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need info on prolapsed uterus,bladder tie need info on prolapsed uterus,bladder tie

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Unread 01-19-2003, 12:07 PM
need info on prolapsed uterus,bladder tie

my mom was just told she has a uterus that has fallen and is pulling her bladder with it, so does she need to have a hyst pluss a bladder tie up? she isnt leaking or anything yet she wanted to know a little about the surgical procedure and I cant find anything in pelvic or your I dont know what that type of surgery is called cant they tie everything up and not take it out? she is 61 and done with menapause.
her doctor also told her that the tie up may last from 2 years to ten years. she is frieking out at the possibility of in two years having more surgery.
any suggestions????
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Unread 01-19-2003, 12:12 PM
need info on prolapsed uterus,bladder tie

I am not sure if this will help, however I go to this site on a regular basis for info.
Just put your question in and it will show you sites pertaining to what you want to know.
Good Luck
Unread 01-19-2003, 12:55 PM
just guessing here

but I don't know if there is anyway of doing a "uterus lift" and avoiding a hyster for a prolapse. I know that some women elect to use a pessary to support the prolapsing uterus mechanically and avoid surgery. If a pessary won't do the job, hyster it may very well be.

Something she really needs to have a urologist look at in person, assess the degree of prolapse and determine if a pessary would be effective long-term. If the urologist determines that yes, pessary will do the trick, maybe the TVT alone is possible. I don't really know, just doing some talking out loud. She needs to have the proper specialist do an exam.

I didn't get warrantee papers on my TVT. Actually, no one even discussed how long the repair would last, but I do know that the length of time it does last has some patient involvement. I need to stop smoking so I don't hack-hack and weaken my pelvic floor and I need to kegal to strengthen the pelvic floor. I also don't need any more surgery in my pelvis. I do think getting the enlarged and heavy uterus out of the way will be a big help in my quest to avoid adult diapers for a very, very, very long time.
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Unread 01-22-2003, 11:27 AM
need info on prolapsed uterus,bladder tie

a website all about prolapse (hope it helps)
Unread 01-23-2003, 02:53 PM
need info on prolapsed uterus,bladder tie

Hi tamleeo may I ask who told your mom she had a prolapse and needs a hyst plus bladder 'tie up'? Was it her gyn or a urologist?

I'm 46... was 45 at the time I had my surgery last year. I had a third/fourth (depending on what system they use, 3 or 4 degrees) uterine prolapse with a cystocele and rectocele. The severe prolapse means that my cervix was already outside of my body. I had to push it back in every time I used the bathroom, and it made walking and sitting very uncomfortable. I also leaked urine when I sneezed, laughed, coughed or jumped. The cystocele means that my bladder had fallen onto my vagina and was caving it in from the front. The rectocele means that my rectum was doing the same thing from the back.

I had to have my surgery fairly quickly because of the severity of the situation plus other time factors that were at work. I did do some research though, and found that for me, if I'd had surgery to just re-suspend everything by shortening the ligaments that had stretched out, it wouldn't have lasted more than a year or two. That just wasn't an option. My DR didn't even offer me the choice of using a pessary; I am way too young. They are mostly used by older women who are either a big surgical risk or really set on avoiding surgery. Depending on her preferences, it might be an option for your mother... she should at least ask her DR about it.

I had a TVH = total vaginal hysterectomy (that means I had my uterus including cervix removed, through the vagina); a BSO (bilateral salpingo-oophorectomy, which means I had both tubes and ovaries removed), A&P repairs (surgical repair of the front and rear walls of the vagina) and bladder resuspension (shortening of the ligaments holding up the bladder to tie it back up into its proper position). For me, this was the best option. I no longer have body parts falling out of me that should be inside, and I no longer leak urine no matter how hard I sneeze or laugh. There are no guarantees as to how long things will stay in the proper positions now, but the odds are much greater since the weight of the uterus was taken off of them.

I'd recommend your mom see a DR about her options... possibly a urogynecologist or a gyn surgeon. Without knowing the extent of her prolapse it's impossible to guess at whether the hysterectomy is really unavoidable for her or not... only a DR can tell her that, and if one does, I would suggest getting a second opinion to be sure.

Also, if you'd like to do some reading about prolapse, you could check out the prolapse related links in our Hysterectomy Options/Alternatives Resources forum:

I hope this helps... why don't you encourage your mom to come join us too? She could start on the Options and Alternatives message board if she's not sure she needs a hysterectomy. We'd love to meet her! You are a special daughter to want to help her this way.


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