Margarett C Ellison, MD - Post Vulvectomy Instructions - Atlanta, GA
TMH Gynecologic Oncology Specialists - 1775 One Healing Place, Tallahassee, FL 32308   (850) 431-4888
Post Vulvectomy Instructions
 
Postvulvectomy instructions You may take your home meds as soon as you get home and may eat whatever you feel like eating. It takes most patients a few days for bowel movements to resume. Clean vulva with every urination and defication with squirt bottle of water and pat dry.Applyantibiotic oinment thinly to wound twice a day.
Antibiotic: Take cephalexin 500mg orally 4 times per day.
 
    Pain: Take ibuprofen 800mg every 8 hrs for pain with food, if still having pain after one hour take the Vicodin every 4 hrs as needed. If you are taking the oxycodone be sure to take the colace 100mg twice a day to prevent constipation.
 
    Restrictions:           
-No driving until you can stomp both feet on the ground, twist and turn at the waist without having pain and are no longer taking narcotics.           -No tub bath until you doctor tells you it is okay, this can inhibit wound healing           -Nothing in your vagina until your doctor tells you it is okay, tampons or sex can cause the incision to rupture. You do NOT want this to happen.            -Do not lift greater than 5-10 lbs or do any aggressive working out or housework until you can stomp both feet on the ground, twist and turn at the waist without having pain and are no longer taking narcotics.             Most patients can return to work in 2-3 weeks.  Things to call for: -Fever greater than 100.9, chills -uncontrollable nausea, vomiting or diarrhea -wound issues -vaginal bleeding that is heavier than a period ( passing clots) or any acute change or questions CALL 770-410-4388