball size and was no longer outside vagina, but then the cystocele side took the available space and was now bulging exterior to my vagina, about the size of a small apple. I am sooooo nervous (bcause i have never had surgery before), and i have a low tolerance to pain. What should I expect after surgery? Medicines may be given to prevent or treat pain or a bacterial infection. Contact your doctor if you experience any unusual symptoms, such as difficulties with urination, heavy bleeding, fever, or signs of infection around the wound sites. You may need to stay overnight in the hospital. What to expect after surgery Apr 28, 2022 · Hi,I've had an appointment with my consultant and I'm now awaiting a surgery for rectocele repair. I have read all the horror stories. What to Expect when you have a Cystocele and Rectocele Repair When is it used? Surgery is done to relieve bulging into the vagina that may be caused by a cystocele and rectocele. Expected duration. Surgery can change how often you go to the bathroom. The approach your doctor recommends will depend in part on the severity of the rectocele. Jun 4, 2023 · The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. This surgery fixes the weak walls of your vagina. I've been having discomfort down there, especially while straining to have a bowel movement. I had a positive outlook before surgery, and I expect this played a part in my having such an easy recovery. We want to try for baby #2 but I’m worried it’s going to make my rectocele worse. The more rest you can get, the more time your body has to recover. Jul 22, 2024 · After delivering my first baby I was diagnosed with rectocele between stage 1-2. By Dr. So I'm obviously upset. Analysis of quality studies to date suggests repeat rectocele is more likely after anal approach to surgery (compared with the vaginal approach). When you’re ready to go home, you’ll need to have someone drive you. Smokers have more difficulty with the healing process and are more likely to experience breathing problems during surgery. Blood thinning self-injections are usually required for 5 days post op. Linzess works wonderfully, but my insurance wants to change $455 until I've hit my deductible. Your surgeon will make a decision on the benefits versus the risks of the surgery. I have two prolapses: cystocele and rectocele. You can expect to resume normal physical activity within hours of your procedure. This is caused by the air your doctor put in your belly to help see your organs better. Most people who have cystocele repair surgery don’t have problems after their surgery. A full recovery might take three to four weeks. Fortunately, hemorrhoidectomy has a high success rate. Aug 4, 2024 · Cystocele. This helps the bowels to start working again. Surgery will also strengthen the wall of the vagina to prevent prolapse from recurring. 5 kilograms) for 6 weeks after your surgery. You will have a follow-up appointment with your doctor between 4-6 weeks after surgery. Aug 22, 2023 · Some of these factors may not be an issue if you need emergent surgery. In my appointment he said we will do a surgery if my symptoms are really bothersome. Unlike many other reconstructive surgeries used to treat pelvic organ prolapse (POP), your provider can perform the procedure without having to make a large incision (cut) into your abdomen. Your healthcare provider may not consider you a candidate for surgery if you have extensive disease, if your cancer has metastasized, or if you are not medically stable enough to undergo surgery. These may include the cessation of smoking. At my 2 week appointment there was a gentle internal check, which makes me think that you gently checking wouldn't destroy the surgery. Talk with your doctor about what to expect during and after a robotic hysterectomy, including physical and emotional effects. Oct 12, 2022 · Use stairs slowly and use a railing for additional support, especially the first few days after surgery. Apply Silvadene cream to anus after each hot bath for the first seven to 10 days. Most people who receive surgery for rectocele experience symptom relief after their procedure. After pelvic organ prolapse surgery What happens after pelvic organ prolapse surgery? A nurse will take you back to the ward to look after you and give you painkillers to relieve any discomfort. After bathing, pat dry or use a hair dryer. You can expect to return to work around six weeks after surgery. A rectocele and an enterocele may occur together. Unless you are also having a colonoscopy, a normal diet without a bowel prep is required the day before surgery. I had one night in hospital. Expect the pain to get better at about seven to 14 days after surgery. Jun 2, 2023 · Guys I'm scared. Nov 8, 2020 · It’s worth repeating—hysterectomy is a major surgery, and it can really take it out of you.  Also mild incontinence. This can be done with and without the use of transvaginal synthetic mesh. Once the area of the rectocele is reached, surgery includes these general steps: Reconstructive Surgery: Surgery to repair or restore a part of the body that is injured or damaged. And the extent of pelvic prolapse surgery will affect your recovery. Also mild incontinence. Feb 10, 2023 · Recovery after vaginal hysterectomy is shorter and less painful than it is after an abdominal hysterectomy. Jun 24, 2022 · Before leaving the hospital: Immediately after your surgery, you’ll be taken to a recovery room, where you’ll rest and have your vitals monitored. The most common cystocele repairs are done through an incision in the vaginal wall. Take 2 tablets of stool softener twice daily and Metamucil 1 serving/tablets twice daily for 6 weeks Aug 4, 2024 · A rectocele happens when part of your rectum bulges into your vagina. Rectum: The last part of the digestive tract. This supports the bulging areas in your vagina and rectum. After the surgery, the Foley’s (urinary) catheter remains in place for 1-2 days after surgery. However, the pain should ease in a few days or weeks. Stop taking certain medicines. Remove the dressing the morning after the surgery and then get in a warm tub. The pain may last for a day or two. Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina; Trouble having a bowel movement; Feeling pressure or fullness in the rectum; A feeling that the rectum has not completely emptied after a bowel movement After surgery, you are still at risk of having a blood clot if you do not stay active. Surgery may be needed to move the rectum back into place. This is from the surgery, not because the muscles magically strengthened from the procedure. Some women have little or no bleeding initially and then have a sudden gush of old blood or fluid about 10 days later. Somewhere after 12 weeks. Make an appointment to see your healthcare provider 2 weeks after your surgery. The approach to surgery depends on where the prolapse is and whether there's more than one area of prolapse. Things to avoid after surgery. Risks of having treatment for cystocele. Feb 17, 2023 · A person may experience some pain and discomfort after bladder sling surgery. It may take up to six weeks before you’ve healed enough to go back to work. May 17, 2023 · Preparing for hemorrhoid surgery can cause stress, but knowing what to expect during recovery can help ease the anxiety. Find out what to expect before, during, and after repair surgery for these conditions. Instead of living with pain and discomfort, you can often improve your everyday life after a visit with your provider. Learn about the symptoms, causes, diagnosis and treatment options, including surgery and pessary. You should be given a copy of this record. Obliterative surgery is often the safest approach because it’s the least invasive and takes a shorter . I went to a Urogynocologist and she was very comforting telling me that I do not need any surgery and I am perfectly fine. Learn how to navigate your road to recovery with confidence.  Well I do not feel fine. Remember, this is bowel surgery too, not just bladder surgery! Expect to be on a liquid diet for the first few days before solid foods are gradually introduced. Mar 22, 2022 · What can I expect if I have this condition? Your outlook depends on your symptoms and how severe your prolapse is. The only medication I had after surgery was two tylenol. These signs indicate that your Sep 29, 2020 · Most people can see much better after cataract surgery. Learn about rectocele repair, a surgery to correct a bulge in the wall between your rectum and vagina. Some people experience depression or post-surgery blues. Aug 10, 2022 · A small posterior vaginal prolapse (rectocele) might cause no symptoms.  I have looked at it in the mirror Dec 28, 2022 · Although you're likely to recover sooner after a robotic hysterectomy than after an abdominal one, it still takes time. Jan 19, 2017 · I had rectocele surgery last April. But if you experience diarrhea for longer than 24 hours or constipation for longer than five days, it's important to check in with your healthcare provider. You need to keep your anti-embolism stockings on for 14 days post op for the same reason. This rectocele video and information helps you manage rectocele, reduce your risk of rectocele worsening and repeat prolapse after rectocele repair surgery. After a laparoscopy, you may have shoulder pain. Today I felt pressure (like usual) and I decided to feel and I could clearly feel my pelvic floor rehab pelvic surgery post-op recovery prolapse surgery rectocele rectocele repair rectocele surgery Dec 15, 2020 A week ago I had prolapse surgery to repair my rectocele. Wait 48 hours after the surgery to shower. Before your surgery, you'll be asked to shower using antiseptic soap to help prevent germs on your skin from causing infection after your surgery. But there are some general principles that apply to all types of pelvic prolapse surgery. See full list on healthline. Most often, the surgery corrects the prolapse and aims to put the pelvic organs back in place. or when the bulge (prolapse) gets so severe that it protrudes outside Colporrhaphy is a surgery used to repair weaknesses in your vaginal walls that are causing unpleasant symptoms. I tried switching to Amitesa, which really didn't do much of anything, and I could feel poop moving into the rectocele - drove me nuts. Apr 26, 2024 · The goals of surgery are to get rid of the vaginal bulge and improve some symptoms. Constipation is common after bowel surgery, but it can also happen after any surgical procedure. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative. Im 29, only have one baby, she's 15m. Do not stand for too long or lift anything heavy. Mar 15, 2024 · Hi,I've had an appointment with my consultant and I'm now awaiting a surgery for rectocele repair. I'm still having a lot of pain and am getting concerned that I won't heal quickly enough. Jun 27, 2024 · A rectocele is a condition that can occur in females where the front wall of the rectum (the last part of the large intestine) pushes into the back wall of the vagina. 1 kilograms) — or have vaginal intercourse until six weeks after surgery. A cystocele occurs when the wall of the bladder presses against and moves the wall of the vagina. Learn from a personal experience of stage 2 rectocele surgery and how to prepare, recover and prevent recurrence. Aug 10, 2022 · Rectocele is a pelvic floor disorder where the rectum bulges into the vagina. This is removed after 24 hrs and once I was weeing ok - three good wees that were measured and an ultrasound to see if the bladder was emptying ok I was ok to go home. You may have some pain after the surgery. This article explains what is involved in the recovery plan for a hemorrhoidectomy, including the expected timeline and home care treatments that promote healing and Mar 2, 2020 · This surgery involves lifting the pelvic organs, such as the bladder, bowel and uterus, and stitching the tissues around them to give you more support. com Jun 1, 2022 · Learn about the causes, symptoms, and treatment of enteroceles and rectoceles, when your intestine or rectum bulge into your vagina. Unfortunately women are discharged from care after rectocele repair without clear guidelines for how to prevent repeat prolapse. Your healthcare provider may ask you to make a few lifestyle changes prior to surgery. Make sure you do not skip follow-up visits. Continue reading to learn more about vaginal hysterectomy and what to expect during recovery. One reason is that prescription pain medications sometimes used after surgery—especially opioids—can slow bowel movements and create hard-to-pass stools. What happens after a robotic-assisted sacrocolpopexy? After the surgery, your vital signs will be watched. If you have had a sacrospinous suspension procedure (vaginal vault or uterine) you may also experience a sharp or aching pain deep in your buttock(s). After surgery, you may feel weak and tired for several days. After a short recovery in the surgical center or outpatient facility, you can go home. Has anyone had one before? Please tell me about it! Posterior Repair (Rectocele) Procedure. You can expect some swelling and discomfort during the first several Sep 13, 2008 · Hi I am a 27 year old Female, and mother of two beautiful children. Jun 22, 2022 · Expect to feel tired and sore within the first two weeks following surgery. You will feel very tired the days right after the surgery because of the anesthesia. Sacrohysteropexy: A type of surgery to repair uterine You may notice that your bowel movements are not regular right after your surgery. Apr 21, 2021 · When pelvic organ prolapse starts affecting your daily life, it could be time for surgery. You should be feeling more or less back to normal after 3 months. You can have pain medicine as needed. If you have had rectocele surgery, it is normal to have bloody vaginal discharge for some time. After rectocele surgery, expect bloody vaginal discharge for about four weeks. This repair can be performed through a vaginal surgery and involves the A rectocele and an enterocele may occur together. Week before my pelvic floor physio said I may have a very mild, not even stage 1 rectocele. Avoid constipation and straining with bowel movements. Even if you feel recovered, don’t lift anything heavy — more than 20 pounds (9. Feb 5, 2022 · Surgery has a pretty high failure rate so pfpt can give you all the information to improve or help keep surgery from failing if you go that route. While in hospital, you’ll have a number of IV lines and tubes, depending on your type of surgery. Sacral colpopexy, also known as sacrocolpopexy, is a surgical procedure used to correct pelvic organ prolapse in women. Pelvic floor dysfunction symptoms (like an overactive bladder) typically stay or become worse if they’re not treated. If you still have noticeable, uncomfortable symptoms despite the treatment options above, you may need surgery to fix the prolapse. Find out what to expect, what to do and what to avoid after surgery, and how to work with a pelvic floor physiotherapist. 2 Rectocele surgery does not assure that the patient will be symptom free long-term and repeat prolapse may be a possibility. Sacrocolpopexy: A type of surgery to repair vaginal vault prolapse. Rectocele Repair: What to Expect. Prolapse most commonly occurs many years after childbirth, with the risk going up after multiple births. Mar 17, 2017 · In the United States, hysterectomy is the second most common surgery among women, after cesarean delivery. The sling supports the urethra, which is the tube that carries urine from the bladder to outside the body. This may happen if you have weak muscles and ligaments that cannot support the vagina and rectum. Avoid vacuuming or pushing heavy doors or grocery carts. Two common forms of pelvic organ prolapse are bladder prolapse (cystocele) and urethral prolapse (urethrocele). Feb 27, 2017 · Tomorrow will be 2 weeks since I had surgery for a cystocele, rectocele, and vaginal vault repair. Learn more 4 days ago · It may stay in place until the day after surgery. Dec 12, 2022 · If you’re having cystocele repair surgery and getting a sling, your sling will be placed during your surgery. Your healthcare provider will talk with you about what would work best for you. Dec 17, 2010 · oh i'm so sorry! Here's what happened w/ me: - at 4 weeks I noticed huge bulge - 1 inch lower than the vag opening, the size of an apple. The woman Nov 28, 2021 · After rectocele surgery, expect bloody vaginal discharge for about four weeks. Don’t swim or soak in water for four to six weeks after surgery. Your pubic bone may feel bruised, and you may have some pain or cramping in your lower belly. Once you’re able to defecate and urinate normally—and barring any other complications—you should be cleared to leave. Following this major surgery, you can expect to experience some pain or discomfort in the groin, vagina, and lower abdomen. com. This educational content is not medical or diagnostic Aug 10, 2023 · This straining maneuver should cause the rectocele to bulge, and allow the doctor to see the rectocele's size and location inside your vagina. You can ready about my decision to have surgery here . Last updated on Aug 4, 2024. I had rectocele surgery two years ago with absolutely no complications or pain from the surgery itself. 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