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AIBU?

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Original poster

Any medics on here- I’m having a panic!

65 replies

Bluffyslummers · 03/01/2025 19:28

I had a hysteroscopy yesterday and got diagnosed with grade 2 bladder prolapse.

this was very very surprising news as I have no symptoms. And I’ve had 3 internal exams over the past year (bleeding in between periods) and as many trans vaginal ultrasounds and nothing was mentioned.

is that possible? I’ve looked on the nhs website and it says that prolapses are diagnosed by internal exam- how could this have been missed.

im suspicious because im going private at the moment and this consultant keeps finding new avenues to investigate and now wants to do the mesh surgery for this prolapse and looking it up that is paused from the nhs.

surely 3 previous internal exams one done by the very same consultant it would’ve been mentioned?

OP posts:
Original poster
Bluffyslummers · 03/01/2025 23:21

staceyflack · 03/01/2025 22:46

Sounds wrong to me. Definitely get a second opinion. Speak to your gp, perhaps. I'm a nurse and midwife and ive had the mesh! I had it done 10 years ago and (touch wood) it's been really good for me. But I wet myself lots and had finished having babies. I wouldn't have considered otherwise. There are multiple risks, as you say. Seeing a physio is great advice, but why do anything, if you have no symptoms 🤔

so in your experience of anatomy would a grade 2 cystocele have been visible on a internal exam? I just can’t wrap my ahead around the fact that 2 platinum consultants didn’t remark on it and it was only picked up via hysteroscopy surgery which was looking for polyps undetectable on a scan and a removal of cervical ectropian (the second consultant said it needed to be removed as it might cause issues conceiving again, but the first said we could remove it but might come back, up to me but it wouldn’t cause issues)

OP posts:
BlueMum16 · 03/01/2025 23:10

Most insurance will allow a second opinion. Cheaper than unnecessary surgery.

Anon22224 · 03/01/2025 23:06

Do not get the mesh! It ruins lives, my cousins life was destroyed by it. It’s banned in many countries

staceyflack · 03/01/2025 22:46

Sounds wrong to me. Definitely get a second opinion. Speak to your gp, perhaps. I'm a nurse and midwife and ive had the mesh! I had it done 10 years ago and (touch wood) it's been really good for me. But I wet myself lots and had finished having babies. I wouldn't have considered otherwise. There are multiple risks, as you say. Seeing a physio is great advice, but why do anything, if you have no symptoms 🤔

Calmhappyandhealthy · 03/01/2025 22:38

Ime some private consultants do jump straight to surgery without considering other non invasive options. Such as pelvic floor physio

Original poster
Bluffyslummers · 03/01/2025 22:36

Cismyfatarse · 03/01/2025 22:33

If pelvic floor physio doesn't help (and give it 6 months) you could see if you are suitable for Bulkamid which has been transformative for me. Takes about an hour to administer. No recovery time at all. Life changing. Had mine on the NHS.

Ah I looked and its for incontinence- luckily I’ve not had that at all,

OP posts:
Original poster
Bluffyslummers · 03/01/2025 22:34

Cismyfatarse · 03/01/2025 22:33

If pelvic floor physio doesn't help (and give it 6 months) you could see if you are suitable for Bulkamid which has been transformative for me. Takes about an hour to administer. No recovery time at all. Life changing. Had mine on the NHS.

What is it?

is it the pessary things?

ive seen them referenced on the nhs website before surgery

OP posts:
Cismyfatarse · 03/01/2025 22:33

If pelvic floor physio doesn't help (and give it 6 months) you could see if you are suitable for Bulkamid which has been transformative for me. Takes about an hour to administer. No recovery time at all. Life changing. Had mine on the NHS.

Original poster
Bluffyslummers · 03/01/2025 22:31

HotelDuVine · 03/01/2025 22:22

Get a second opinion.

I’m not sure if my insurance covers second opinions

OP posts:
Original poster
Bluffyslummers · 03/01/2025 22:31

ScaryM0nster · 03/01/2025 22:23

It may not have been commented on, or may not have been there at the time.

I’d suggest considering an independent pelvic physio assessment. If it’s there, most advice is to start with exercises rather than jump straight to surgery.

Physios can’t do the surgery, and generally aren’t looking for repeat business - so you’ll get a different but relevant specialist opinion.

between his last exam and the hysteroscopy has been a matter of weeks. So very unlikely that it would’ve come up since. Esp as it’s likely the result of child birth. I just don’t understand why 2 consultants would miss it, one of whom being the consultant who performed the hysteroscopy looking for polyps he said he saw on a scan, that the dr doing the scan said was clear.

ive asked my insurer for a referral to pelvic floor physio- not sure if they cover it.

OP posts:
ScaryM0nster · 03/01/2025 22:23

It may not have been commented on, or may not have been there at the time.

I’d suggest considering an independent pelvic physio assessment. If it’s there, most advice is to start with exercises rather than jump straight to surgery.

Physios can’t do the surgery, and generally aren’t looking for repeat business - so you’ll get a different but relevant specialist opinion.

HotelDuVine · 03/01/2025 22:22

Get a second opinion.

Amaranthasweetandfair · 03/01/2025 22:20

Well, I wouldn't have mesh surgery if I had no symptoms!

Original poster
Bluffyslummers · 03/01/2025 22:15

FuzzyYellowChicken · 03/01/2025 21:55

Were the vaginal exams to check for prolapse? They might not comment on it if they weren't looking for it and you don't have symptoms (because nothing would be done about it anyway unless you're symptomatic) Ultrasound wouldn't pick it up as that's looking further "in".
I don't see why they want to intervene if you aren't symptomatic? What would be the point?

Well they were doing a general internal exam, I’d have thought it would’ve been visible?

I have no symptoms at all and they said it might get worse when I get older. But I’ve heard about the mesh surgery and it seems to have a disproportionate amount of adverse outcomes, I mean for the nhs to pause it pending investigation and reserve it as a last last resort.

i also would like another child. No discomfort in intercourse. But I’m confused as to why it wasn’t seen on a physical exam, surely it wouldn’t be missed by 2x platinum certified gynae consultants.

OP posts:
FuzzyYellowChicken · 03/01/2025 21:55

Were the vaginal exams to check for prolapse? They might not comment on it if they weren't looking for it and you don't have symptoms (because nothing would be done about it anyway unless you're symptomatic) Ultrasound wouldn't pick it up as that's looking further "in".
I don't see why they want to intervene if you aren't symptomatic? What would be the point?