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silly but serious question.... silly but serious question....

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Unread 07-30-2003, 05:57 PM
silly but serious question....

I have no idea how this surgery works...I am having everything taken out including the my question is.....what do they do to keep your vagina from falling out?????!!!! This is freaking me out and I can't find any answers on it.....and also...I have heard the sisters mention bladder swings..or slings...what are those for??? does everyone need one.....HELP!!!
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Unread 07-30-2003, 06:51 PM
NOT a silly question

I had the same one - and so did my DH and my mother, and just about everyone I know.

My dr. said to think of the vagina like an upside down test tube (that stretches). Right now, the cervix is at the top (mostly closed up) separating it from the uterus.

After they remove the cervix, they just sew the top shut - you still have the upside down test tube.

Slings are only needed by some people - if you have other problems (like with your baldder) they are used to position organs to keep them from falling where they don't belong.
Unread 07-30-2003, 07:02 PM
silly but serious question....

Hi there and welcome to the best site you can have saved on your computer.

I had a Total Vaginal Hysterectomy, removal of the uterus and cervix and a BSO which is the removal of both ovaries and tubes. I also had a bladder sling to stop stress incontinence (leaking urine when I cough or laugh or sit down to hard or, or, or, my list could go on forever).

The uterus is held in place with ligaments and when everything is removed the vagina is sewn to these ligaments and then sewn shut at the top.

In my case with the bladder sling I also have a small incision just above my urethra inside the vagina that the Dr. inserted a piece of mesh tape and the ends of the tape are then brought through the abdomen (Dr. called it the abdomen but I call it the pelvic area) then cut off and I have two tiny incisions where the tape came through. If you think of an arm in a sling consider the arm the urethra and the bandage that is the sling is the tape and where the sling goes up your chest to tie around your neck is the ends of the tape.

A good web site about this is

Hope this answers your questions
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Unread 07-30-2003, 07:07 PM
silly but serious question....

My doctor told me that as he is sewing up he grabs ligaments to sew everything to to hold it up and support it. So the vagina will not fall out unless there is a serious problem.
Unread 07-30-2003, 08:53 PM

You sisters are so smart...Thankyou for answering that question. I am so much more at ease now.....thankyou!
Unread 07-30-2003, 09:18 PM
nO Questions are Lame, Dumb, Or Stupid!!

To all of the new Sisters, their is no such thing, as a dumb, stupid, or lame questions. When it comes to wanting to find out "knowledge" as to what is happening to each and everyone of us..So "PLEASE" feel free and don't be embarrassed.. To ASK ANYTHING!!!!!! That you may be worried about, feeling confussed or your just totally lost in the dark ... We all are experiencing something new here.....But were all here to give each other our knowledge, what we know, and what we have learned to help other sisters. Calm their fears of the (UNKNOWN) I have learned so much here, and can't thank each and every one of the sisters that were there for me and still are ..... And I hope I can help a new sister in her needs ... Were all lOOking for answers, and get allot of them ... Ask Away
Unread 07-30-2003, 09:30 PM
silly but serious question....

My doctor did a tightening of my ligaments surrounding the vagina during my TVH. Snugged the vagina up nicely.

Woohoo! DH is one happy boy

Might be something you want to ask your doctor about.
Unread 07-30-2003, 10:14 PM
a silly follow up question

Ok, I am showing my total ignorance of anatomy, What is a ligament?????

When my dr. was explaining the surgery, he tried showing me diagrams from one of his books, but I still didnt get it. He was trying to show the difference between a total and a radical hyst. Showing me the different "margins" Huh? I was more confused than ever before.

So I guess its the ligaments.... are they like muscles? Or what? anyone have an easy explanation? I should just go "google' it.
Unread 07-30-2003, 10:45 PM
silly but serious question....

Let's describe them as the fiberous tissue that hold you together. They keep your muscles where they are suppose to be.

Hope this helps
Unread 07-31-2003, 10:10 AM
Ligament perform the surgery...

Ligament- A band of fibrous tissue that connects bone to bone or cartilage to bone, supporting or strengthening a joint.

To perform the surgery, the doctor makes an incision in the abdominal wall to expose the uterus and adjacent structures (e.g. ligaments and blood vessels). The doctor separates the uterus from these structures, tying off the blood vessels so they will not bleed. In a SAH, the doctor removes the uterus where it attaches to the cervix, such that the cervix remains in your body after the surgery. In a TAH, the doctor removes the uterus and cervix from the vagina. After a TAH, the top of the vagina is repaired so that a hole does not exist between the vagina and the abdomen. The doctor may perform additional procedures. These may include removing the ovaries and fallopian tubes, shortening the ligaments that support the vagina, supporting the bladder, and repairing any anatomic defects that might be present. If you are going to have any additional planned procedures, your doctor will discuss them with you prior to surgery.

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