10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached? | HysterSisters
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10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached? 10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

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  #1  
Unread 11-21-2020, 01:03 PM
10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

I've been reading that it's common to have the vaginal cuff attached to the sacral ligaments to prevent prolapse. Unfortunately my dr did not do this. Has anyone else had their vaginal cuff just sewn up but not attached to ligaments? Any problems with prolapse? It would be helpful to hear....
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  #2  
Unread 11-21-2020, 07:10 PM
Re: 10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

i think that's pretty standard to do that..is there a reason why your dr. didn't?
  #3  
Unread 11-21-2020, 08:09 PM
10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

  Quote:
Originally Posted by dressedupinblue View Post
i think that's pretty standard to do that..is there a reason why your dr. didn't?
I asked her why and she said she doesn't do that. No reason. Said I have to go see a different dr if I want that surgery.
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  #4  
Unread Yesterday, 01:31 AM
Re: 10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

Before I had my surgery I asked my Dr. about this because I wanted to know what would be supporting my vagina. He said, "I'll be attatching the top of your vagina to the sacral ligaments." This was my regular OB/GYN. I don't understand why your Dr. doesn't do this.
  #5  
Unread Yesterday, 01:59 AM
Re: 10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

When I asked her she said I would have to have a urogynocologist do that. My dr is a regular gynocologist
  #6  
Unread Yesterday, 05:40 AM
Re: 10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

Are you sure she understood what you were asking? Its pretty standard for a regular gynecologist to attach the cuff to the ligaments, no urogynecologist required.
  #7  
Unread Yesterday, 06:07 AM
Re: 10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

From all that I've read (abstracts on the NIH and some journals), what increases our chances of prolapse the most after having had a hysterectomy is previous descension - that is, prolapse issues before our surgeries. It's something like 5 times higher. Was prolapse one of the reasons for your hysterectomy?

The next highest risk noted in the abstracts appears to be obesity. Multiple vaginal births of 4 or more have also been cited as a higher risk factor. Our own article Risk Factors for Pelvic Organ Prolapse lists twelve, but be aware that nothing necessarily "tips the scales" - you could have one or two risk factors and have prolapse, or several risk factors and never experience it. Too, don't underestimate genetics. I've got six of the risk factors and (so far) genetics and keeping my weight manageable are working in my favor.

Even without reattachment, your vagina isn't flopping around ready to collapse like a wet cardboard paper towel tube. It's surrounded by muscles, held in place by fascia and the pelvic floor. I think this this image from Mayo Clinic is a good cutaway showing how the muscle structure works.

I'm hoping some of our members who've had a hysterectomy without one of the reattachment procedures will be able to share how they've fared over the years.



~ ~ ~ ~ ~ ~ ~
From Incidence of pelvic floor repair after hysterectomy, Oct 6 2008: "The cumulative incidence of PFR [pelvic floor repair] after hysterectomy was 5.1% by 30 years. This risk was not influenced by age at hysterectomy or calendar period. Future PFR was more frequently required in women who had prolapse...."

From Laparoscopic Hysterectomy and Prolapse: A Multiprocedural Concept, Jan-Mar 2014: "Information on the rate of post-hysterectomy prolapse varies. The cumulative risk is described as 1% three years after hysterectomy and up to 15% fifteen years later. The risk is 5.5 times higher if hysterectomy was performed because of a descensus situation."
  #8  
Unread Yesterday, 11:57 AM
10/30 47 yr old kept left ovary, prolapse risk if vaginal cuff not reattached?

When i asked her she basically said what u put in your response. That other reasons cause prolapse, not the hysterectomy itself. I was hoping other women who didn't have an attachment could give me their experiences?
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