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Any old prolapse! Uterus/womb prolapse, rectocele, cystocele, enterocele, urethrocele, incontinence, pelvic floor, anterior and posterior repair, TVT etc part 4

958 replies

Ben10NeverAgain · 06/04/2012 19:43

This is thread 3 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

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.

OP posts:
roseanna1 · 14/06/2012 22:51

Well I had my preop today (had bloods, bp, ecg, urine, temp, pulse ox and MRSA screening) and actually feel so much better after they explained everything to me and then after I had queried whether there might be any problem with the anaesthesia meds reacting with some other meds I take, the anaethitist called me this afternoon personally to reassure me he'd checked each one individually. I felt that I will be in safe hands on Tuesday. And you were right Footle, they weren't at all bothered by the BMI...were just factual. Thanks to all for your kind words.

Fen....thank goodness they seem to at least be taking things seriously but jeez....more abs!

Hi newbies...don't know enough to give anyone advice yet but welcome and good luck. The ladies here are a mine of invaluable info and support xxx

tinkxx65 · 14/06/2012 22:54

Hi again

I forgot to mention another thing that the consultant said today that has also made me cross. I have tags of skin near my bum and one of them keeps splitting and bleeding and I asked if that would be sorted out as it is painful and uncomfortable......No is the answer, it is considered cosmetic???? and the PCT do not pay for it anymore. Just thought I would have a moan before I go to bed. Nite all x

Footle · 15/06/2012 07:12

This reply has been deleted

Message withdrawn at poster's request.

Footle · 15/06/2012 08:55

This reply has been deleted

Message withdrawn at poster's request.

Piplysmelie · 15/06/2012 12:43

Fen thanks for the advice I saw GP today she thought all looked fine but took a swab to be certain. I can phone back next week to check. Gosh the exam was a bit painful, she used a plastic spectulum and when she started to open it up I think I jumped off the table.

Worried now I may be too small inside Hmm. Maybe it was just because the area is sore and swollen. Let's hope so.

Anyway feeling lots better not so tired and less sore so fingers crossed I am on my way. I keep thinking of the lady who was meantioned on here who was skiing snd horse riding at 10 weeks post op. I want that to be me :)

fengirl1 · 15/06/2012 13:24

That sounds good Pip. There are 'virgin size' speculums they can use! Grin Have to say tho the swab I had yesterday was v painful. Remember you are still healing and will be sore and swollen so don't assume anything yet! I'm at six weeks plus and did drive away wondering how anyone could contemplate sex at this point...

Monica1972 · 15/06/2012 14:45

Thanks, Tink, just can't live the rest of my life either never leaving the house or downing eleventy million anti-diarrhoea tablets if I have to go out. Dreading my holidays as staying with friends/family and people always want to go on long walks and eat out....This is such an antisocial problem and also too embarrassing to explain to family and friends - I can't even tell my mother! My app with the colorectal surgeon is on July 16th.The doc tested the strength in my rectum er...manually by inserting a finger and asking me to squeeze as hard as I could (a joy indeed!)and from this ascertained I had reduced control. Really hoping Colorectal bod can tell me s/he can fix this. I had my bladder put back where it was meant to be and TVT tape etc back in 2010 and that op wasn't bad, just worried I'll have to stay in longer and don't want to be away from my daughter any longer than I have to. Sorry for rambling this is just really getting me down.

fengirl1 · 15/06/2012 18:53

Monica - I think you will get a lot more sense in July. You're right, you shouldn't have to carry on that way and hopefully you will be able to start making plans to live it up a bit some time soon!

I kind of have some answers now.. The sonographer could see something on the scan but it wasn't defined enough to tell what. (I had an external then an internal which induced ridiculous shaky legs syndrome. Blush) Apparently I have had an abscess which is almost resolved, or I have adhesions from the surgery, which wouldn't be a huge surprise as I already had some from endometriosis. I'm hoping it's actually the former as I don't want to have problems when I do finally find someone to have a sex life with!! Am now walking rather more like John Wayne than usual.... Oh well, at least my car passed its mot today!

3isthemagicnumber · 16/06/2012 17:38

Hi all.
Hope you are all having a good day today regardless of stage etc.
Fen-glad things are seemingly improving for you now what a rotten time.
Suregirl -thank you for remembering me !!!! I did have my operation on Weds (ant/post repair ) and have just got home this afternoon . (no mobile signal and/or Wifi means I haven't been on this thread whilst in hops). Feel ok ish.Sore and tired but not so bad considering.Constipated though,of course. -and I thought the pressure from the pack was bad:-) Have to say, and feel very guilty for this as my boys obviously really want me home , but feel weepy and a bit overwhelmed by being here-did anybody else feel like that post op?
Have no reason too-consultant said all was straight forward so probably just feeling bit sorry for myself so need to snap out of it.
TRULY though, if you are just coming up to surgery, as long as you don't let the pain killers run out it is not as bad as I thought it might be.

Piplysmelie · 16/06/2012 19:42

Hi 3

I understand exactly how feel. I was the same glad to be home but a bit overwhelmed initially with my girls. My dh was great in the first week of getting the balance right between them coming to see me in my bedroom and staying too long. The second week was easier.

I am now into my third week post op and feel so much better even managed a short walk to the corner shop today:)

I was struck with the mummy guilts too but as I want the best outcome from the op forced myself to rest and so must you. . Think short term pain long term gain.

Fen you so made me laugh about the virgin size speculum never thought I would see the day when I would need that size again!

Best wishes to all

Pip

Unlurked · 16/06/2012 19:53

Hello everyone, sorry for gatecrashing your thread as this is a bit off topic but I thought you might be able to help me! My 2yo DD has had two prolapses of the rectum in the past week. She doesn't seem to be in any pain when this happens but I just wanted to check with some adults that have experienced prolapses that it really doesn't hurt? Or could it get more painful the more often it happens? Neither of the doctors we've seen have ever dealt with a prolapse in one so young. Apparently DD is very 'interesting'. The out of hours doctor we saw today used google to answer our questions!

Hopefully this won't be a recurring problem for her but I want to feel prepared for it happening again. Ugh my head is a bit mashed from spending all afternoon at the hospital! Sorry again for gatecrashing!

Footle · 16/06/2012 21:31

This reply has been deleted

Message withdrawn at poster's request.

3isthemagicnumber · 16/06/2012 21:39

Thanks Pip-I think you are right about finding the balance.Having felt like I have been away from them ,since coming home this afternoon I have just been on the sofa as did not want to disappear off to my room so I have been very visible .Nobody is expecting me to do anything as such,but obviously it is constant noise and talk and questions etc.I think tomorrow if I am less visible we might get the best of each other .
Unlocked -hope you find the answers for your dd

Unlurked · 16/06/2012 22:51

Ok thank you both.

surewoman · 17/06/2012 01:11

Hi 3 - glad it all went ok. I was very miserable after my op. Probably due mainly to anaesthetic wearing off (hid under my dressing gown in the hospital and bawled my eyes out, Lol!), but also because I am a very active person and am never ill so it came as a big shock to not be able to manage everyday things and look after my boys properly - it did eventually wear off, but I definately had a day when I was on my own and did nothing but cry (unheard of!) - thought I was going mad!!! Don't be tempted to do anything for the first two weeks, especially retreiving things from the floor as you will only do yourself a damage Smile xxxx

Monica - just a thought.. I have a pelvic toner machine (itouch sure) and they sell an anal probe for improving anal tone, which goes with the machine. The vaginal probe works well and you can definately feel your pf muscles 'working out' so to speak; maybe the anal probe would be good for you whilst you are waiting to get fixed??? x

LackaDAISYcal · 17/06/2012 13:20

I think that anesthetic has that effect on people and combined with low level pain/discomfort upsets even the most rewsilient personality, regardless of the operation. I remember feeling similarly down and despondent after my gallbladder operation.

In my wanderings round the interweb last night, I came across a site that was aimed at exercises rather than surgery and changing your posture to minimise/reduce the prolapse and that surgery is unnecessary. I forgot to bookmark it, but will try and dig round for a link. I was a bit sceptical but wondered what anyone else thought.

LackaDAISYcal · 17/06/2012 13:45

Ha..found it!

Wholesome.com

I've just been browsing the forums, and it's a bit difficult to navigate (in that I can't navigate back to the information page I was first on) but I think it might be worth acloser look, if only to help alleviate symptoms prior to surgery.

LackaDAISYcal · 17/06/2012 13:47

Silly autocorrect.

It's www.wholewoman.com not wholesome!

Pip · 17/06/2012 15:03

Hi

I had keyhole surgery to repair an enterocele on two days ago. I wasn't prepared for the aftermath to be so painful, suddenly makes you aware how often you use your stomach muscles... Just putting on socks or getting out of bed is a nightmare! Just wondered how long you need to keep the support tights on for? I forgot to ask the surgeon. I am moving around (albeit at the speed of a 90 year old) so I was hoping I can take them off. Any ideas? Thanks.

Pip · 17/06/2012 16:01

Also, the procedure to repair the enterocele was called Laparoscopic McCall's Culdoplasty. Has anyone else had this? I wish I'd asked more questions now, I feel rather ignorant. The surgeons said that recovery time was around three weeks. (I asked when I could resume exercise like sit-ups etc, and they said three weeks). Reading some of these threads, it seems that some people are only just venturing outside to go for walks after this length of time. I wonder if I'm being over-optimistic? I obviously want to recover properly, but am already feeling guilty at not being able to help out, at two days post-op!

On a positive note, at least some of the shoulder pain has eased slightly (from the trapped gas they pump into you for a laparoscopy). That was incredibly uncomfortable. And I'll be glad if I never have to have a GA again. Hideous! My throat is still so sore from the tube they put down it.

How long did most if you take to go to the loo again post-op? I haven't been for over three days. Have just sent DH to buy something for constipation. I'm a bit scared though, takes me straight back to giving birth. Ouch!

fengirl1 · 17/06/2012 16:02

Pip - I was told two weeks but did whip them off for a wash here and there otherwise they would have been a bit ripe! Putting your hands on your tum helps if you need to cough or sneeze. If you have any shoulder pain try swinging your arms like a soldier when you walk as sometimes everything gets pushed up a bit by the gas. Hope you're feeling a bit better soon.

Pip · 17/06/2012 16:12

Thanks fengirl, did you wear the socks to bed? (mine are the knee ones).

I sneezed earlier and let out a little scream! I was totally unprepared for the pain. Good tip about the hand on the tummy, thanks. And the soldier walk, I can hardly look more ridiculous I suppose...

Btw, how long was it until you started to feel normal again?

fengirl1 · 17/06/2012 16:24

Yes Pip I did - the glamour! Didn't have my repair op laparoscopically so can only relate back to the laparoscopies I had ages ago which took about two weeks, but those were just 'poking around' so I didn't have any other healing to do. This time - anterior repair and hysterectomy (both done vaginally) - I am still quite sore at times but have had infections so I can't really help - sorry!

surewoman · 17/06/2012 16:34

Pip - if I'm anything to go by, and trying to forget about all the stitch trouble, it was about 3 months until I felt ok. But I had such trouble with the stitches etc. that as soon as I was feeling better I was back in theatre to start all over again .... and back in again this Friday to start all over again, again! Hopefully that will be it this time!!!

I didn't wear the socks for very long, only a few days.

Pip · 17/06/2012 16:41

Anterior repair and hysterectomy together sounds like a big operation. Hope you rested enough and recovered well. It seems that lots of women get infections, will keep an eye on the bleeding. Oh the joys!

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