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Any old prolapse! Uterus/womb prolapse, rectocele, cystocele, enterocele, urethrocele, incontinence, pelvic floor, anterior and posterior repair, TVT etc part 7

(1001 Posts)
gottagetthroughthis Fri 19-Oct-12 00:38:09

This is thread 7 of a long-running series of posts from ladies suffering from pelvic prolapses to support each other through the process of diagnosis, repair and recovery.

Here are the previous threads:
Thread 1
Thread 2
Thread 3
Thread 5
Thread 6

Info from BBC Health

What is a pelvic prolapse?

As the muscles, ligaments and supporting tissues in the pelvis become weaker, they are less able to hold in the organs of the pelvis such as the womb (uterus) or bladder.

Gravity pulls these organs down and, in the more severe cases, may appear through the entrance to the vagina.

A variety of problems can occur, depending on where the weakness lies and which organs are able to descend, but in every case there is some degree of prolapse of the vaginal wall, which begins to invert (rather like a sock turning inside out).
Prolapse of the womb or uterus is the most common prolapse, affecting as many as one in eight older women to some degree
Prolapse of the bladder, known as a cystocele, is less common.
Prolapse of the urethra (the tube that carries urine out of the bladder) is known as a urethrocele.
Prolapse of the intestines is quite rare, and known as an enterocele or rectocele.

Symptoms

Symptoms depend on which tissues descend, and how severe the prolapse is.

They may include:
A sense of heaviness or pressure in the pelvis.
The appearance of a bulge of tissue in the genital area, which can be quite alarming, and is often red and sore.
Urinary problems, such as having to urinate more frequently, feeling the need urgently, being incontinent (losing control of the bladder) or, conversely, being unable to pass urine when you need to.
Pain in the pelvis or lower back.
Sexual problems, including pain and decreased libido.
Constipation.
Vaginal discharge or bleeding.

Treatment and recovery

Once a prolapse has developed, surgery to fix the affected organs is usually the only way to cure it effectively.

However, another option is to use a device known as a vaginal ring pessary. This is rather like a contraceptive diaphragm or cervical cap. It's made of silicone or latex, and placed in the vagina to push back the prolapsed organs and hold them in place. Many women happily manage their prolapse this way.

nanaof2 Sun 06-Jan-13 17:13:10

well hope you ladies are all feeling well or recovering better i am now 16 1/2 weeks after my anterior and posterior operation i havent had to self catheterise for the last 4 weeks touch wood this will continue and no water infections either for the last 4 weeks i am going back to work tonight to give it a go before going to doctors tomorrow i am pleased to be finally going back to work but also worried about the lifting and pulling of the cages so wish me luck all goes well and i can return to work properly tomorrow after seeing the doctor thankyou all again for your kind words and support these last 16 weeks xxxx

LovesBeingAtHomeForChristmas Sun 06-Jan-13 19:22:36

Hi all hope everyone is well. I've popped in a couple of times however am a regular nm. I have a rectocele and a, cystocele. Gp agreed to refer straight away after taking a look. Tbh I had not had any symptoms really, ds is now 15 mths and I was due to return to my gp in the new year for my referral. I have just started having what I believe might be some new symptoms and really just wanted to check if they are related, if I need to get to the gp ASAP, and if there is anything else I should be away of really.

So I have some backache, more to one side than centre. Some stomach not pain but ache I guess. I am in my period and (tmi alert) felt something come out and there was a large clot in the toilet. Am having some discomfort/pain sitting up in the old downstairs department like I am sitting on something wrong (which I guess I am).

Thanks am getting a bit concerned that with lifting dd I might have caused some damage. Plus I have put a bit of weight on which I'm aware isn't good.

Tia

tinkxx65 Sun 06-Jan-13 21:09:36

HI everyone

Just need a bit of advice from those whose op failed. Just really how did you know. As I have said in previous posts I can still not do a BM but the last 4 or 5 days I felt I could feel something when I walked, anyway I had a look and the cystocele seems to be back, it is not dropped as far as it was, but there is a large lump just behind my uretha that seems to have stiches but dropping down in to my fanjo. I am gutted.

Should I call the hospital or go to my doctors, any advice really appreciated.

I'd go to the Dr's Tink - when I went with concerns about mine they were happy to ring the gynae dept and talk it through with them before deciding what to do. I hope it turns out to be OK, so hard to tell this early when there is so much swelling <hugs>

Loves - I'd go back to the GP if I was you as well, it may all be related or may not. Backache could indicate kidney/UTI problems, which is tha main reason I think you should get checked out, have you had any other urinary symptoms? Who were you being referred to, was it the uro-gynae dept? Had the Dr discussed possible courses of action with you?

Nana - good luck with your return to work, glad you managed to get it put off for a few more weeks from when you last posted about it.

LovesBeingAtHomeForChristmas Sun 06-Jan-13 22:01:17

WhoKnowsWhereTheTimeGoes Thanks. In my area x amount of weeks of pf exercises being done to ensure its not that is required so shed asked me to do at least 4 weeks before I went back then the time for the appointment to come through would take me to the require period.

No urinary symptoms, not even with the prolapse.

Any suggestions on pain relief?

No suggestions re action, tbh was so glad she had no hesitation that I had a real problem I didn't ask. Not looking forward to work tomorrow as sit down all day. Infact now I think about it the last couple of days last week I was struggling to stay comfortable but couldn't figure out why.

LovesBeingAtHomeForChristmas Mon 07-Jan-13 12:29:31

Got a gp appt at 6Pm but with a go I don't like sad

Bladderama Mon 07-Jan-13 12:50:19

Nana so pleased to that you are feeling better and hope that work and appointment went well.

Tinxx what a nightmare for you, have you been back to your GP?

LoveBeingathome, hope that your appointment goes well and sorry that it is not with some-one that you feel comfortable with lets hope that they are considerate and decisive for you.

Off for my follow up appointment in a minute and feeling very wobbly and I don't even know why.

Hope it goes OK Bladder. You too Loves.

nanaof2 Mon 07-Jan-13 16:05:22

hi all well work went okay just a little achy my manager will not let me pull cages and only doing light things which is a relief and i can sit down when needed
the doctor said i can return to work but take things easy and to phone her if i have any problems with the weeing or if i find i have to self catheterise again and to remember to go see my gynae doctor in march for my check up which she also finds stupid having to wait 6 months considering all the problems i have had but she checked and said that it is normal procedure round here that you dont see him for 6 months from the time of your op
hopefully things will continue to get better now
thankyou once again for all your kind words and advice xxx

Tr0ubled Mon 07-Jan-13 17:46:33

Nana, nice to hear your manager is being supportive and glad your first day went well.

Tink, so sorry that it feels like its coming back. I would def go to the gp, they may well be able to tell you if it's swelling or a relapse. Best of luck hon.

Bladder, I hope your appointment went well.

I have been passed the name of a gynaecologist in Basingstoke called Tim Sayer, and just wondered if anyone has heard of him?

Troubled - yes, he was my consultant, also someone else on the thread who hasn't posted for a while but spoke very highly of him, also a RL friend. He didn't actually do my surgery, but I have been very happy with the work of his team.

I didn't mention him earlier because he was male and outside London.

Tr0ubled Mon 07-Jan-13 19:54:56

Thanks WhoKnows. My mum lives not too far from Basingstoke so I thought I'd widen my search in her direction.

PM me if you want a chat Troubled, maybe your mum lives near me!

Nana - glad things went well today, thank goodness your manager is being supportive.

Tr0ubled Mon 07-Jan-13 20:59:24

WhoKnows, I don't know how to PM!!
Quick question though, did you have a mesh? I only ask because the bio on Tim Sayer talks a lot about his use of a mesh for prolapse repair and I had thought it wasn't being used at the moment due to the controversy regarding corrosion.

LovesBeingAtHomeForChristmas Mon 07-Jan-13 21:08:08

Hey all so gp has referred me. Then I got some of mums strong painkillers and feeling better.

Oh good Loves, hope it all settles down a bit now.

Troubled - in the little header with the posters name in it there's a link on the RHS saying message poster for doing private messages. I didn't have mesh, the doctor told me they don't use it unless they absolutely have to because of the risk of complications.

Bladderama Mon 07-Jan-13 22:05:35

Nana so pleased that work are being understanding

Loves glad that you have got a referral and some pain relief

Thank you whoknows and troubled, no idea why I was wobbly today.
Appointment went well all prolapses have gone and healed well which I am delighted with. Just need a couple of minor procedures to widen the urethra (eww) and sort the ouch out that I have on the back wall from not healing quite right.
Went out for dinner and a movie with a friend afterwards which was great fun and makes me really appreciate being able to sit comfortably for a couple of hours!

slinkychick Tue 08-Jan-13 16:55:57

Bladderama glad all is well
Nana, good all is going well at work
I am back to work full time tomorrow sad Been swimming and doing water excercises and feel so good for doing it. I put on nearly 3 stone with sitting around since August. Stll seeing stitches comeing away. Still feel a phantom something down there even though I know everthing was a sucess.......... I think it will be sometime before I dont worry. I had op on 6th October and on 6th Jan really did feel better. Those not that far along you will get there, I thought I would feel weak and tired for ever !!
I probably wont need to come back on here so thank you all very much for all the advice what a great thread . I will nip back in case I can help new people
Love and good health to you all x

LovesBeingAtHomeForChristmas Tue 08-Jan-13 18:54:17

slinkychick fan news that you have 'graduated' grin

Lovely news Slink. I get the phantom feeling as well. Good luck with your return to work. More exercise definitely needed here too, I have put on the best part of a stone since last summer, that's on top of the two extra I already had.

Bladder - sounds like you're nearly home and dry (bad choice of words?), glad your appt went well.

wouldratherbeskiing Tue 08-Jan-13 19:09:19

It's great to hear positive news - everyone seems to be returning to work. Fen I'm hoping you are more comfortable. Responding to an earlier thread when I first needed to be referred for a rectocele repair I was adamant I wanted a female consultant. My story goes on a bit so won't repeat myself but I finally ended up with the best possible consultant who is a uro-gynae who specialises in repairs who happens to be male and booked in with same consultant.

Have had pre-op appt today for cystocele repair and saw a nurse and a young junior doctor who described the consultant's work as slick. Slick will do me. I was also relieved to find out I will be 'done' first thing in the morning.

I am going on a ski holiday from Saturday - unlikely to ski much but want to stand on top of a mountain. It's been booked since before my last repair and it'll be a great break with a lovely group of people + no cooking for a week. It's been keeping me going tbh and I will be sensible.

wouldratherbeskiing Tue 08-Jan-13 19:20:49

Whoknows - I can understand the phantom feeling - my consultant said repair will probably not get rid of what I described as a 'pinchy' feeling. I've also got a pressure type feeling in my bottom since rectocele repair.

Bladderama Wed 09-Jan-13 19:05:27

Have a fantastic holiday wouldrather, what date is your surgery?

Please can you lovely ladies offer some advice? I need the back wall resuturing to flatten out a ridge which has not healed correctly. Do you think that I will need to take time off work again? And if so how much? Can't believe that I forgot to ask during my appointment.

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