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Warning-sign checks

Urinary incontinence - retropubic suspension: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for difficulty breathing, chest pain, fainting, confusion, uncontrolled bleeding, or other severe and rapidly worsening symptoms.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact your surgical team promptly if you have a fever, worsening pain, increasing wound redness, pus-like drainage, persistent vomiting, painful urination, cloudy or foul-smelling urine, or increasing difficulty emptying your bladder.

    Seek urgent advice if your catheter stops draining, falls out, or urine is leaking heavily around it.

    New one-sided calf pain or swelling also needs urgent assessment.

    Mention ongoing concerns at follow-up or contact the team sooner if they are not improving as expected.

  3. 3

    Does any of this apply?

    Book an appointment

    Mild bruising, tiredness, constipation, and gradually improving incision discomfort can be part of routine recovery.

Every sign above is quoted from the sofidex article on Urinary incontinence - retropubic suspension. If you are not sure, err upward — it is always reasonable to be checked.