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Pt 7 (Feb13) Any old prolapse! Uterus/womb prolapse, rectocele, cystocele, enterocele, urethrocele, incontinence, pelvic floor, anterior and posterior repair, TVT etc

994 replies

WhoKnowsWhereTheTimeGoes · 20/02/2013 19:05

This is thread 7 (again - see below) 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.

With apologies for confusion in thread numbers - the previous thread was called part 7 but it was actually the 6th thread.

Here are the previous threads:

Thread 1
Thread 2
Thread 3
Thread 4
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:
NeopreneMermaid · 02/07/2013 18:42

Glad all is well Kotinka (albeit a rushed assessment) and good luck have fun tonight and report back immediately.

Edinburgh I give you a fortnight before you're entering a triathlon. Grin

Hello Jess and sorry to hear your troubles.

I braved the hand mirror today and can really see where the stitch has come out - and it's not healing even with the antibiotics. Sad I'm due for a check up next week on Wednesday but wondering whether I should go back before for a stitch. Last week they wouldn't do it due to the infection and poor-quality tissue. Also not sure I can face my sixth visit to hospital (3rd to a&e) in a fortnight. Sad Advice gratefully received, as ever.

mrsclairet · 02/07/2013 20:40

Sorry I don't really know what to say but it sounds like you are worried about it so I would maybe try and get it looked at. I always think I want to avoid needing help over the weekend so maybe it would be best to try and sort something out for before then. How are you feeling in yourself, do you think the infection has gone now?

NeopreneMermaid · 02/07/2013 20:53

Not sure. Bleeding and itching have stopped but still seeping a bit.

kotinka · 02/07/2013 21:52

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kotinka · 03/07/2013 08:00

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cocolepew · 03/07/2013 10:06

Hi everyone, ip up on these threads now and again. In waitering for an urgent Hmm gynae appointment for bleeding even though I've had a hysterectomy. My gp said there was something at the top of my vagina.
I've started to have really bad urge incontinence again, I had a TVT a few years ago and I can only empty my bowels completely if I push on my perineium (sp).
I presume this is a prolapse, will I need surgery or can it be sorted with a pessary? I think I have vaginal atrophy and this is why it had happened.

Thanks for reading Smile.

cocolepew · 03/07/2013 10:06

Sorry for typos!!

kotinka · 03/07/2013 11:04

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cocolepew · 03/07/2013 11:14

Grin I had one out in while waiting for my hysterectomy
It fell out while I was sleeping Hmm.
Obviously they used the tinyest size Blush

NeopreneMermaid · 03/07/2013 12:21

Coco that sounds rubbish and I hope you get your appointment soon. I'm afraid I don't have an experience of your symptoms so can't offer any advice.

Kotinka I'm more worried about the bit where the stitch has fallen out healing open rather than not healing at all. Gah. How are you doing though?

kotinka · 03/07/2013 12:23

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kotinka · 03/07/2013 12:26

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NeopreneMermaid · 03/07/2013 12:49

That's what I'm wondering. esp as the appointment letter arrived this morning and it's been shifted to the week after. Sad Back to a&e then? Today or wait 'til abx have finished?

kotinka · 03/07/2013 12:54

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WhoKnowsWhereTheTimeGoes · 03/07/2013 13:55

Neoprene - can you phone up your gynae ward and ask if anyone there can see you rather than going through A&E? Good luck.

OP posts:
NeopreneMermaid · 03/07/2013 15:02

Have. Only way back to gynae ward is GP referral (6-8weeks) or a&e (instant but really an emergency?).

kotinka · 03/07/2013 15:25

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WhoKnowsWhereTheTimeGoes · 03/07/2013 15:42

Oh, that's a bit crap. Can your GP phone up and get you in? Probably quicker going to A&E to be honest.

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kotinka · 03/07/2013 18:54

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NeopreneMermaid · 03/07/2013 18:59

Sorry, been toddler wrangling. Spoke to nurse friend (dental/facial nurce but still!) and, after I drew a picture Blush she reckoned it would heal open but wouldn't affect function or feeling; "just" appearance. She also thought it would be too soon still (tissue quality) for an extra stitch yet.

Think I'll sit tight for a bit (horrific, wishful-thinking pun).

kotinka · 03/07/2013 20:01

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Rewy · 04/07/2013 13:13

Hi ladies
Im 6 months post posterior and perineal repair .
Have had sacrum /buttock pain since op . Saw anaethetist who thought pain was prob due to inflamation of the sacral joints as the pain was not in the middle .Have had no sexual problems since the op .Now i have developed pain in tailbone , vaginal numbness and burning in vagina and labia following sex or orgasm Sad
I am waiting for gynea appointment and pain clinic.
Please tell me this is curable .Anyone else have experience of this ?

NeopreneMermaid · 04/07/2013 16:11

Hi Rewy and welcome. I'm only 2 weeks post-op so can't even contemplate sex yet but didn't want to read and run. Sounds horrible. Someone knowledgeable will be along soon.

Have you spoken to anyone medical yet?

Bladderama · 04/07/2013 20:24

Sad Neoprene have only read the last few posts but wanted to respond to you. I burst several stitches too soon (got out of the car wrong) and had what looked like a hole but we left it to heal up naturally and now you would never know because it has all healed up really well so please don't lose hope x

Rewy I am 5 months post further posterior repair and saw gynae last week for similar troubles and have been prescribed a 3 month low dose treatment of fluconazole. Totally hear you with the pain so am really hoping that this sorts it out. Good luck with your Gynae. Should also say that I was pain free to begin with and this crept up on me.

NeopreneMermaid · 04/07/2013 22:05

Thanks Bladderama, that is reassuring. The one I've lost is at the end of the row so not convinced it can heal but will see. Got my surgeon's direct line this evening so will call her tomorrow.