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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:
happy2beme · 17/06/2012 19:16

Hi Pip after major surgery the recommended time for stocking is six weeks this is the expected time it will take to get back to normal activities. 3 weeks seems a little optomistic with the sit ups, remember that although you have not had the abdominal incision the muscles inside have still been cut and need to heal. Like Fen says holding abdomen good when coughing ect, you could try holding a rolled up towel against your abdo this is what the physio advises as it give more support. Peppermint water or capsules will help with the gas and try the movicol with orange juice with bits for the bowels. I you have a bolus of faeces low down a glycerine suppository.
Like Sure I took about 12wks to begin to feel partways normal but had anterior/posterior and TVTO plus infections. I am only just resuming completely normal duties lol and I am 6mths post first round of ops.
Sure hope all goes well for you next Fri and no issues like last time xx ps lol be prepared for the last stitch rectally nearly ended myself when I found that one :)
Fen hope you are doing better, life can be really crap sometime and it is difficult to always stay strong but that is what we do xx lots of love anyway xxx

Footle · 17/06/2012 19:26

This reply has been deleted

Message withdrawn at poster's request.

3isthemagicnumber · 17/06/2012 19:45

Seriously-6 weeks for the stockings?really hope that summer doesn't arrive anytime soon then, not sure that the green knee length look goes with flip-flops or birkies !
Hope you are all having a good day.24 hours at home post op now and feeling less overwhelmed etc though felt too guilty to stay upstairs all day, so have just hogged the sofa and tv buttons all afternoon instead.Have promised DH a make up Fathers day when I can, not that he seems to bothered tbh.
Feeling surprisingly ok still though still not opened bowels (5 days now!!) necking the lactulose and hoping relief will come soon!
Sure-really hope this Friday works out for you.everything crossed.
Erm, ok, very superficial worry now shallow face but bit worried about how much weight I will pile on.Have only just got in shape really, and am used to walking everyday, gym twice a week etc.How have the rest of you found it? Any tips or things I can do whilst still be careful and sensible ?

Pip · 17/06/2012 20:30

Thanks everyone for the advice. DH has bought me some senna laxatives, no idea if they're any good but will take some tonight. I've been drinking lots of peppermint tea. If the senna tablets don't work, i'll try the movicol. Is that better than the lactulose? Trying to eat well too. Woke up with two mouth ulcers this morning. Never had them before. A sign that my immune system is working overtime maybe...

I will look at the Michelle Kenway site. I'm not planning on doing sit-ups in three weeks, don't worry. The way I feel now, I won't be doing them in three months. It seems as though my surgeon is a bit over-optimistic. I don't know. He said it was a very straight-forward operation. It doesn't feel like that, all feels quite major. As it was a laparoscopy, I thought they were just doing the treatment through the stomach, didn't realise they were "going in" internally as well. And I signed the forms saying students could be present etc. So undignified! I can see that many of you have taken quite a while to recover fully, that's really useful to know for those of us who have just had the op (if not a little daunting).

3isthemagicnumber... I'm with you on the green stockings look. I'll be lucky to last two weeks. We're meant to be going to Hop Farm festival in two weeks. Eek. Also with you on the lack of exercise front. I don't do a lot but love to walk everywhere. The thought of being so sedentary is awful. And I'm already having guilt issues about not doing my share round the house.

Thanks again, so reassuring to speak to others who have been through the same thing. And good luck to those about to go the through it.

fengirl1 · 17/06/2012 20:35

3 a the best tip I can give to you and anyone else recovering is to say 'I can't do it'! I had white stockings which blended nicely with the colour of my legs Grin. I did ask the nurse why I couldn't have a pretty pattern.....

Skinikki · 18/06/2012 06:35

I am due to have an anterior repair and Transobturator sling for a bladder prolapse at the start of July. Any idea of when I am likely to be back on my feet and able to ride my bike, sail, run again?? Can't say I am looking forward to it as have read some real horror stories recently!!

LackaDAISYcal · 18/06/2012 07:42

Hi skinniki :)
I'm just at the beginning of my journey, so no experience, but reading the threads it can be anything up to 12 weeks depending on fitness/demands of your usual daily life. I imagine sailing is quite physically demanding though.

PrancingBuffalo · 18/06/2012 08:27

Hello ladies, here I am for a post match analysis. Overall, my op (rectocele repair and perineum rebuild) went well. Had it done Thursday morning, and home Saturday afternoon. I got the spinal - lovely anaesthetist was more than happy to do it, saying he was a big fan of them, and if he was having anything done below the waist he'd want a spinal. Wonder why they don't offer them routinely instead of GA, but never mind. (There's loads of really useful info on the Royal College of Anaesthetists website btw). I had some sedation, and plugged in my iPod as I went into theatre. He gave me morphine in the spinal as well, so I had excellent pain relief for the first few hours afterwards.

When that wore off, I could feel the pain starting - I should have asked for painkillers straight away rather than thinking, 'I'll see how this goes' so by the time the pain was under control again I'd had a bit of a meltdown, but from then on it was all bearable. Catheter and pack were pretty uncomfortable, so I was so pleased to get them out the next day, and had a shower which made me feel a lot better.

Only thing for me has been a rotten headache which I'd mentioned to one of the nurses on the ward; she didn't really pick up on it, and at the time I didn't really think about it, but I think it may have been caused by the spinal, so I'm just waiting to find out if I have to go back for a blood patch to fix it.

I was v apprehensive about taking a look at myself until yesterday, but it all looks a lot better than I thought it would - I can see a bit of one stitch, and I actually look all nice and neat again! Fingers crossed the inside is in as good a state as the outside appears!

3isthemagicnumber · 18/06/2012 10:04

Sounds really positive prancing buffalo Hope your recovering goes well and the headache eases soon.
skinnikiwhilst staying positive I think if you tell yourself you won't be able to resume normal activities for 3 months or so then anything earlier will be a bonus.
Day 5 post op and feel worse today.Aching all over and a bit headachy too.DS3 has come out with a tinker of a cold so just hoping I am starting that and not an infection.Feel I should try and venture out for a little walk today so will give it a go if I feel brighter later.Still constipated -seriously, you'd think something would be happening by now -eating loads of fruit, lactulose, water -I guess I'm just not moving enough.Any thing else I could try ? ?
Wishing all of us a good day

ZumbaZara · 18/06/2012 14:44

I sympathise. I had a similar operation 10 days ago. I was very sick and had a weird migrane for 5 days during which I had to stay in hospital. I continued to feel sick and became constipated. I tried lactulose, lactulose a high fibre diet and senna and now movicol. I tried 1 day with 3 movicol and was feeling really miserable next day I went for 6 movicol in 6 hours. It was highly effective very painful as I had a rectocele repair but SOOOOOOOOOO much better. Go movicol go!!!

teedeeuk · 18/06/2012 16:13

Waves at Footle
Hello ladies, back here for a one year 'catch up'. Last May I went into hospital for a rectocele op and woke up with having had rectocele, cystocele and perineal repair done. Was half expecting it due to convo with the consultant beforehand where I was asked to sign consent for whatever he deemed necessary. No problem.
Next day packing removed and massive bleed ensued, ended up being taken back to theatre where they found a 2cm tear left in vaginal wall. All very traumatic (especially for my poor OH! I was quite out of it on drugs.)
Came home after 6 days very very bruised and battered, had been seen by consultant who was v apologetic etc and treated very well by everyone.
He made a big deal of seeing me again 8(??) weeks later because I'd had a rough time. Saw him again, he once again apologised massively and told me it had never happened to him before etc.
It did take me a long time to recover, and to be honest it is only very recently that sex has been 'good' again. A lot of scar tissue and he did make the entrance very 'small' although it looks terribly neat now after the trauma 4DC inflicted on it.
I guess overall I'm happy - I can poo again, I can have sex again although far from the six weeks I was quoted originally.
ANYWAY
saw my GP today and mentioned how traumatic i had all been. She looked quite surprised and got my notes up on the screen.
The letter from the consultant just says saw "mrs X for A+P repair and perineal rebulid, nothing abnormal, discharged next day"
She was horrified when I told her what actually happened. Do you think this would be deliberate on his part (ie worried about being sued) or a genuine mistake maybe on secretaries part.
Is it unreasonable to want my nots to be complete?

teedeeuk · 18/06/2012 16:15

sorry *notes to be complete :)

Pip · 18/06/2012 16:30

teedeeuk, that all sounds so traumatic. Glad you're finally sorted though. I personally think your notes should be accurate and would ask for them to be updated.

Prancingbuffalo, I'm envious of your spinal instead of a GA - although not envious of the headache. Hope that improves soon. Horrible to think of what all these drugs do to our bodies.

Day 4 post-op for me. I rang the Gynae ward to ask a few questions and was quite surprised by the answers. Apparently I don't need to wear the compression socks anymore - just for use in hospital apparently as I'm moving around now. I also asked if I could go out for a walk - she said yes. Obviously not to overdo things, but that short walks were important. I asked if I could remove the dressing on the stitches, she said they should have come off the day after the op.

I'm feeling much better than a few days ago. Still sore but moving around much better now (am able to get out of bed without crying!) My belly button looks quite odd, not sure how it's going to end up once the stitches dissolve and it's healed. Went for my first walk, just to the local shops and back. Felt good. Slow but good. Oh, and I almost forgot, most importantly... I had my first BM today! Bloody marvellous, thank you Senna tablets! 3isthemagicnumber - maybe you should try them or Movicol as that seems to work for most people? Definitely recommend a short gentle walk though.

teedeeuk · 18/06/2012 17:03

Pip, hurrah for that first BM! So scary until you do it! :)

Footle · 18/06/2012 18:52

This reply has been deleted

Message withdrawn at poster's request.

teedeeuk · 18/06/2012 19:11

Hmmm I think I'm going to ask my GP to request my notes from him. This is not feeling good to me....

surewoman · 18/06/2012 19:50

Hi teedeeuk - my notes weren't exactly correct either - 'Saw X today with complaint of stitches, snipped the end of one and no further problems' - I had only arrived hyperventilating with pain and been rushed through for surgery two days later, which was then cancelled by the surgeon, only for me to be back in hospital one month later under a different consultant having 7 super sized undisolvable stitches surgically removed!!! I think they cover their own backs as all notes are reviewed internally (my guess) as they are now given star ratings against their names, etc. The consultant I have now actually writes down word for word everything I have told him and I am then sent a copy in the post and cc to my GP. Even uses the same vocab that I used (slightly unnerving to see it in print, Lol!) but I'd rather that, knowing you are properly listened too, than a load of invented rubbish!

I am absolutely terrified about Friday and can't sleep a wink. I think it is knowing exactly what I am in for with regard to pain, uncomfort, BM's, bleeding, etc. etc. Aaaaargh! Oh for blissful ignorance!

For all those post ant/post repair - how long will I be completely out of action? 1-2 weeks or more of lying around? Trying to sort my boys out who are begging to stay home alone at the weekends whilst I am recovering at Granny's! Will I be able to manage after a week? xxx

surewoman · 18/06/2012 19:53

Sorry, more questions - nighties or pj's?? How many? What else will I need? x Only had day surgery last time and am now promised 4/5 days in hospital x

Skinikki · 18/06/2012 19:55

Thank you for the replies..... Three months recovery!!!!! Will be lucky if I stay same for 3 weeks without doing something! Am hoping everything will be fairly straightforward with no complications. Is it normal to have to sign a consent for anything aswell as what's anticipated? Is it also a good idea to start taking arnica tablets before the op to help with bruising?

ZumbaZara · 18/06/2012 20:27

That is very interesting. My notes were also really economical. I was seen by 5 or 6 doctors in hospita; because I had a headache sickness and numbness on my left side. This went on 4 days and there was real concern that I was either having a severe reaction to the anaesthetic or I had had a stroke.
When I came home I was told to go to the GP if I still had difficulties and none of this was on my notes!!!

surewoman nighies as you will have a catheter.

Skinikki I am 10 days post op and not tempted to do too much at the moment I could not do it. I also would not want to undo the good work and need another op.
Each day I am doing a little more. The first week I managed with friends doing meals, a cleaner coming once, my kids helping and my husband popping home at lunch time.

This week my elderly mum is here and we are going slowly together.
Next week it will be the same as week 1 except my older daughter will be off school.

Hope that helps

roseanna1 · 18/06/2012 20:41

Well its almost time now...surgery early tomorrow morning for posterior repair. Been in a state all day about it, but trying to get a grip. Bloody work made me cancel my day off today as they were too busy...don't know what they're going to do when they're too busy over the next 8 weeks!

Anyways, good luck on Fri Sure, will be thinking of you :)

And take it easy to those recovering xxx

Will update once I'm on the other side :o

Skinikki · 18/06/2012 21:01

Thanks all. My consultant said 4-6 wks recovery but looking on here that seems a little optimistic!!
Good luck Roseanna1 for tomorrow let us know how you get on. My surgery date is 6th July so a few weeks yet.

nimblewomble · 18/06/2012 21:13

hi All - new to thread but getting anxious about my op in next few weeks. Having key hole surgery for womb prolapse and everything is going through my head worried about anesthetic, pain after op, recovery time. Anyone else had this procedure (think its called trans vaginal sling ) - I don't have any bladder or bowel issues just the drooping fanjo and feeling like everything is falling out (sorry if tmi). Need some reassurance doing the right thing having the op as some days think this isn't too bad, then other days feel uncomfortable and can get pain.

surewoman · 18/06/2012 21:16

Roseanna - will be thinking of you tomorrow xxx Good luck x

WhoKnowsWhereTheTimeGoes · 18/06/2012 21:38

Good luck Roseanna and Sure

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