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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

(987 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.

MustTidyUpMustTidyUp Wed 20-Feb-13 15:51:35

Thank you too Dahlia for your info. I only work two days a week and feel awful about having time off especially as its nearing exam time an I have exam groups. At least I will be able to give adequate notice so I hope they can cover me. Might warn them it could be 6 weeks but will try and get back sooner. Think it'll be harder work to be at home TBH. The children are quite demanding (aren't they all?) and DH is to the best housekeeper. I have my mum around though.
I am just not entirely convinced I want to go through with it - but I dread things getting worse and then having to wait all over again.

MrsAnnie Wed 20-Feb-13 16:11:30

Hi Musttidy - I thought exactly the same as you, thinking of 2 weeks off. I now realise its not going to be enough. I am day 8 and still needing to lie on sofa most of the day. Not in pain but standing, walking, even sitting upright is not good. I plan to have at least 2 full weeks off and then see if I feel we'll enough to work from home. I don't think from reading the other posts here that I will be ready to go back into office for 4-6 weeks min and that does make me feel bad as I did play it down a bit at work. My advice is to plan 6-8 weeks well in advance and then if you are ready before that's fine but if not there's no pressure. (Wish I had done this).

MustTidyUpMustTidyUp Wed 20-Feb-13 16:38:54

Ok thanks mrsannie now I just need to pluck up the courage to tell work grin. I do not relish sharing the details with my boss - I do blush easily blush. Anybody got any idea what I should tell the kids? I thought having my tummy fixed but DS1 (5) will interrogate me and I just know he'll proudly broadcast it at school....

NeopreneMermaid Wed 20-Feb-13 17:20:29

Musttidy, my surgeon said not to drive for 3 weeks or lift anything for 6. The certificate for work says I can't work for 6 weeks! I only started my job last week and hope to work from home from Monday (I do a desk job and have my laptop home with me) but will see how it goes. I haven't told work any details and the certificate just states "Major surgery".

Not feeling as sore today but can't stand for more than 5mins and sitting is uncomfortable. I don't think I've been able to lay down for this long in 3 years (when dc1 was born) - might have to arrange fanjo surgery more often. wink

NeopreneMermaid Wed 20-Feb-13 17:21:44

I told my children (nearly 3 and 1) that I have a poorly tummy.

FanFuckingTastic Wed 20-Feb-13 17:47:31

So is it normal for cystocele/rectocele combination to affect your sex life? Are there any hints and tips on how to have an active sex life before correction?

Also, how do people deal with the constipation issues?

And do any of you have problems with recurrent bladder issues because of it?

And how quickly does surgery correct the problem?

MandyAJ7 Wed 20-Feb-13 17:50:01

Hi I'm new here but (sadly) not new to prolapse. Four years ago,after a hysterectomy, I had a vaginal vault prolapse, cystocele, rectocele and enterocele. I've had several correction procedures. I can see this is a great support group, but I also wanted to let you know about the Pelvic Organ Support group on Facebook. It's a private group (you have to ask to join) and a number of health professionals, including some really great, knowledgeable physios are members and are always happy to answer questions.
https://www.facebook.com/groups/184143085606/

I can't remember what I told the children, just that mum had an injured bottom I think (mine were 6 and 8 at the time, thought that was enough detail).

I was told not to drive for 6 weeks and off work for the same (can't get to work without driving, but I don't use the car for much else). I could have done a bit of work at home, but my laptop is pretty heavy and I wouldn't have wanted to lift it for the first few weeks, it wouldn't have been possible to sit at it comfortably either for long. I just told my boss it was a gynae op, I shared the details with my female colleagues but not the men.

Fan - I haven't had problems in any of those three areas really, my problem was extreme discomfort walking plus having to splint for BMs (using the thumb to press on the rectocele to evacuate it). The cystocele does lead to incomplete emptying of my bladder according to urodynamics, but I have not suffered any actual problems because of it.

Mandy - thank you for that link, I have sent a join request.

The thread is nearly full, I will start a new one later tonight, we have a lot of people at the moment which is lovely in terms of support (sad that so many need it though).

FanFuckingTastic Wed 20-Feb-13 18:48:14

I too have sent a join request.

********************************

I have started a new thread NEW THREAD

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MrsAnnie Wed 20-Feb-13 20:35:02

Musttidyup - I do understand your problems. I have told work that I have had small gynae op which covers a huge spectrum of problems. I have told details to close friends only. This is probably why I have not handled the off work issue very well as I found it hard to admit what I needed to be fixed. Doesn't help that my boss is a man : o

RF67 Sun 10-Mar-13 22:09:25

Hi, all. Just found this thread and now posting on Mumsnet for the first time.

I'm 6 week's post- TVT surgery. Having severe pain on one side only, which only started to develop a couple of weeks ago. Have had scans, nothing. Consultant has fobbed me off with antibiotics "in case" and said to come back in a month if I'm still in pain.

It's not constant pain, it's triggered if I stand up for more than a few minutes at a time (so the school gate is a real problem). It's excruciating, presumably it's around the top of the tape, although I can't be 100% sure.

Any thoughts?

Thanks!

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