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I had a hysterectomy 1-1/2 years ago, and now I'm pretty sure I have a cystocele. I was curious as to what kind of surgery is done for this (abdominal, vaginal, etc.) and the recovery time. Is it done by laparascopy? I just started a new job and can't take 6 weeks off right now to recovery. I hear the recovery time for laparascopy is shorter - can is be used for this kind of operation?
Hi (( barco )),
I'm sorry to hear of your possible dx I was dx'd with a Vaginal Vault Prolapse which made my bladder Prolapse as well I haven't underwent surgical repair of mine as my symptoms haven't worsened. More surgery is risky in my case so I'm delaying it as long as I can lol...
From what I have seen & read there are various methods in repairing this, depending on which procedure you decide upon, the recovery can vary. Anything performed Laproscopicaly is usually a shorter recovery. Surgeons use which will be best based upon the symptoms, degree of Prolapse along with their own skill level.
Here are a few links I found in our Resources that contain some info on these procedures that might help answer some of your questions & concerns:
I had my TAH/BSO 2 1/2 years ago. I thought I had a cystocele also, and so did my uro/gyn. That is, until he thoroughly examined me with some kind of a camera (painless) and still pictures were taken. Turns out that an enterocle is the cause of my real problems, while I do have a cystocele & rectocele they aren't my biggest problem. I'm scheduled to have A&P repairs, reduction of the enterocele sac & right sacro spinous ligament suspension on 3/2/05. My dr. told me he has a very high rate of success & he does the repairs vaginally. He gives his patients 6 weeks off....most don't need the full 6 weeks, but no way will he allow me to return to work before 4 weeks. I hope this helps you out some. I strongly recommend that you see a uro/gyn, they are the real experts for diagnosis and repairs. Good luck and let us know how you make out!
I am scheduled for rectocele/enterocele repair in 10 days. My gyn said he will do it all vaginally. I will not be permitted to lift anything heavier than 1 gallon of milk for 4 weeks, then gradually increase activity. He did not say how long I will be off.
I have to see a urologist Tuesday, because according to the urodynamic tests I took, I also have stress incontinence and was recommended by the urogyn to have a urethral suspension. I am also to be checked for a cystocele, because alot of times stress continence is associated with a cystocele. Surgery for the S.C. will be done by the urologist and my gyn would do the a/p repairs.
This does sound like alot to go through, but you would want everything fixed at once.
I am wondering, how is the enterocele causing most of the problems? I have one too. I did read somewhere that after the enterocele is reduced, stress continence can occur.Do you have any info you can share with me? I would appreciate it. Hopefully the uro. will also use a camera to look up there when I see him Tuesday. I don't want anything to be missed. My pre surgery appt with my gyn is supposed to be Wed.
Thanks for all your responses. I haven't made an appointment yet with my Dr. I've just noticed that I am feeling a little vaginal pressure and need to urinate more often. My last visit was 7 months ago and my Dr said I have slight vaginal prolapse, so I'm pretty sure it's a cystocele or one of the other prolapses that happen. I haven't rushed to visit the doctor yet, because other than surgery, I'm not sure there's much she can do for me. Maybe a pessary, but I don't know if I want that yet. She discussed that briefly with me when I had my prolapsed uterus, but I decided to have a hysterectomy because I didn't want my uterus falling out of me for the rest of my life. If I do have a cystocele, I'm not reading too many good things about the surgery - it seems that it doesn't last and more surgery will probably be necessary down the road. So as far as options - nothing looks like a permanent solution to me. I really have had trouble finding a urogyn - my insurance doesn't have a section listed for them - just gyn and urologist separately - I have bcbs. I'm in Northern Virginia and it's a very populated area so I'm sure they are out there - I just don't know how to find them. Thanks for your replies.
Barco: Urology is a sub-specialty of gynocology, and so you won't find a specific listing in the phone book, like you would for a Gyn/Onc. Go to the American Society of Uro/Gynocologist on the web, they have a place the asks if you want to locate one in your area. My daughter lives in Northern Virginia & you're right...there HAS TO be one there!!
Mtdewpeg: I haven't read anywhere that a reduction of the enterocele sac causes stress incontinence, but I will surely ask my doctor about that possibility when I see him in February. Most of my problems are lower back pain, pelvic pain and the openning of my vagina ALWAYS had a bulge completely covering the openning. My doctor said the enteroceles cause the most pain because of the dropping & pulling in the abdomen and for some reason I feel wiped out with the achey sort of feeling. After I'm on my feet for a while I need to lie down. Sitting is okay, but lying down is the only way to get some relief! Good luck to you both & keep me posted!