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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

1000 replies

gottagetthroughthis · 19/10/2012 00:38

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.

OP posts:
WhoKnowsWhereTheTimeGoes · 09/11/2012 17:53

Yes, I'm doing a lot of slowcooking now and still using a lot of shortcut foods like shop bought mash and Aunt Bessies and takeaways.

Going back to the prolapse though, I was definitely expecting to feel lots of bristles during my self exam today as I haven't had any evidence of stitch loss yet, but nothing. Very odd.

Bladderama · 09/11/2012 17:59

Whoknows my surface stitches felt more like soggy mini rubber bands when they came away at six weeks and I only saw a couple of them so have no clue when the rest came out, no idea if that helps or not!

slinkychick · 09/11/2012 20:12

Bladderamma follow up in a couple of weeks time. So will ask consultant. Though he hardly spoke to me throught out the pre op appointments. You are right each day/ week is different
Whoknows......... your right recovery is more improtant...... just worried as no clothes will fit to return to work !! I have lost lots of discharge today and seen some bits of stitches so I guess that is why I have had tummy ache today and yesterday ?
Stitches like strong black thread.
Does anyone know how many layers there are I had anterior and posteria plus TVT.

surewoman · 10/11/2012 09:04

slinky - if you google images for anterior and posterior vaginal repair, you will be able to see exactly what they do and how they sew you up! It's really interesting Smile x

tinkxx65 · 12/11/2012 13:24

Hey, where has everyone gone!!!!!

Skinikki, hope you op went well.

Leonie thanks for the reply re rectal prolpase, the doctors etc dont seem at all concerned about mine (I am) and I am not being seen until after my anterior and posterior repair.

Willieverfeelnormal · 12/11/2012 14:22

Hi guys, it's been a few weeks since I last posted. I had anterior, posterior and perineal rebuild done on 22nd Aug. my problem is that I have suffered from persistent thrush on and off for years. I now believe i have been suffering from a continuous bout since April, made worse by antibiotics prescribed after my surgery. My consultant told me at 7 weeks that I could not use a pessary treatment for the thrush because of the surgery so I've taken, 1 week of fluconazole 100mg per day - didn't work, 1 week of itraconazole 200mg twice a day - didn't work (that dosage was pretty heavy duty too), back on fluconazole 150mg on days 1, 4 & 7. I'm due to take last tablet tomorrow but again don't feel like its working. Has anyone else had any problems with thrush after their repair? I reckon that I'll really need to use a pessary to clear it but dont know when i should be ok to use them? Any ideas? Time for tmi - my discharge is soooo thick that it doesn't come out, I have to physically scoop it out myself? One gynaecologist I saw a few months back said that sometimes women's discharge can be this thick and be classed as normal!?? But I have constant burning and discomfort so it cant be normal. Just kept thinking that the pain was all from my repairs but it seems not. I've been taking Acidophilus daily too as we'll as vitamin C but have also come across a homeopathic remedy for all ailments of the female reproductive system and more specifically for prolapse sufferers (it's also great for cystitis and other urinary problems as well as thrush). It's called Sepia. I started taking it a few days ago so hoping it'll help with a number of other issues I have too. I'm just soooooo tired of all this I really want to be a new woman by the new year, Prolapse and Thrush free hopefully. Hmm

Bladderama · 12/11/2012 18:33

Hi willinever I had the same op the day before you and have had no problems with thrush. So sorry to hear that you are suffering it sounds awful and uncomfortable on top of the recovery discomfort Sad.
Can you see your consultant again? I would go back to see them or contact your gynae ward for some advice.

Tinxx when is your op?

It was my first full day at work today post op, towards the end of a 3.5 hour meeting a colleague got up searched his bag and handed me a strip of pain killers. Quite Blush that I must have looked so uncomfortable.

WhoKnowsWhereTheTimeGoes · 12/11/2012 18:49

Evening all,

WillIever I did get thrush a couple of weeks ago following ABs for a post op infection but one fluconazole tablet did the trick for me. It's probably 20 years since I last had it but you don't forget the feeling. I was wondering if you might need to eliminate yeast from your diet for a while, ie bread etc, also mushrooms, might allow your body to clear itself? Might be worth a google.

Bladder I'm going to work tomorrow but have agreed that I will only stay for as long as I feel comfortable. Which will probably not be more than an hour or so. Will be good to see everyone though. I cannot imagine sitting through a 3.5 hour meeting anytime soon, ouch.

A week or so back when we were talking about pains and twinges, I noticed that quite a lot of my twinges were in the lower abdomen / front area. Which I suddenly realised yesterday could well mean that the cystocele that they wouldn't repair is getting worse now the rectocele is repaired Sad. I knew this could happen but had hoped it would take a lot longer than this.

Bladderama · 12/11/2012 19:00

Hope that all goes well at work tomorrow whoknows and very sorry to hear about the cystocele. Are you going to get your consultant to check it at your follow up appointment?

WhoKnowsWhereTheTimeGoes · 12/11/2012 19:05

I certainly am. I haven't got any symptoms relating to the cystocele as yet, but it is going to make it very difficult to start getting fit and active again if I've got that to worry aout as well as the existing repair.

mistyviolet · 12/11/2012 19:36

Williever I also suffered badly from thrush after my surgery although I hadn't had it beforehand. I had 5 courses of antibiotics which played havoc with my insides. I had several courses of flucanazole and a canesten pessary and it still wouldn't clear up. I think I had the pessary at about 8 weeks post op with no problems (I had an anterior and posterior repair and TVT). All of this didn't clear it so I was then prescribed a week long course of flucanazole and 2 gyno-pevaryl pessaries. My gp said they were the best kind. I used them at about 10 weeks post op and that cleared it up at last.

I hope they sort it out for you soon. It's bad enough recovering from surgery without a nasty dose of thrush thrown in.

fengirl1 · 12/11/2012 19:44

Evening ladies! I'm just popping in as I've not been around for a while....
Footle - any news on 'improvements' after finding the big stitch? Smile
Good luck Whoknows, I hope you get good news after all the worry.
Well, I'm not a happy person... I spoke to the nurse again on friday. Apparently the tummy pain is probably IBS (which is possible given my history). BUT I am pretty angry, I have MORE stitches which are PDS. While it does dissolve eventually (up to 200 days for complete absorption) - and surface stitches will eventually become weak enough to break up and come out (nurse couldnt give figures on how long, but reading on the net it will be a few months) why did no-one think to bloody well tell me? It doesn't cause problems all of the time but I can't kneel with my bum on my heels (iyswim) amongst other things as things start to dig in then. I've also got work on my back about seeing OT as I will need a phased return and I'm somehow supposed to co-ordinate between the GP and work - anyone else had to? And Sure - were your stitches PDS????
Oh and in my infinite wisdom, and due to being fed up of not moving much, I decided to learn a Zumba step on the Wii - what harm could it do??? Suffice to say no permanent damage but I shan't be doing it again for a while.... Grin

fengirl1 · 12/11/2012 19:49

Sorry - me again! I completely forgot to ask... I still have a urethrocele and am now finding I wee sideways??? Hmm I'm having to wipe one of my 'cheeks' every time I go to the loo. Anyone else? or am I just weird

slinkychick · 12/11/2012 19:49

Surewoman looked on Google not a wonder sore. I saw the anteria and posteria op in one vidio and the bladder tvt in another. For all those not as far as I am week 6 plus 2 days today I feel I have lots more energy, did a small shop (though got the bags put in the car for me ) quitew a few little bits of stitches have been coming away at the weekend. Still discharge but not as much. Dont know if I leak yet as not done an y excercise but I was laking throughout the day which I have not been. All in all I think I have been one of the lucky ones I am 56 so no spring chicken. I have felt a lot weaker than I thought I would and only just got some life in me. This thread has been amazing and the ladies truly supportive........ even though I have only posted a few times.. happy just to read. I did not get thrush, had a water infection weeks 2 but no repeat since. Back to work in 3 weeks......... 7 weeks off and I think if I keep recovering I will be ok. Though will take it easy.

slinkychick · 12/11/2012 19:53

Fengirl sorry to be thick but what are PDS stitches ?
Zumba step. mmm ambitious

fengirl1 · 12/11/2012 20:07

Slinky - the normal sutures are similar to the string butchers use to truss meat (!) when they come out. The PDS is like thick fishing line - when the nurse cut the one she did, it crunched!

surewoman · 12/11/2012 21:59

Oh Fen - PDS stitches are what my barbed wire fence was made of and they weren't dissolving at all. I was told I could still have them in a year post op and as the ends had all poked through from underneath and were poking into my bladder, that was why I was so sore. Apparently it is not advisable to use them in vaginal repairs. Other parts of the body and hernia repairs, yes, but down there, not a good idea!Shock. What have they told you about them? I also weed sideways before the tvt insertion which has sorted out the urethra and all is as it should be now.

Willie - What about trying a strong manuka honey (10+) and some very pro-biotic live yogurt (from a health food shop), both of which are natural anti-b's and also help to regulate the body's natural ph levels. (If you hadn't had your ops I would suggest coating a tampax in yogurt and leaving it in for a day) xxx

Whoknows - blitz the pelvic floor exercises and see if that helps!!!! Sorry to hear that maybe you are another one not fixed in one go Sad xxxx

Bladder - don't over do it!!!! xxx

surewoman · 12/11/2012 22:01

Roseanna - how are you getting on? x

fengirl1 · 12/11/2012 22:09

Sure - I didn't even know til I saw the nurse... I'm seeing my gp on weds so will talk to him about it. My reading suggests they can cause inflammation too and yesterday I felt as if everything was swollen. Thankfully they're not all the way up - it was the perineal repair where they were used (because she needed to pull things tight to get them back to normal Blush). I'm just hoping now that the 'peanut' isn't PDS too....Sad

fengirl1 · 12/11/2012 22:22

Oh and to top it all I have thrush (not too badly) and have managed to split the skin on my perineum too.... Anyone want to join me in the 'bloody well fed up' club?

WhoKnowsWhereTheTimeGoes · 12/11/2012 22:28

I'm fed up too Fen - possibly not as much as you though. I have just spent an hour reading Michelle Kenway's excellent website and beating myself up for all the things I have done wrong over the years WRT my pelvic floor, mainly involving inappropriate exercise. It's not like I even enjoyed most of it either, I've always been a reluctant exerciser and now I realise that my efforts have probably wrecked my fanjo too I'm not happy. Bloody 30 Day Shred - never again.

Willieverfeelnormal · 13/11/2012 11:55

Morning all, and thanks for your suggestions regards my thrush issue. I decided to increase my acidophilus intake and took 3 (that's 9 billion cultures lol)... Anyway, I had a bicarbonate of soda bath last night to try and increase my acidity and afterwards when I went to bed I inserted one of my acidophilus capsules like you would with a pessary. I think I feel a little better today so will do the same again tonight. My bladder still feels a bit dodgy though today. I'm wondering if its cause I've had a wee poke around Blush. Not sure if the bladder issue is due to the thrush/me poking about or if my repair isn't as it should be. I had a check up at 7 weeks and all was fine apparently in that dept. I never really had a lot of continuous bladder problems before my repair so surely after being fixed things wouldn't be made worse?!

Did/does anyone else have slight bladder irritation at 11ish weeks. Does it get better? I'm sure that its probably cause of the thrush. Anyways, I better get better before the weekend as it's my birthday on Friday and my mum is having the kids over the weekend for us so my other half can take me out. It's been a long long time since we've had any us time let alone been out together (mainly cause ive always got some kind of medical complaint, so I really want to enjoy it).

Willieverfeelnormal · 13/11/2012 11:57

Fengirl - Count me in..... I've been in that club for years Sad

jan310 · 13/11/2012 18:05

WhoKnowsWhere - I know exactly what you mean. In April I stared c25K and by August was running 20km a week. I loved it and really thought I was doing my body a favour. Beginning of October I was diagnosed with four different prolapses - coincidence? I don't think so. Still life is too short for "if onlys".

WhoKnowsWhereTheTimeGoes · 13/11/2012 18:09

Couch to 5k for me too Jan, about 18 months ago, I was in a MN thread about it and some of us decided to Shred as well. I was out running this May when I suddenly got this real draggy feeling and that was that.

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