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Upcoming rectocele/ cystocele w hysterectomy on 8/25 Upcoming rectocele/ cystocele w hysterectomy on 8/25

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  #1  
Unread 08-01-2021, 06:05 AM
Upcoming rectocele/ cystocele w hysterectomy on 8/25

Hi ladies,
New here. Having vag hysterectomy, (no ovaries) for post menopausal bleeding and fibroid this month.

I'm 62 and my gyn is also doing "repair" for rectocele/cystocele issues at the same time.

Anyone have this done and is the recovery any different?

My gyn said it would have been a 2 week recovery if I didn't have a job where I do a lot of physical things (I do activities with alzheimer's patients...lots of assistance in and out of chairs, walkers etc, and moving chairs).

post menopausal for five years, so not too worried about hormone issues.
Thanks for any info.
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  #2  
Unread 08-01-2021, 04:00 PM
Re: rectocele/cystocele w hysterectomy

  Quote:
Originally Posted by bb803902 View Post
Hi ladies,
New here. Having vag hysterectomy, (no ovaries) for post menopausal bleeding and fibroid this month.

I'm 62 and my gyn is also doing "repair" for rectocele/cystocele issues at the same time.

Anyone have this done and is the recovery any different?

My gyn said it would have been a 2 week recovery if I didn't have a job where I do a lot of physical things (I do activities with alzheimer's patients...lots of assistance in and out of chairs, walkers etc, and moving chairs).

post menopausal for five years, so not too worried about hormone issues.
Thanks for any info.
bb803902.

I know the thought of prolapse repairs can be scary . . . you are having a lot of work done. My surgery was a dvTH/BSO plus enterocele and rectocele repairs, and my bladder was tacked up. There are several things that I found very helpful.

Personal wipes are more soothing than tissue

Peri bottle for personal cleansing

Ice packs . . . I wet pads and froze them.

Sitz bath ONLY if approved by your doctor.

Thin pillow or cushion but not a donut cushion. (They create more vaginal pressure)

I also found a recliner to be the most comfortable for sitting . . . you can lean back and ease the pressure.

Having a BM can make you very anxious. It is important for you to try to relax when the time comes and DON'T STRAIN. Be sure to drink lots and lots, walk around every hour or so, and take your stool softener. Eating fiber rich foods is helpful . . . bran works wonders. Try propping up your feet on a short stool . . . this is known as the Squatty Potty position. I know it sounds "odd" but it changes the angle and helps everything to move better on its own.

Take a deep breath . . . you can do this. We have a PFBI forum to help you as you recover from your repairs, etc. Please come and join us if you have questions and need support.
One of the best ways to help prevent having another prolapse is to strictly follow all of your post op restrictions ... no pushing, no pulling, no bending, and no lifting over a gallon of milk. Each of those things put pressure on the pelvic floor and can cause a prolapse. It will also be very important to strengthen your Pelvic Floor muscles (this is more than kegels) ... it would be very worth talking to your doctor about Pelvic Floor Physical Therapy. I went through 4 months of therapy and my muscles are very strong. One more thing would be using vaginal estrogen cream to help strengthen your vaginal walls.

on your surgery my dear. Our thoughts and prayers are with you.

  #3  
Unread 08-02-2021, 03:45 AM
Upcoming rectocele/ cystocele w hysterectomy on 8/25


A few more tips for easier bowel movements: as soon as you get up in the morning, before you do anything else, have a tall glass of warm water with the juice of half a lemon, to quench overnight dehydration and wake up your GI tract; fill up on magnesium from dark chocolate, leafy greens, pumpkin seeds, quinoa, and almonds; add in sugar alcohols from apple or pear juice, prunes, dried apricots, or sugarless gum to give your bowels an extra push. Wishing you all the best for a successful surgery and a smooth recovery!
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  #4  
Unread 08-03-2021, 03:34 AM
Upcoming rectocele/ cystocele w hysterectomy on 8/25

  Quote:
Originally Posted by bb803902 View Post
Hi ladies,
New here. Having vag hysterectomy, (no ovaries) for post menopausal bleeding and fibroid this month.

I'm 62 and my gyn is also doing "repair" for rectocele/cystocele issues at the same time.

Anyone have this done and is the recovery any different?

My gyn said it would have been a 2 week recovery if I didn't have a job where I do a lot of physical things (I do activities with alzheimer's patients...lots of assistance in and out of chairs, walkers etc, and moving chairs).

post menopausal for five years, so not too worried about hormone issues.
Thanks for any info.
I just had all 3 of these surgeries.
Because I also had 2 heart surgeries in the last 2 years, I think my surgeon was cautious in separating the hysterectomy until I had healed 3 months following the cystocele and rectocele. My surgeon is also generally opposed to narcotics, so as that was the most painful recovery of my life, I HIGHLY RECOMMEND that you do not leave the hospital without a prescription for something stronger than the Tylenol/ibuprofen regimen I was given. On the flip side, however narcotics do cause constipation, which is, of course, the mortal enemy of rectocele. So, maybe that was why I suffered the first week. (The first week is the worst. I was sent home with a catheter for the first 4 days, when I returned to have the packing removed.). I drank coffee every morning (“go juice”) with a Miralax pouch mixed in. I also ate 2 prunes every day at 5:00pm and drank tons of water so that I could go first thing in the morning most days. It is suggested that you keep your stool the consistency of toothpaste throughout at least the first 6 weeks. I will tell you, this was a VERY good idea. Even borderline loose stool would be preferable to solid bowel movements during that particular recovery…but if that happened, I also adjusted my intake of prunes and Miralax for the next day.

In my opinion, after having experienced all 3 of the same surgeries, two week recovery is not realistic for the rectocele or cystocele repairs no matter what your employment. The rectocele and cystocele surgeries alone are MAJOR surgeries and in order for everything to heal properly and attempt to prevent undoing your surgeon’s work and earning a repeat surgery, I HIGHLY recommend near-total bed rest, (I had 6 weeks) which is inconsistent with the “walk a lot” rule for hysterectomy. I am not a doctor, but these were just my experiences.

Here is what I do know: I hope to NEVER need those repairs again! The same surgeon did my hysterectomy and again, no pain meds. I called his office and asked for something stronger, which he obliged—I sure wish I had done that for the R & C. It would have saved me quite a bit of pain, but also may have caused constipation, so you may want to tough it out the best you can.

I also ordered a “Squatty Potty”, which is not necessary, but was a Godsend. Use a short stool to lift your feet during bowel movements—it REALLY helps.

You may also want to ask your surgeon more questions, since everyone’s situation is different. Good luck to you!
  #5  
Unread 08-20-2021, 02:45 PM
Re: Upcoming rectocele/ cystocele w hysterectomy on 8/25

I am 62 also had same surgeries on 8/10/21, laparoscopic vaginal hysterectomy ovaries.and tubes also removed, vagina lifted and attached to uteralsacral ligaments and perineum repair. There are a lot of external snitches in perineum.

To be honest, first week of recovery was very rough. My doctor said I will be recovering for 12 weeks no lifting over 5 pounds.
My Dr only prescribed Motrin as he did not want narcotic constipation issues. I have high tolerance for pain and toughed it out for 5 days, now have a pain med which I cut in half and take 2x a day (for total of 1pill)rather than 1pill 4x a day. should have started this on day one IMHO. This helps with pain while avoiding constipation issue. Also according to my OB/GYN nurse, ibuprofen can cause constipation in some people.

I take stool softener daily and stress every time I need to have BM due to stitches in perineum. When I do have a BM it is not as bad as I feared, minimal discomfort.
I am going to start prune juice today and Miramax if needed, I want to have daily BM otherwise I have a lot of pelvic pressure pushing on perineum causing pain.

I am post menopausal and have not had any hormone issues although I have cried more in last 10 days than last 3years, probably due to pain and stress.
Everyday brings a different type of pain and the forums on this site are invaluable, I search my new pain and find answers immediately, can't say enough about the help I have found here.

Healing is a process but I read on this site that you only have one chance to get it right so I am following all the rules. I know it will be worth it in the end (no pun intended).
Best wishes to you, you can do this!
  #6  
Unread 08-22-2021, 02:07 PM
Re: Upcoming rectocele/ cystocele w hysterectomy on 8/25

I had the same thing 2 years ago with the repairs. You'll be so glad you're getting it done. The urine and bowel issues will be much better!!! In my experience 2 weeks is not nearly enough time for recovery from this. No way would I have been able to assist someone in and out of a chair at 2 weeks. For the first 2 to 4 weeks alone I laid flat 90 percent of the time to take the pressure off of those peri stitches. I would get up and shuffle around just to keep my blood flowing and avoid clots but then back to laying down. At one month I was able to sit completely upright for about 30 to 60 minutes at a time max. And around a month I could go to the store for 30 minutes max. I pushed myself at Christmas time-which was one month postop-and went shopping for 2 hours while my husband pushed the cart and it set me way back. I couldn't drive for 6 weeks due to pushing the pedals pulled at the stitches. With these repairs you want to make SURE they heal properly. My Dr wouldn't even let me do kegels for 6 weeks. Basically I did nothing that would pull or tug or over exert those stitches. Don't be afraid to take the prescription pain meds! I took them and so glad I did. I needed them for 10 days. In order to avoid constipation I took 2 stool softeners a day and drank a load of water. I had no constipation issues with this. After 10 days I switched to Ibuprofen.
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