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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:
cardamomginger · 14/03/2013 15:40

Tr0ubled - the stitches he uses should last longer than that. Call his secretary and let her know. Do it this afternoon, if you can. XX

Dahlialover · 14/03/2013 16:31

My external ones disappeared after a couple of weeks which seemed a bit quick.

I stuck my finger up after 5wks (had seen consultant who said 'intercourse' was ok, so thought I may as well have a 'look') and it came out covered in bits which turned out to be bits of stitch ( I thought it was bad thrush for a moment, which it wasn't, ...although I got the thrush later, anyway.......)

Mine were white, and seemed to be stitched 'over and over' and dissolved fast. Not like any pictures I've seen. There was an annoying one that went from the internal stitches through to the outside that felt like a caught up pube. It went 'twang' after about 3 weeks which was much better Smile

edwinbear · 14/03/2013 16:36

troubled my consultant said 6-8 weeks, did yours say how long he expected them to stay in? I agree with cardamom give his secretary a call just to make sure.

leakyR · 14/03/2013 16:38

I have just come to these threads in the last few days. I have cystocele and rectocele and will be having them repaired with surgery on April 2nd. Just got my date this morning, trying not to panic too much about the recovery time as my dc are aged 3 and 5 and my mum is going come and stay for a couple of weeks. The ILs are on standby for after that, but I'm hoping to avoid handing the reins of my household to my MIL.
Your shared experiences and advice have been useful and scary in equal measure, but it's nice to know you're here.
BTW my nickname is from boob leakage in early motherhood, but has been eerily accurate since my prolapse.

edwinbear · 14/03/2013 16:58

Welcome leakyR. I'm 10 days post op from the same repairs and the recovery has been easier than I'd thought. My dc's are 3 and 15 months and I was really worried about how we would cope. My consultant said I should be OK to lift the children after 2 weeks, although I have childcare arranged for 6 weeks as precaution. This is more because the baby still needs lifting quite a lot. My 3 year old has been brilliant at understanding I can't lift him and frequently scolds the baby when she puts her arms up to be lifted saying 'no dd, mummy can't carry you because she has a poorly bottom'. At 3 and 5 hopefully yours will understand you won't be quite so active for a while.

I'm OK kneeling to help the 3 year old get dressed and can make their meals, kneel by the bath to help with bathtime etc. The first 4-5 days were the worst when I was pretty much bed bound, but I'm pottering about quite happily at home at the moment. I sneezed for the first time this morning and it was so good not feeling my organs popping out of my fanjo for the first time in 3.5 years.

multimum4 · 14/03/2013 16:59

whoknows thanks for the reply about granulation. I hope it's fixed too. Don't fancy any more surgery...My cons said he might have to laser it if it caused trouble in the bedroom department (I haven't yet been to the bedroom department!)
At my 6 weeks I asked about exercise as I feel the need to get more active, and lose the weight gain from all those biscuits, and asked about cycling as the weather seems to be slowly improving. He said that would be fine so I am investing in a lovely squishy soft saddle off the internet as my old one is really hard (owch!)
leakyRwelcome to the community, it is a mine of useful information where no question is ever too embarrassing unlike the real world.
First afternoon back at work today so far so good although I am feeling pretty achy now. So glad I opted for afternons till Easter. The children and parents were so pleased to see me I felt like a celebrity!

WhoKnowsWhereTheTimeGoes · 14/03/2013 17:32

It was someone else Multi. I'm thinking about getting a new bike, I've been out for a short ride on a friend's which was fine comfort wise, but it was a very short ride. My bike is ancient, rusty and I never really liked it (was an old one of DH's).

OP posts:
Tr0ubled · 14/03/2013 17:52

Thanks all for your responses about the stitches. What a bugger! I had really hoped you'd all respond that it was quite normal. I'm a bit loathed to call his secretary as I bet he'd want to see me and I don't really want to drag the whole family up to central London to see him and I can't get there on my own. Also is there really anything he could do? He's unlikely to put any new stitches in now.

leakyR my children are also 3 and 5 and have shown wonderful understanding. We told them that mummy was having a cut at the base of her tummy (DS would have happily told his teachers it was my fanny if I'd been truthful!) and we said that I wouldn't be able to lift them for a while or have climb on cuddles. We focused on having snuggles instead, so now they climb into bed next to me and snuggle up. My 3yo did start wetting herself before my surgery and for the whole time I was in hospital however it stopped the minute I got home. I'm not as mobile as edwinbear and am still fairly bed bound but this hasn't bothered my kids. I think the fact I'm not ill and lying in bed sweating and shivering and sneezing makes it all ok, I'm just physically restricted for a while but their mummy is otherwise just the same.

multimum so pleased you had a happy return to work.

cardamom how are you doing? Have the anti b's started to work?
Xx

Bladderific · 14/03/2013 19:32

Sorry I haven't caught up properly but just want to say to Troubled please contact your consultant's secretary. I pulled some stitches out within two weeks which was too early and have ended up having to have repeat work done (my own fault I know Blush). It is much easier to fix now if it needs it rather than later and have the whole six week recovery again.

multimum4 · 14/03/2013 19:43

whoknows sorry! it was whodve... easy mistake to make ?At the risk of repeating myself (please read my comment above)

Tr0ubled · 14/03/2013 22:20

Thanks bladder, I didn't really think there was anything they'd do but I'll definitely check with his secretary tomorrow.
I've had a little look and the stitches I can now see (which were previously buried) are black and the bits I thought were stitches were white so I guess there's a chance it wasn't them. Argh so annoying!!

leakyR · 14/03/2013 22:58

Thanks for the welcome. Tr0ubled I like the idea of telling Ds that it's to fix my tummy as I can picture him telling all and sundry that my "bum and tuppence" are broken.

cardamomginger · 15/03/2013 08:51

Morning all!
Tr0ubled - white?? Hmm, mine are grey/black too.... Still think I'd call and check...
The antibiotics have started to kick in now, thanks. Still hurts and still discharge, but less that it was. I'm seeing him next week.
Hi Leaky - good luck for the 2nd!

leakyR · 15/03/2013 16:27

Trying to get childcare/school runs etc covered for after my op on 2nd April. I know I need to do very little for the first couple of weeks. DH will be at home for the first few days after I get home then my mum is staying for 2 weeks. Realistically do I need another pair of hands after that for another week, or two? All family live 150 miles away so I'd need to give the ILs a bit of notice.
Btw dc are 3 and 5.

cardamomginger · 15/03/2013 17:05

Hi Leaky. I think you should try and arrange as much help as you can for as long as you can! You are not going to be able to do any lifting for 8 weeks. And that includes things like pushing (if any DCs are still in a buggy) or vacuuming. Even excluding lifting, I've certainly felt too tired/in pain/generally yucky to do anything that energetic for about the first 6 weeks. Other people seem to recover quicker than me, but I think you should expect to not really want to do anything more than gentle puttering for the first 4 weeks.

WhoKnowsWhereTheTimeGoes · 15/03/2013 17:49

I agree Leaky - my DCs are 7 and 9 and I arranged other people to take them to and from school for about 6 weeks, even though it's only 10 mins walk away - I could manage 10 min walks OK, but not all the inevitable hanging around in the playground plus the walk back. It was also a problem with after school activities, which might not be so bad for you as yours are younger, but mine have a hectic weekday schedule and cooking tea etc. I also had help from DM / DMIL around the house for several days a week for at least 4 weeks and even after that DH had to do a lot more than usual (hoovering, putting bins out, carrying baskets of laundry around etc) for another month or so.

OP posts:
Tr0ubled · 15/03/2013 17:57

leaky I would definitely get help for longer. My view has been that this is big surgery and I don't want to ruin my recovery and land up doing it all again, I stressed this to my DH and mother and friends early on. I'm now 13 days post op and would not be happy to be on my own with my
3yo, my 6yo maybe. Just yesterday my 3yo tripped when she was running through the house and had my mum not been here to scoop her up (I then comforted her) I would have had to compromise my wound by lifting her, which of course I would have done.

WhoKnowsWhereTheTimeGoes · 15/03/2013 18:34

My 7 year old fell off a chair in the house when I was about 2 weeks post op, which made me realise we weren't totally safe in each other's sole care at that point.

OP posts:
edwinbear · 15/03/2013 21:08

Hmmmm reading this is making me think I need to slow down a bit. 10 days post op and I have been bouncing around at soft play with my 3 yr old and 15 month old today. OK I had someone else with me to do the lifting, catching and buggy pushing but the saying 'pride comes before a fall' has sprung to mind. Thanks ladies.

leakyR · 15/03/2013 22:19

Thanks for the reality check. I think I can have mum or the ILs around for about 4 weeks and then if needs be DH will have to take some more time or work from home. Even these last few days I've been noticing all the stuff I do with/for dc that will be out of the question post-op. We've been trying to encourage ds who is nearly 6 to do things independently to help his confidence at school, dd has picked up on it and is keen to try to do things for herself too, so I think I'm going to have a real push on independence in these next couple of weeks.

Tr0ubled · 15/03/2013 22:37

edwinbear you may get away with it hon but I don't think it's worth the risk this early on. My mum had an abdominal hysterectomy many years ago and she commented yesterday that the recovery for my prolapse surgery should be similar but because you physically can do things you shouldn't there is a danger of overdoing it. Whereas if we had abdominal muscles cut we wouldn't actually be physically able to. So think of it as being as serious - these are your core muscles after all.

WhoKnowsWhereTheTimeGoes · 15/03/2013 22:57

Have you got friends or neighbours that could help with the school runs Leaky? I owe a lot of people a lot of favours now, was quite overwhelmed by how helpful people were

OP posts:
leakyR · 16/03/2013 19:16

A friend has offered to take ds to and from school and dd's preschool is 2 streets away so whoever is home with me; DH, mum, MIL or FIL can take her quite quickly and easily.
I'm freaking out a little bit, with what-ifs; by trying to feel prepared and reading a lot about the procedure and recovery, I've now got lots of bad experiences foremost in my mind. I know that this will improve my quality of if it works out, I just need to stop horriblising.

oneproblemafteranother · 16/03/2013 21:05

I have been told that I have a moderate rectocele by a Gyne Dr. At the time I wasnt having really any issues etc but just recently I have. I am due to see Gyne Dr in a couple of weeks and will mention to her my problems.

My question is will they do tests? If so what?

Also how bad do things have to get before they will do anything? I have googled my symptoms but can't see any answers to them.

TIA

WhoKnowsWhereTheTimeGoes · 16/03/2013 21:36

Hi Oneproblem - what symptoms are you having?

OP posts:
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