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Prolapse after abdominal hysterectomy Prolapse after abdominal hysterectomy

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Unread 10-18-2003, 03:19 AM
Prolapse after abdominal hysterectomy

I had a STH (kept cervix) in April this year and now find that I have a prolapse. I need a sacro colpopexy and my DR is investigating whether it can be done with key hole surgery. Has anyone had this procedure done with key hole and not a full abdominal incision - like someone in this thread, I'm really concerned about having the abdominal stuff all over again?
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Unread 10-18-2003, 08:03 AM
Prolapse after abdominal hysterectomy

Beth, I will be interested in your responses. It's a procedure my dr is looking at. I had my hyst and repairs done all vaginally - this would be the first time I have to have something done thru the abdomin and it worries me too. Part of me is saying don't do it but the other is saying maybe this will fix a bunch of things finally.
When do you go for surgery?
Unread 10-19-2003, 03:27 AM

I've a consult with my gynae on Tuesday - then I should know what the options are. I know that this procedure is done with keyhole by some surgeons - it's just finding the experienced ones. What I'll find interesting is what makes someone a good candidate or not. Watch this space for an update - but just my DRs opinion note.
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Unread 10-19-2003, 07:52 AM
Prolapse after abdominal hysterectomy

(((Beth)))) I'm so sorry that you're facing yet another surgery, so soon after your hyst

I don't have any experience with bladder suspension surgery, but I do know that, like a hyst, it can be done using a variety of procedures. Keeping my fingers crossed that yours can be done using a less invasive procedure.

Please let us know how your consult goes on Tuesday.
Unread 10-19-2003, 07:56 PM
Prolapse after abdominal hysterectomy

I've had a Sacro Colpopexy but with an abdominal incision. Don't know how they'd do it with the keyhole technique.

Unread 10-19-2003, 08:28 PM
Prolapse after abdominal hysterectomy

Excuse my ignorence but what causes the prolapse?
Unread 10-20-2003, 10:23 PM
Prolapse after abdominal hysterectomy

Hi Loree

Prolapses can be caused by a number of things. Often, it is a combination of genetics, obesity or giving birth vaginally to large babies. And, after a total hysterectomy, where the cervix is removed, we are further at risk because of the reduced support to the pelvic floor and the organs it supports.
Unread 10-21-2003, 02:39 PM
Prolapse after abdominal hysterectomy

OK, so I had a sub total hysterectomy and kept my cervix. At the time I had the op my DR thought he'd have to do a repair then but when he shifted the large fibroids out with my uterus my pelvic floor sprang back into place - clearly he thought it'd be OK. It was OK for quite a while but I suddently noticed a few weeks ago that my cervix was at the entrance to my vagina by the end of the day. To sum up, I had two large babies with normal deliveries - one was 10.5 lb. My DR believes this would have torn my ligaments somewhat .. he assures me it's not because I've overdone it or anything like that. Just rotten luck.

So my consult this morning - My existing DR can do the sacro colpopexy through an abdominal incision if I wish to keep my cervix or there is a vaginal procedure I can have to correct the prolapse but I'd have to have my cervix removed. I'm not happy to have my cervix removed and have asked him to find out whether there is another DR in my area that I can be referred to to discuss having the procedure with keyhole surgery. If there isn't someone locally and as a laparoscopic procedure can still result in an abdominal incision if there are difficulties then I will go for the abdominal option - and the surgery will be around 11/12 Decmber.

I understand that an abdominal op means a few weeks off work - I'd be real interested in anyone's views/experience on this one (Kajda - have you posted your post-op experience anywhere). Also, when can I expect to be back swimming (I remember it felt like I was stretching things for a while before) and when to start running again?
Unread 10-21-2003, 08:56 PM
Prolapse after abdominal hysterectomy

I sought the expertise of a Uro-gyn skilled in Pelvic Floor Reconstruction for my Sacro Colpopexy since my gyn failed on my first surgery for TVH, A + P repair and Burch. The Uro-gyn reopened my abdominal incision for the Sacro Colpopexy. This surgery was not nearly as extensive as the first, and recovery was a lot easier. Of course the abdominal incision must heal before you can swim and jog, but your doctor will give you guidelines on that. Trying to remember ... think it took me about 6-8 weeks to feel really good again.

Please feel free to ask me anything. I have no regrets about having it done!

Unread 10-24-2003, 10:14 AM
Prolapse after abdominal hysterectomy

Running, or anything else high impact, is not necessarily the recommended form of exercise for a person with prolapse - repaired or not.

Walking, cycling, swimming are great. Baby those repairs so they last you a lifetime.

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