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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:
tinkxx65 · 10/04/2012 17:20

Oh and forget to say, Surewoman, your post made me laugh too, but I dont know if I could say to my consultant, get on your hands and knees and look at my fanjo as I bear down, but the thought of it made me laugh and laugh xxx

jackie62 · 10/04/2012 17:25

Sorry about the last post. That was really weird as I couldn't see any new posts from 6th April and was a bit confused as we normally have a few posts every day even on a quiet one. Anyway, still waiting for an MRI to identify whether I have a haemotoma or a hernia. Really fed up now as unable to go to work properly and if I go off sick at all in the next six months I immediately go down to half pay which is nerve-racking.
I feel very sore, don't want yet another operation, and my right side pubic area squeaks which takes some explaining!!
Xx

tazzle · 10/04/2012 19:12

aw jackie..... I remember going through a spate of that kinda thing a while back...... losing posts.. ....so frustrating !

so sorry that you are still having problems with that darned tape ... can we really hear you coming Shock.

never mind a date tink your preparations are worthy of a holiday in the sun !!!! Good luck for thursday, we await the reoprt with bated breath !

mrsm22 · 10/04/2012 20:46

fapl - thanks for the link you sent. As far as i'm aware, i don't have a prolapse. Just my baby boy is 15 weeks tomorrow, and for the last 5/6 weeks i have had something odd with my bladder. It's the feeling like i always need to go to for a wee, even when i've just been. It may just be coincidence, but i had just gone back on the pill when this problem with my bladder started. Anyway, i am going to stop taking it for a few weeks or a month and see if any improvement (it would be so wonderful if it was just the hormones from the pill) and nothing worse going on!

Tazzle- i know you don't think it is the pill, but i have read things on the internet about how your body can have an imbalance of hormones and it can irritate the urethra (or something like that). Either way, i have to give it a try, if nothing else, just so i can rule it out. I have been taking nearly the whole box of the bladder tablets and still no improvement. I think i need to try a higher dosage or a different tablet. I've heard Oxybuten is quite good.

tazzle · 10/04/2012 21:54

oh I did not have a firm thought either way mrsm22, just had not found anything saying that the pill could cause the symptoms Wink ... most of my searching in the past has been to do more with menopausal level hormones !.

Going off the pill to see what occurs sounds a good plan .. as is trying other pills or upping the dose....... hope summat works Thanks

fengirl1 · 10/04/2012 22:28

Mrsm22 - just a thought.... You could get some urine test strips from the Internet to see if you have white blood cells in your urine. That way you could know for sure if its an infection or not, and you can test daily if you want to. Dd1 uses them to keep an eye on her kidney function. Did anything happen around the time you first felt the irritation? Keep pushing for an answer. Feeling the need to wee all the time is horrible.

Nannasylv · 10/04/2012 22:39

Mrsm22, have you tried drinking cranberry/taking cranberry supplements, or there's something called Cystopurin, which I used to have to take, when I got similar problems?

kickmewhenimdown · 10/04/2012 23:21

evening all, got a docs appt for thursday. Is there anything i should ask him in particular? Sounds silly, but have mental pic of him examining me lying down and it not seeming as bad. Should he have a look while im standing or is this daft?

Ben10NeverAgain · 11/04/2012 07:21

If it is a GP appt and you can see a prolapse, you want him to get you to refer you to a gynaecologist once he has examined you. When I had my examinations the prolapse was evident enough lying down - this isn't the same for everyone so if he says that he can't see anything then you could always ask. The GP did a vaginal exam and an rectal one (as I had v bad constipation too). The consultant did one in the classic smear position on your back (with a clear spectulum thingy) and one with me lying on my side with one leg up.

Had another attention seeking night in terms of blood loss - been up since 2.30am. Going to call up today again I think. Never ever seen anything like it.

OP posts:
dudrop2362 · 11/04/2012 08:28

Hi everyone i'm still lurking on and off , I had rectocele repair sep 2010 still need front wall and perenium repair, but at the moment still recovering from other surgery.
Ben10 i had hemotma/infection 10 days after my op and rang the ward they told me to go straight in, i lost clots and bright red blood for a couple of days. They gave me two different antibiotics so please let the gp or ward know whats happening even more so as you have had clotting in the past.

Ben10NeverAgain · 11/04/2012 08:35

Thank you dudrop I will call up this morning. It has slowed now but the night was very frightening. I almost called last night.

Hope your recovery from your other surgery is OK.

OP posts:
fengirl1 · 11/04/2012 08:53

Ben10 - I hope you get sorted out now. Let us all know what happens. X

duckiedaddles · 11/04/2012 09:23

Hello ladies, "Fallen Fanjo" club, lol. Just wanted to say thank you - have just worked my way through the last thread (should be working, tut tut). Am going in on Friday for a small rectocele repair and perineum rebuild (tore v badly with dd and wasn't stiched up far enough!). Panicked last week and started rogue new thread but was directed here, thank you. Feeling hopeful this week that it will all go well and be worth it - am 40, not overweight and generally heal well, so fingers crossed (ah the naivety they say!). More worried about my ability to rest - have 3.5 year old and 1 year old who aren't going to get the whole mummy can't lift you up thing, but they will have to. Will let you know how I get on....

fengirl1 · 11/04/2012 12:35

Sending you get well hugs Ben10. Smile

Ben10NeverAgain · 11/04/2012 12:41

Thank you. Waiting for blood and swab results. I am to be prescribed transemic acid to slow the bleeding and metronidazole for infection. Will see consultant on Monday.

OP posts:
Ben10NeverAgain · 11/04/2012 12:59

And euryothromicin. Hb ok, kidney function OK and white blood cell OK. They think it is just a. Collection of blood that needs to come out.

OP posts:
fengirl1 · 11/04/2012 13:05

Ben10 - at least you know now and more importantly so do you HCP's. Get some probiotics if you lean towards a dodgy tum on antibiotics - now is not the time for stomach cramps!!

fengirl1 · 11/04/2012 14:50

P.S. Did they say where it's coming from? (Not that I'm being nosey and want to know in case it happens to me or anything!) Grin

Ben10NeverAgain · 11/04/2012 14:56

Fen

Apparently it is either from a collection left over from the operation or actually from the incision itself. I'm private and the consultant is doing NHS today so saw the RMO who did the swab. She only used a tiny spectulum, just enough to get the swab in. I see the consultant on Monday and will ask him if he can see where it is coming from.

I'm sure it won't happen to you. I'm just special Grin

OP posts:
tazzle · 11/04/2012 17:26

yes fengirl , we can only have one set of dramatics going at any one time, can't have anyuone thinking that all post op recoverys are so spectacular. Confused

Seriously ..... lets hope this all gets identified properly and the pills do the job they should ben10 ..... got to get you back to some semblence of fitness sometime soon (((0)))

I am trying to take it easy as was a flipping fool and overdid it yesterday. Thing is when the arms/ legs etc feel fit and there is no actual pain to linit actions it is just soooo easy to say .... ok yes I am fine to go for a wee walk in the woods with DH and DGD and dogs then go shopping ...... eeeerrrrrrrmmmmm no. ! Its the pressure on the pelvic floor whilst being upright and walking that it the relevant issue not the fitness of the other bits !!!!!!! NOw I am all heavy and bloated down below again .. darn it !!!

So ....... Although normally we are out and about doing active stuff (like up with the horse) will enjoy presence of DGD tonight by watching Lord of the Rings DVD and having a cuddle on the sofa I think ! She is playing on the Wii atm..... I might join in the archery lol

tazzle · 11/04/2012 17:45

sorry duckie ....... looked back and saw your post .......welcome indeed (((0)))

All the very best indeed for Friday ..... I had mine on a friday too, (12 days ago) and generally recoveing very well...... except when I get too ambitious and do too much.

I am a bit older (55) and the last coulpe years its been brought home to me when assisting with my DGCs why generally we dont have babies in this decade [shock) as less stamina so maye you wont be as tired post op.

However the liifting of DC will be a big no no post op unless you want to undo the benefits...... I have seen posts from some other mothers of toddlers with tips on how to manage the lifting aspect so I hope you find them.

The more help you can get the better imo but I think that the hardest thing I have found, but which is important, is to accept that most house tasks can be left for a few weeks without anyone coming to harm .

do you have anyone to help especially that first week when you are at home again.

.

fengirl1 · 11/04/2012 18:32

Duckie - I'm fairly sure you will see a physio in hospital who will advise about how to avoid/minimise lifting. If you don't see anyone, do ask the nursing staff as this is an issue for you. Maybe one of the post op ladies will be able to advise if you will be able to kneel reasonably comfortably or not??? I too have questions but I'm waiting til nearer my op to ask. Hth.

Ben10NeverAgain · 11/04/2012 18:57

Hi Duckie

Sorry I was too busy attention seeking this morning to answer.

I have just started to kneel and am 2 weeks 2 days post op. I'm not a good example though as have complications to any op I have Grin.

Straight after I didn't want DS (6 yrs) sitting on my lap as the weight felt like it was pulling but he is v tall (8-9 clothes) so a bit different. You will have to do a lot of sitting on the settee with your feet up and then getting them to climb up next to you. DO NOT LIFT THEM Sorry did I shout Grin. Nappy changing etc the same way. Maybe you/DH could sort out a box of stuff right next to the settee so that you don't have to stretch, reach, bend etc.

The physios should definitely come and see you and talk to you about lifting. I have been told no more than half a kettle for 4 weeks.

I agree to take whatever help you can get esp with 2 under school age.

OP posts:
HuggyPomBear · 11/04/2012 20:42

Hello everyone! My this thread flies by! I have my anterior and posterior repair op on Tuesday and I am very very nervous! I am principally terrified of the GA. I am incredibly worried that I will DIE. It seems like a word where capitals is required. I have never had an op before and I think I will ask about spinal block. At the pre op though I got the impression it was only GA available. There were a a couple of questions I forgot to ask. I plan to ring up tomorrow to ask but if I pose them here, would someone be able to try and answer them?

At what points post op do you normally get check ups?

When are you supposed to be able to drive?

What walking distances/time should I aim for over what period of weeks?

What is the normal back to work time for a predominantly office based job?

Can I have a hug??!

Very worried! I also don't think my DH understands what it'll be like post op and after the first couple of weeks I think he thinks I'll be fine to handle my 18mth old daughter while he's at work.....all week, returning at weekends. I'm not convinced this will be good for me. Arghh,the whole thing just seems crap. I've talked about removing the cot side so DD can climb in and out of bed herself etc and he thinks it's better to set the cot side with bungees and I can remove it and put it back on at bedtime etc. I've tried pointing out that that would involve lifting but to him that weight is nothing so he can't understand why it's an issue, especially as I will have help for the first 2 weeks then he thinks it'll be ok.
Will I be able to manage a pushchair after a few weeks? Not lifting it, just pushing it and maybe getting it on and off a bus? It's a lightweight one...obviously it will have a toddler in it. Really not sure DH's plan to have me join him at his London base will work that well....

Everything just feels very stressful!

ABitSnowyOutside · 11/04/2012 20:45

Hello again!

Finally got to see the doctor today and yes, he thinks I have some sort of prolapse. I go back on Friday for an internal (and smear) by a woman doctor.
There were mentions of a scan.

now, given that I feel as if I'm carrying a watermelon in my womb and my bowel has gone into overdrive plus my stomach has bloated- I have some questions.

Will they perform a hysterectomy?
Do they tighten up the stomach muscles during an op?
Does the entire treatment - from first seeing doctor to hospital - take months?

Incidentally, today I heard of an 82 year old lady who finally received treatment for her prolapse after she had 11 children. Shock
She is doing fine now but wished she had it repaired years ago.

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