Table 3.
Postoperative Management
| Consideration | N (%) |
|---|---|
| Timing to restart estrogen | |
| N/A | 6 (35.3%) |
| POD 1* | 1 (5.9%) |
| POD 2 | 1 (5.9%) |
| POD 3 | 1 (5.9%) |
| POD 5 | 1 (5.9%) |
| POD 7–10 | 5 (29.4%) |
| POD 11–20 | 2 (11.8%) |
| Drain use | |
| Yes | 15 (88.2%) |
| Drain placement† | |
| Groin | 1 (5.9%) |
| Labia | 10 (58.9%) |
| Suprapubic | 6 (35.3%) |
| Gluteal | 2 (11.8%) |
| Number of drains | |
| One JP/Blake | 4 (23.5%) |
| Two JP/Blakes | 7 (41.2%) |
| Two Penrose | 3 (17.6%) |
| Packing‡ | |
| Yes | 16 (94.1%) |
| Prosthetic | 2 (11.8%) |
| Packing sewn in place | 7 (41.2%) |
| Length of stay | |
| Overnight | 1 (5.9%) |
| POD 2–4 | 5 (29.4%) |
| POD 5 | 4 (23.5%) |
| POD 6–9 | 7 (41.2%) |
| Use of chemoprophylaxis for VTE | |
| Yes | 15 (88.2%) |
| None/unknown | 2 (11.8%) |
| Length of chemoprophylaxis§ | |
| Day of surgery only | 3 (27.7%) |
| POD 1 | 2 (18.2%) |
| POD 7 | 1 (9.1%) |
| While inpatient | 5 (45.5%) |
| Packing removal timing | |
| POD 5–6 | 14 (82.4%) |
| POD 7–9 | 3 (17.6%) |
| Foley removal timing | |
| POD 5–6 | 12 (70.6%) |
| POD 7–10 | 5 (29.4%) |
| Foley kept in longer than packing | 7 (41.2%) |
| Dilation initiation timing | |
| POD 5–6 | 9 (52.9%) |
| POD 7–10 | 6 (35.3%) |
| POD 11–14 | 2 (11.8%) |
| Dilator size to start¶ | |
| Smallest | 7 (41.2%) |
| Largest that will fit | 10 (58.8%) |
| Scheduled upsizing of dilator | 7 (41.2%) |
| Vaginal rinses | |
| Yes | 13 (76.5%) |
*
One respondent holds estrogen on the day of surgery only.
†
Five respondents put drains in multiple anatomic positions.
‡
One respondent sometimes uses packing and other times a prosthetic.
§
Percentage is based on the 14 respondents who use chemoprophylaxis.
¶
One respondent said it depends on the outcome with bolster takedown.