doc made me wonder

went to my primary care doc for release exam and pre op testing on Mon. and when I told him I was having LAVH,BSO,A&P repair, and bladder sling he said that sounded like way too much to have done at once. Of course That kinda freaked me out so when I went to GYN pre op on Weds. mentioned it and his reply was "this is the time to take care of all of this" I aked him if he has done this before (he's been my GYN for over 20 years) he laughed. I do have trust in him and will give it up to God and sure all will be well

Yeah, I'm glad I'm not the only one who has a Primary Care doc that makes me laugh. I guess you can't know everything and that's why we go to SPECIALISTS. My Primary Care doc said not to have two procedures done at once too. (Like don't repair an inguinal hernia at the same time the incisional hernia is repaired. Well excuse me, but does that mean two surgeries is prefereable? NOT!) Ya gotta luv 'em, don't ya?

Joselle

Hi!

I didn't have to have any repairs/sling done and kept my ovaries, but there have been plenty other women here I've talked to in chat over the past year who've had it all done at the same time. I'm sure it would be a lot to a general practioner to do, but not to a skilled ob/gyn. Just wanted to let you know that all these surgeries ARE sometimes done at the same time. Hope it helps you to feel more comfortable with your gyn's recommendation.

s,
Pam

and I am going to disagree with the GP, it isn't too much to do at once. The posterior repair, my surgeon told me that added a big 15 minutes to the time in the OR. Makes perfect sense to do the bladder repair with uterus removal because the bladder is exposed and easier to get to. The recovery for the blue plate special you have planned is the same as just the LAVH/BSO, just have to take extra care of the bowel and bladder. And it really isn't that much extra care considering.

Why wait a minute longer to stop peeing in our pants and stop splinting with a BM? Second surgery means paying 20% of another anesthesiolgy fee, one more pre-op and post-op room fees, one more room fee, etc. It is cost-effective to do it all at once and if you ask me, money does matter. Hey, that could equal a very nice vacation when it is all added together! I like that idea!

The other thing to consider with the a & p repair, ovaries go, hormone deficiency if the HRT isn't managed well can cause the urethra to get weaker. If the repair is done at the time of the LAVH/BSO, less chance of bigger problems down the line.

Just remember, GP's aren't surgeons. They did a surgical rotation, but not residency in either surgery or OB/gyn. Family practice is a totally different speciality in med school. And your GP isn't the one splinting and crossing his or her legs every time you sneeze.