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Cystocele/rectocele Repair And Vaginal "tightness" Cystocele/rectocele Repair And Vaginal "tightness"

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Unread 05-31-2005, 05:29 PM
Cystocele/rectocele Repair And Vaginal "tightness"

Gosh, being a newbie here I hope I'm posting on the right spot. A lovely hyster sister directed me to this group. . . here goes.

I have a cystocele and rectocele which I've been told needs to be repaired (with the recommendation from the surgeon of just taking the uterus and ovaries at the same time since I am 47 and perimenopausal!)

But my main reason for seeing the surgeon in the first place was my feeling of being extremely "loose" down there. I've done the kegels until I'm blue in the face (literally) and it has not helped. In fact, the surgeon commented that my muscles were strong and intact and he didn't feel a sling would be necessary.

Here's the question: Has anyone had the repair surgery and had the "love stitch" (as the surgeon called it) to tighten the vaginal area? If so, did it enhance sexual pleasure after the recovery?

I am concerned that with all this cutting in the vagina that maybe scar tissue develops or you lose sensation or lubrication (including if I decide not to take my uterus and ovaries). So I'd just love to hear from anyone who has had this type of repair and, gosh, if they don't mind me being so nosey on such a private subject, how their sex life changed, if at all.

Thank you lovely women out there! Aren't all these decisions fun? UUGGGHHH.
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Unread 05-31-2005, 06:03 PM
Cystocele/rectocele Repair And Vaginal "tightness"

Hi, fastfingers, I'll jump right in. I am almost one year post-hyst, June 7 is my anniversary (wow where did the time go?). I had my hyst for prolapse, which also caused me to have a rectocele and cystocele which were also repaired. I had given my ob-gyn the ok to take my ovaries, which it turned out she didn't because she did a vaginal surgery, and said she could not get to them without doing more cutting, and she didn't want to do anymore than she absolutely had to cut. There was no disease involved, just the prolapses. Having the perspective of being a year out, I am glad I kept the ovaries. I was already into menopause (hadn't had a period for a year and a half prior to the hyst), but my hormones were still in a state of flux, so I was glad to not be thrown into immediate lack of them.

You have asked some very good questions..I'll try to answer as best I can. I had 2 vaginal incisions, 3 if you count the vaginal cuff (at the back where the uterus and cervix used to be.) Once my DH & I resumed lovemaking, I never felt the cystocele incision at all. The rectocele was a bit more sensitive for me. I was not lubricating well, and I added the Climara patch (.06mg for me) and also Vagifem, a tablet inserted vaginally which adds estrogen to the vagina, which aids in lubrication. That combination has done the trick. I definitely noticed the tighter vagina, and although that had not been a major concern of mine pre-hyst, I hadn't realized how loose things had become, and that it was caused by the prolapse, and it was a symptom of the cystocele and rectocele.

Once we got the dryness issue taken care of, and I got my hormones balanced a bit better (which I'll admit I probably would have suffered in silence had I not gone in for the prolapsed uterus), our sex life has been better than it has in years. I'm not familiar with the "love stitch" you mentioned, but I would imagine that all of this repair work would tighten the area up.

It didn't all get better overnight. I didn't get the vagifem and the patch till I was 5 months out. I was "waiting" for things to improve on their own, which they may not, so don't wait too long to get help from your doctor. Just trying to say that there are things you can do to help the situation, and sometimes you have to try several things to get the ball rolling.

Good luck with your surgery. Are you scheduled yet, or are you still in the talking stage of it all? Take care. Pam
Unread 05-31-2005, 06:38 PM
Cystocele/rectocele Repair And Vaginal "tightness"


Thanks so much for your very helpful and informative post. To answer your question, I have not scheduled a date, but will probably do this in August. My two doctor's appointments (one with gynecologist, one with urogynecological surgeon) were so routine, kinda ** hum, where they both suggested I take my ovaries and uterus at the same time. Like no biggie. Then I started reading online and the more I read, the more trepedation I feel and the more I believe if there's nothing wrong with my uterus and ovaries I should not take them, despite the surgeon's strong recommendation that I do take them out as they are just a potential for further problems.

So, yes, I'm in that horrible mulling it over, should I or shouldn't I, stage. I really don't have horrible symptoms on my rectocele or cystcele, either, except for stress incontinence.

Oh brother . .

Thanks again!

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Unread 05-31-2005, 06:59 PM
Cystocele/rectocele Repair And Vaginal "tightness"

Do you have a prolapsed uterus as well? That could be why they are suggesting the hyst. Very often it is the uterine prolapse that directly causes the cystocele and rectocele, as was in my case. If so, you might check into alternatives to the hyst, and definitely check keeping your ovaries if there are no problems there.

It's like they used to routinely take our the appendix whenever they were in the area for anything else. Yes, it might be easy for the surgeon while they're in there, but it is not a "simple" surgery to recover from. Physically we may recover in 6 - 8 weeks, but it can take a lonnnggg time to get the hormones into some semblance of balance. I am feeling like "myself" now, I guess for the past couple of months, but it has been a journey. I'm glad I went through it, for a number of reasons, but I wouldn't sign up for it again if I didn't have to!

Good luck to you. Let us know what you decide.
Unread 06-01-2005, 07:24 PM
Cystocele/rectocele Repair And Vaginal "tightness"

Hi fastfingers,
Is there some reason your DR is considering removing your ovaries? Even if you're perimenopausal, your ovaries are still producing hormones that help with physical and sexual well-being. There is a good article to read which highlights the major concerns Rationale for ovarian conservation in women. A while back I read a post from a woman who had the opening tightened up, but I can't seem to find it now. Hopefully somebody else will come along with some advice.
Unread 07-13-2009, 12:54 AM
Re: Cystocele/rectocele Repair And Vaginal "tightness"

thanks for writing this, having a hyst. in Sept due to 3-4 degree uterine prolapse. Dr says she's not going to tighten my vag but I'm concerned that my other organs may prolapse if she doesn't. She says it causes too much pain for her to do that to me??????? Please advise me if you can! Thanks, Ceci

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