cystocele repair and tvt recovery compared to recocele/enterocele recovery

Hello
I am wondering is the recovery about the same for the anterior repair and tvt as to the posterior repairs surgery? I know you aren't supposed to strain while having a bm with any repair and you aren't allowed to lift much with either. Does the bladder repairs seem to cause more problems than the posterior? I have noticed alot of problems with urinary retention leading to catheters here on the board. Is this a common outcome with the type of surgery I am facing? I don't think I could ever self cath.My cystocele repair was just added to my surgery this last Wed. at my request. It isn't too big now, but has been getting a little larger as time goes on. I just wanted to take careof all of my bladder issues at one time.
Any input would be appreciated.
Peggy

I have a question. I had an endometrial ablation, was not established with a doctor. My uterus started falling out after that. Felt terrible. I was told by a urologist that I needed a hysterectomy and an ap repair. The doctor that did the ablation told me that I did not need to come back, basically he got rid of me. So then I had to find a OB/ GYN. I check around. Friends recommended this doctor. He examined me, but did not say anything about rectecele, cystecele. I just had the hysterectomy. I still don't feel right. I feel like my vagina is trying to push out at times. Is that how you feel? I don't know why this doctor didn't fix it, couldn't he tell or is that another specialty? I heard that the hysterectomy and the ap repair were both major surgery. From what I gather not all OG/GYN's do this procedure. Is that correct? Do you feel raw and burning in the vagial area and pain? It is not as bad in the bed, but when I am on my feet for a while it seems to get worse. I never knew su ch things could happen to us. I think that the ablation caused mine. I never had any of the symptoms before the procedure, just extremely heavy bleeding.

Any GYN should be able to diagnose a prolapse. Mine did and he also repaired the rectocele and enterocele. I am now seeing a uro/gyn my gyn referred me to.I need a urethral suspension (tvt) and most gyns don't do that. I will also have my small cystocele repaired, so I won't need more surgery later.
As the day goes on and I am on my feet longer I feel pressure pushing from back in my vagina. I also feel a bulge like, especially when I change positions while sitting or bend over and stand back up. My surgeon is going to check me out real good by laprascope before he does the tvt and anterior repair. I feel alot of pressure in there and have to wonder if maybe my enterocele repair didn't hold up. I am menopausal now and also have nerve damage, which can lead to more prolapses.
I never had any burning or raw feeling. To me that sounds more like a uti or some other kind of infection.I think you should find a uro/gyn to go to. They specialize in pelvic floor dysfunction and are able to help you.
Good luck!
Peggy

Thanks so much for your reply. I don't understand why my doctor didn't notice it or maybe he did and does not want to say that I have damage. I believe something happened to me when I had the endometrial ablation prior to the hysterectomy and I do believe that I may have nerve damage. I just want to get to get better. That is all that is on my mind, getting better. I think that either my bladder has or is dropping or I have cystecele/rectecele like the urologist that diagnosed my prolapse condition. Thanks again for your suggestions on the URO/GYN. I hope that you get better soon too. I'm telling you, one does not realize until something happens to them that a probllem with your female organs can really drive you crazy. It is very uncomfortable and and painful. Did you say that you had a rectecele repair? I think that is what I need. I was told by a urologist that I needed a hysterectomy and an ap repair. well i had the hysterectomy, but not the ap repair. Does it feel like your vaginal area is pushing down inside like it is going to fall out? Does it feel like it is rubbing together? I don't understand. My doctor told me to take the prescription uro-blue and see him in 6 mo. I am not going to wait 6 more months to get better. I have read that the repair can make sexual relations not so great. That is kind of personal, but I am concerned on how it could effect me and my husband. Sincerely, Cotton Blossom

Your condition sounds a little like mine in the fact that after I am on my feet longer I feel worse. I have pressure and pain also. When I am laying down it is not as bad. Can your nerve damage be repaired? How did you find out that you had nerve damage? I will say my prayers for you too. I know that you are not feeing good.

Cotton Blossom

I had rectocele repair with my hysterectomy. My gyn did the repair. The uro repaired the bladder right afterwards. They coordinated the surgery. Some women have uro/gyns who can do all the repairs. I haven't been given the green light for sex yet, but when the Dr examined me last week the repairs didn't hurt one bit. He thinks that I will be just fine.

Good luck with your decision.

Cotton Blossom,
I don't know why your gyn ignored your ap repair. ap repair means your bladder (cystocele). Posterior repair means rectocele. Shame on that doctor for making you go through surgery and recovery twice. A gyn or a uro/gyn is the type doctor that fixes a cystocele - I would imagine the irritation you feel is you bladder rubbing or maybe your urethra. My bladder was very irritated especially as the day progressed. Good Luck to you.

Peggy,
I don't blame you wanting it all fixed - wow you have been through enough already and I think you have every prolapse covered except I didn't see that you had your vagina secured from future prolapse. If you didn't maybe that is something they can do through the lap. I would imagine that the recovery time should be similar to your last surgery. I was surprised to find that it hurt to sit for quite a while after my cystocele surgery - although the stitches went quite low and I could see them. Don't be surprised if you do come home with a foley - the bladder doesn't like to be messed with. Best of Luck to you - I hope this is the final surgery for you - you must be so sick of this. Keep us posted.

Dear Bowlinggrl,

Thanks for your concern and help. I am a little comfused. I kept asking him if I had rectecele/ cystecele and he commented that I did have a little rectecele. Then when I went back for my 6 month check up he said that he thought that I was having bladder spasms and gave me a prescription. The time before when I was telling him that I didn't feel right still and wanted to know what my condition was he compared me to an old car. He said well the battery goes and then you replace that and then the water pump goes. I don't know if he wants to help me anymore or if he thinks that there are too many things wrong with me after the ablation. He was real nice to me at the 6 mo. check up though. He said that I looked good and that I needed to be more postitive. It is hard to be positive when I've been having problems since last Oct. when I had the ablation. Maybe I need to give it more time. Maybe I am a little panicky. I'm sure that does not help my condition.

cotton blossom, In my opinion....if my Doctor compaired me to an old car....and saying you should be more possitive after 6 months it really sounds like to me that maybe you need to go Doc shopping?? It would certiantly give you peace of mind !! I get the impression he really don't want to deal with it. We really need to be our own advocates when it comes to our wellbeing!! Take Care..You diserve the best medical care possible not to be told your like an old car!!! ! I wish you the best Netty

I got the feeling that he knew that I was messed up with the ablation prior to seeing him and that he was afraid that he might get drug into the middle of a legal situation, but that is not the case. I just want to get better.

Cotton Blossom

The time that I say him prior to this last visit, I gave him a page of questions that I was concerned about me and he said goodness gracious to it, but I think that he must have read over it and read where I let him know that I had no signs of prolapse before the ablation and I think that he realized that I was scared about my condition. He treated me much nicer, but I still don't know how to take him for sure. I then told him that I felt that something went wrong with the ablation and that the other doctor got rid of me within 1 wk. and a trip to the ER. I still don't know if I am damaged for good or not. I go to the urologist in a couple of weeks. He is the one that diagnosed my problem to begin with I had stage iii uterine prolapse
and was told that I more than likely needed an ap repair.

Thanks again for your concern, Cotton Blossom