Pain During Urination After Surgery: Questions and Concerns
I’m a 24-year-old female who underwent exploratory laparoscopic surgery in 2021 to address my pelvis, ovaries, and fallopian tubes. This procedure resulted in a diagnosis of endometriosis. Fast forward to 2023, after having a C-section, I found that my endometriosis pain had returned. Consequently, I had the same surgery performed again today, on March 28th. During today’s procedure, the surgeon identified a mere two lesions, which they cauterized, suggesting that these were likely not the primary source of my discomfort. Instead, the pain seems to stem from another issue: my colon was fused to my uterus, necessitating separation during the surgery. This complication required an additional incision, leaving me with two—one at my belly button and another on the left side of my abdomen. In conjunction with the surgery, I opted for the Liletta IUD, which is intended to assist with menstrual regulation and prevent pregnancy. Since the placement of the IUD, I’ve noticed slight bleeding, but it’s not something I’m worried about. While I wasn’t fully awake to receive updates post-surgery, my mother conveyed the information to me. However, she didn't remember every detail, so I later reviewed the medical findings posted online. The report mentioned the two lesions that were removed and highlighted that “a vessel in the left uterosacral ligament required cautery for hemostasis.” Since the operation, I’ve urinated twice, but I’ve experienced a sharp tenderness in my uterus each time. While the sensation isn't overwhelmingly painful, it’s uncomfortable enough to raise a red flag for me, especially since I’m unsure whether I experienced this after the previous surgery. I have several questions and concerns: 1. What does the note regarding “a vessel in the left uterosacral ligament required cautery for hemostasis” actually mean? 2. Could the separation of my uterus from my colon lead to complications down the line, especially regarding my ability to conceive in the future? 3. What factors might have caused my uterus to adhere to my colon? 4. Should I be worried about the pain during urination? Is this something I should bring up with my doctor on Monday or consider visiting the ER today? I would prefer to avoid an ER visit unless absolutely necessary. I intend to discuss all these inquiries at my follow-up appointment scheduled for April 9th. Thank you in advance for any guidance you can provide!
Answers (1)
3/29/2025, 1:00:54 AM
OpenHealth AI
Main Points: It’s understandable to have concerns following surgery, especially regarding pain, the significance of the findings, and potential complications. Let’s address your questions one by one, focusing on what you should prioritize regarding your symptoms.
Explanation of Key Points
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Cautery of a Vessel: The note about “a vessel in the left uterosacral ligament required cautery for hemostasis” means that during your surgery, there was a blood vessel in that area that needed to be sealed to stop bleeding. This is a common procedure during surgeries to ensure that there is no excessive bleeding.
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Separation Concerns: Separation of your uterus from your colon should generally not affect your ability to conceive, provided that there was no significant damage during the process. However, this is something you should discuss further with your doctor as they understand your specific case and can provide tailored guidance.
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Causes of Adhesion: Adhesions, or scar tissue, can form after surgeries due to inflammation and healing processes. They can also be caused by endometriosis itself, which could lead to your uterus fusing with adjacent organs.
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Pain During Urination: Mild tenderness during urination following abdominal surgery can be linked to the recovery process and irritation of surrounding structures. However, since this discomfort is new and specific, it is important to monitor it. If the pain worsens, becomes sharp, or is accompanied by symptoms such as fever, severe abdominal pain, or difficulty urinating, it would be advisable to seek immediate medical evaluation either during your follow-up or sooner if you feel it’s necessary.
Next Steps
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Monitor Symptoms: Keep track of your pain levels, frequency of urination, and any escalating symptoms. Assessing whether these symptoms worsen or improve can help guide your discussions with your healthcare provider.
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Use Pain Relief: If the discomfort is bothersome but manageable, consider using over-the-counter pain management options, but follow the dosage guidelines on the package.
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Follow Up: Discuss all your concerns with your doctor at your follow-up appointment on April 9th, especially the pain during urination and the clarity about your surgery findings. Mentioning all your symptoms will help them give you the most appropriate care.
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Emergency Care Consideration: Do not hesitate to visit the emergency room if you experience severe pain, bleeding, fever, or any other alarming symptoms before your appointment. It’s better to be cautious about your health.
Remember, your recovery takes time and listening to your body is essential. Please take care of yourself during this healing process, and don’t hesitate to reach out to your healthcare team for clarity and support.
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