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bladder sling vs tacking, plz share bladder sling vs tacking, plz share

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Unread 11-19-2006, 07:19 PM
bladder sling vs tacking, plz share

First off, thank you for this site and for all of your posts. It is one thing to be able to gather medical information on my soon-to-come hysterectomy but being able to read the personal experiences of real women is priceless.

I have been dealing with very heavy periods and discomfort during intercourse for the past couple years now. I am not very good about going to see the Dr unless I am very ill and it took me quite some time to make the call to go. When I finally did see someone, they poo-pooed my complaints and basically told me to deal with it. Deep down I knew that my problems were not something I could simply adjust to and I decided to get a second opinion. The new GYN that I saw took into consideration not only my physical symptoms but also the way that my personal and professional life were being affected as well. He informed me that I have prolapse not only of the uterus, but also of the bladder, and suggested a hysterectomy plus either a bladder sling or "tacking up" of the bladder.

I had pretty much expected the news of a hysterectomy, but wasn't prepared to have to deal with bladder issues. My GYN said he will be doing everything in conjunction with a urologist and I will consult with one soon to be evaluated and get things rolling, but I would really like to hear what others have gone through with either of these procedures. I have asked all the women in my life and they all had different opinions to give. I think it is time to cast my net a little wider and gather all the views that I can so I can be better prepared for my next office visit.

Thanks in advance for all your input.
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Unread 11-20-2006, 10:31 PM
bladder sling vs tacking, plz share

TXsister, welcome to the website! For your basic information, pubovaginal slings are the things that hold the bladder up in a sling surgery. They can be made of artifical mesh, cadaveric mesh, porcine or bovine mesh, or mesh made from one's own body tissues (allograft). Or the other type of surgery: the 'bladder tack' you are referring to, is often called cystocele repair or anterior repair.

There are many types of 'slings' used in bladder and vaginal surgery so be sure you research it well. If it were me, I'd make sure my doctor knew of any recalls or problems with of any material being used in the sling mesh before allowing it to be used in me. Most of them have no problems at all but be sure you check to make sure.

Have you been urodynamically tested for all types of incontinence? I would make sure that was done for me first before agreeing to any type of incontinence surgery also.

While I've had several problems with the artificial myself, I am through it all STILL glad that I do not leak any more at all. Best of good luck to you in any decision you make.

Unread 11-20-2006, 11:11 PM
bladder sling vs tacking, plz share

Hello Tx. I had a bladder sling along with the anterior and posterior repairs. I also had the urodynamics test prior to surgery so my Doctor could determine how the hysterectomy would affect my bladder. I went to a GP who sent me to a Colo-Rectal surgeon who sent me to a Urologist who sent me to a Gynecologist. After doing extensive research on this website and the internet I decided a Uro-Gynecologist was the type of surgeon that I wanted to do my procedures. A Uro-Gynecologist is certfied in the speciality of Urology and Gynecology.

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