I am 67 years old, and I had a cystocele and a rectocele repair at the same time on March 26th, due to both being prolapsed. I had trouble emptying my bladder but not too much trouble with leakage--only urgency. The urologist did a bladder sling with the newer procedure using a type of skin, and the obgyn did the rest of the surgery. The obgyn doctor told me to take a stool softener with the active ingredient Docusate Sodium 100 mg., like Colace (I use the generic brand--so much cheaper). I take one before breakfast and one after dinner. I also take Citrucel fiber. I take about a tablespoon around noon. I also try to eat a high fiber diet including a fruit a nut cereal for breakfast like Great Grains with raisens, dates, and pecans, and with maybe a prune or two and sometimes other fruit. I also eat a granola bar for a snack or after a meal. (Fruits and veggies are always a good idea) This keeps my bowels moving well. You can adjust these amounts according to your system and how active you are. The doctor said you want to have a formed but soft stool with no diarrhea. Straining too hard can damage the stitches. I had quite a bit of pain at first from the stitches, but now the pain is only bad in the urethra area during urination. I also feel like there is a lump in my vagina.
After my sugery, I had a Foley catheter in for a week. After they took it out, I had trouble emptying my bladder, worse than before. I saw the obgyn doctor again on the 24th of April, and he said everything was healing well. I was afraid I may have caused some damage, because I have to "pump" to get urine all out. When the doctor checked my vagina, it did hurt with manual pressure. From that date, I still had two more weeks to heal. I will see my urologist again on the 7th of May and see what he thinks. Hopefully, the pain will subside with time.
After I came home from the hospital (in two days) my obgyn said to spend most of the time reclined, and preferably with the heart the same level as the incisions. It is difficult to do, since my low back always hurts (and has for years) when I lay flat. It is necessary for proper healing. Just increase your "up" time gradually but always rest when tired.
I used pads at first, and then I just used panty liners. I did have some odor during the time I bled from the repair, but now the drainage has almost completely stopped, and I don't notice any odor. I did take a shower twice a day to insure cleanliness and odor control. I only used the baby wash that they gave me at the hospital to clean that area, and I did not rub anything hard. I did use Dial but only around the outside of the area. The obgyn's nurse told me I could use the pads like "Tucks" to sooth the stitch area, but not too often. It did help with the pain from the stitches.
Good luck to everyone.