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Vaginal Hysterectomy: TVH - With A&P Repair Story

From the Vaginal Hysterectomy Stories Articles List

I had never had female problems prior to my pelvic prolapse. My son is 4 years old. Following his birth, which was uneventful, I had pelvic pain that never could be pin pointed. In retrospect it was strained pelvic ligamints. About 4 months ago, I got pnemonia. I had a terrible cough. I was walking up the stairs and coughing and had this terrible pain in my pelvis. That is all she wrote. Following that, everything started falling out. I had a prolapse of my uterus, bladder and intestines. I was a mess.

Due to scheduling and vacations, it took me a while to get in to see my Dr. During that time, I had bladder and uterine contractions that felt like early labor. By the end of the day I felt terrible. I was pretty sure what my diagnosis was. It was pretty apparent. Let's jsut say, the IUD I had was not where it was supposed to be. I also had problems urinating and with constipation.

It took my doctor a glance of about 1.2 seconds to disagnose my prolapse. We talked options. Given how bad I felt and given that I did not intend to have anymore kids, we chose TVH with A&P repair and sacro spinal fixations and bladder sling.

The biggest mistake I made was waiting two months to have the surgery. I did this because I had a project at work I wanted to finish so as to not be a burden to my co-workers. One of the partners I work with gave me this advice. Do not be a hero, no one will appreciate it. Take care of your health first. He is a cancer survivor and know what he is talking about. That is the best advice I ever got that I DID NOT TAKE. Needless to say, the two months at work were difficut for me.

Finally, we get to the surgery date. Have all my help lined up. Prepared to take the last two months of the year off work. I have obsessively read this web page. The general message I got from reading these stories and this page is that the waiting is the worse part, you will feel so much better after the sugery, the pain will not be that bad. Well, that has not been the case for me. The waiting was not the worst part. The surgery was. And the pain has been substantial.

I have sufferred from migraines for years. I have a high tolerance for pain. The post surgery pain has brought me to tears.

The surgery went well. No surpises. I was not really anxious or nervous. I did have a headache from lack of coffee. When the anestsiologist (sp?) finished hooking me up, he said, "Here is something that will help your headache." That is the last thing I remembered. Next thing, I woke up in recovery. I had a towel over my eyes because the light was so bright. My urologist, who was GREAT, was peaking in saying, "Is anyone in there?"

I was hooked up to the pump. Pain was not too bad the first day. Catheter was not bad. Pain controlled. I was hungry and they would not let me eat. They had these cherry ice things they would let me eat. I think I had about 6 or 7 of them?

Next day I was taken off the pump. That is when the pain started. Because I have had migraines for 20 something years, I have a certain tolerance to vicodin. They were giving me a light dose that did not make a lick of difference. What has very helpful was the toradol they gave me in my IV. They also gave me phenegren to help me sleep. it totally conked me out so I slept well in the hospital.

Next day, out goes the IV. Out goes the catheter. Problems start. I cannot pee. My bladder gets so full that I am in excruciating pain. Literally writhing in pain. My husband is getting into a dispute with the nurses over my pain medication. Finally I call the nurses and say there is something wrong with my bladder, do something NOW. They come put the catheter back in and drain 1200 cc's. The nurse is flabergasted. The normal bladder holds only 800 or so. No wonder you were in such pain.

The on call doctor comes and talks to me and puts me on extra strenght vicodin. She did not have any problem upping the dose. It was a matter of communicating it to her. LESSON. Do not let pain get out of hand and do not be afraid to tell doctors that you are in pain. Once I got the catheter back and upped the pain medication I felt 100% better. But they want me to stay in hospital one more day.

Next morning, still could not pee. My urologist came and examined me. I was very swollen which was why I could not go. He had me go home with the catheter. That is not nearly as bad as it sounds. Because I had all the A&P repairs, any kind of pressure on my bottom really hurt. Keeping my bladder empty really helped keep my pain level down.

I went back in to see urologist two days after I got out of the hospital. Still could not pee. He gave me option of catheter and bag or self cathetrization. I went for the latter. Not so bad. just insert a little straw. Does not hurt. The next day I started peeing on my own.

The worse part. Pooping. I mean to tell you, the worst pain I ever had in my life. I had to bite on a towel because i was screaming. DO NOT LET YOURSELF GET CONSTIPATED. Think about what you eat the week before surgery. Because of the sacro spinal repair, the pressure of the poo building up was very painful.

I am still not feeling all that great one week out. I do think in the long run I will be happy I had this surgery. But it has been hard. I think I went in with unrealistic expectations. It hurts. A lot. It is major surgery. Do not fool yourself. But, if you allow yourself to heal, do not let the pain get out of hand and rest, everything will be fine.

I had great nurses and great doctors. But mostly, I have a great husband. He waits one me hand and foot. I am so lucky to have him.

11-04-2007 - 11:58 AM


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