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 What holds the vagina in place after the uterus (including cervix) is removed?
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06-15-2016, 10:05 AM
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HysterSister
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Posts: 27
Hysterectomy: June 9th, 2016
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What holds the vagina in place after the uterus (including cervix) is removed?
Okay so this may be a very dumb question, and typically I am a very pro active person and I ask a bazillion questions prior to anything but I never thought of this one until right after surgery and haven't had the chance to ask my surgeon yet. I will ask her when I see her at 4 weeks but until then I will rely on my "sisters"!
Okay so I had a TVH, including my cervix, but they left my Fallopian tubes and ovaries. So my question is... How does the vagina stay in now? Before it was attached to the cervix and then uterus but now that those aren't there what holds it in there? I'm so scared to cough or really do anything (I'm 6 days post op and feel pretty darn good). I'm scared that when everything is back to normal and maybe if I have a tough BM in the future (sorry for the tmi!) and I may have to strain what is holding in the vagina? Is it pinned up?
Thanks ladies!! 
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06-15-2016, 10:36 AM
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HysterSister
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Posts: 175
Hysterectomy: May 9th, 2016
Surgery Type: DvH
Ovaries: Removed both
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Re: Stupid question alert!!!
I think that you have a vaginal cuff now
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06-15-2016, 10:52 AM
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HysterSister
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Posts: 27
Hysterectomy: June 9th, 2016
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What holds the vagina in place after the uterus (including cervix) is removed?
Oh yea I know about the vaginal cuff but doesn't that just seal off the top of the "tube"? What actually holds it all up... Gravity makes other lady bits sag!!!
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06-15-2016, 12:21 PM
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HysterSister
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Posts: 445
Hysterectomy: July 2nd, 2014
Surgery Type: TAH
Ovaries: Removed both
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Re: Stupid question alert!!!
They see it up to ligaments and the places that held everything up there to begin with. 
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06-15-2016, 01:25 PM
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Posts: 19,781
Hysterectomy: May 29th, 2013
Surgery Type: TAH
Ovaries: Removed both
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Re: Stupid question alert!!!
What lesarapp said. The surgeon takes some of the ligaments that used to hold your uterus up and attaches them to the vaginal cuff. I had my hysterectomy more than three years ago. Nothing has fallen out. :-)
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06-15-2016, 09:33 PM
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HysterSister
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Posts: 19
Hysterectomy: May 10th, 2016
Surgery Type: TAH
Ovaries: Kept 1 or both
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What holds the vagina in place after the uterus (including cervix) is removed?
Not a stupid question at all!
Yes! The surgeon sews the ligaments to the vagina to support it. At least the cardinal & uterosacral ligaments. There are two others I think, but can't think at the moment.
I'm the geek that asked very specific questions about the surgery. (I admit to also finding and watching an awesome video series on a TAH similar to mine... Post surgery of course!)
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06-15-2016, 10:19 PM
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HysterSister
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Posts: 27
Hysterectomy: June 9th, 2016
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What holds the vagina in place after the uterus (including cervix) is removed?
Thanks for the info ladies!
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06-16-2016, 08:20 PM
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HysterSister
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Posts: 45
Hysterectomy: March 14th, 2016
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Re: What holds the vagina in place after the uterus (including cervix) is removed?
It's called a sacrospinous ligament suspension. You can google this (or another term is vaginal vault suspension). I had this done.
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06-18-2016, 02:48 AM
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HysterSister
Upgraded
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Posts: 495
Hysterectomy: December 16th, 2015
Surgery Type: TAH
Ovaries: Removed both
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Re: What holds the vagina in place after the uterus (including cervix) is removed?
 Sister.
The things you learn here. WOW
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