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Has anyone had a Hysterectomy and a anterior/posterior repair?? Has anyone had a Hysterectomy and a anterior/posterior repair??

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  #1  
Unread 11-19-2003, 10:00 PM
Has anyone had a Hysterectomy and a anterior/posterior repair??

and recovered from both at the same time?? how is the recovery?
the repair will be needed for a cystocele and rectocele. Hyster for a uterine prolapse and alot of heavy bleeding, on and off my period. I bleed many more days than not.
Did you have a TAH or a TVH or a LAVH Im assuming if there doing the anterior and posterior repair they would do a vaginal hyst, but not sure if im thinking right or not?!

Thanks for all your help... this is all so confusing.

also does anyone know if the recovery is anything like a c-section recovery?
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  #2  
Unread 11-20-2003, 11:57 AM
Has anyone had a Hysterectomy and a anterior/posterior repair??

Hi Tasha,

Yes, there are quite a few gals who had all these procedures done at the same time. However, I am not one of them ...

I'm sure someone will be along shortly who can share some personal experiences. Sending hugs your way as you evaluate options.

Beth
  #3  
Unread 11-20-2003, 06:40 PM
Has anyone had a Hysterectomy and a anterior/posterior repair??

I had a TVH, rectocele + cystocele repair and Burch all done at once. Felt like I had literally been "gutted"! Considering everything that had to heal - vagina, episiotomy, abdominal incision, etc. - the recovery took 8 weeks. My surgery was done solely for horrible prolapses, so I must admit the surgery was worth it.

One bit of advice: make certain your doctor is skilled in Pelvic Floor Reconstruction. Within 3 months of that surgery, something was "bulging" worse than before. My gyn could no longer help me, so after a lot of research, I found someone skilled in Pelvic Floor Reconstruction - a uro/gyn. Had I gone to this specialist in the first place, chances are I would never have had to undergo a second surgery for a vaginal vault/enterocele. Make sure you have ALL the prolapses repaired during the surgery so you don't have to have a second surgery !!!

My babies were all born vaginally, so I cannot compare the abdominal incision to a C-section. I have seen many threads about this subject in Hystersisters, however, so you can do a "search" for the subject.

Wishing you good health,
Kajsa
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  #4  
Unread 11-20-2003, 07:03 PM
Has anyone had a Hysterectomy and a anterior/posterior repair??

Hi (((Tasha))) I had a TVH/BSO with A&P repair and bladder lift for a cystocele and rectocele, and I must say I did not have any sort of "gutted" feeling with that surgery. I haven't had a C-section (had two big vaginal deliveries, which is part of why I had the prolapse), so I can't compare from personal experience, but as (((Kajsa))) said, there have been several threads comparing them before. I think the general consensus is that the hyst is a much bigger surgery because major organs are removed, whereas in the C-section everything is still there afterwards (except the baby, of course).

My impression is that most of the discomfort I had after the hyst was due to the posterior repair. I sat on a donut pillow for about six weeks after the surgery, and even longer when I had to sit for long periods or on hard surfaces. Also my bladder refused to cooperate immediately after the surgery so I ended up going home with a Foley catheter for a week, and then having to retrain my bladder. I don't think it is an unmanageable recovery, but you need to plan on being 'down' and resting for a while. I drove at two weeks (with my DR's permission) and could do short errands by myself at about four weeks. By six weeks I was almost back to 'normal' except that I did have complications that showed up around three and a half weeks (diverticulitis) and ultimately required another surgery a year later.

My repair worked great, once my bladder was back on track... I am a year and a half post now and still don't leak when I sneeze or laugh, and have none of that oh so familiar 'bulging' feeling anymore. I've had my share of issues with hormone balancing, and that's something you need to figure on, especially if you're planning to have your ovaries removed. Even if you're not, some women who keep their ovaries do find they shut down for a while after the surgery and they need some HRT for a time, while others may find that they go into menopause earlier than they would have if they hadn't had a hysterectomy.

I did not have a choice about my hysterectomy because of the severity of my prolapses. If I had had a choice, though, I think I would have tried very hard to do whatever else I could do first to try to avoid having to remove such important organs. Sometimes pelvic floor reconstructive surgery can work; for me it wasn't an option . Please do make sure to get a second, or even a third, opinion to make sure this surgery is the best option for you. And keep reading, keep posting... the more you learn, the more comfortable you will feel with your decision, whatever it is.

s,
-Linda
  #5  
Unread 11-20-2003, 07:11 PM
Has anyone had a Hysterectomy and a anterior/posterior repair??

Hi Tasha,

I had a cystocele and a rectocele repaired at the same time as my vaginal hysterectomy. In my case, I had been dealing with the prolapses for quite a few months before I made up my mind to have my surgery. I was going through menopause, so I wasn't dealing with the heavy bleeding that you are, but the rectocele, especially, was becoming a real problem.

Kajsa has given you some excellent advice about consulting with a pelvic floor specialist, or a urologist/gynecologist. They are the experts and might have some alternatives to offer you, since a
hysterectomy is major surgery, and one which shouldn't be done until you've tried any other viable alternatives that are possible for you.

If you do have surgery, you may find that the rectocele and cystocele repairs are more uncomfortable than the actual hyst. I found it pretty hard to sit for any length of time, and eventually bought a "donut" pillow to sit on. I wished that I had known about them and had one for the ride home from the hospital!!

I was given the OK to drive at 2 weeks post-op, but didn't really feel like it yet. At 3 1/2 weeks post-op I drove (by myself) to my DD's, a two hour trip. I was able to do it, but was pretty uncomfortable from sitting that long, and I was glad that I didn't have to drive back home that same day. I went back to work at 5 1/2 weeks post-op and even that was a little bit too soon. (I carried my donut pillow back & forth with me every day )

Since I didn't have any abdominal incisions, and haven't had a C-section, I can't personally answer your question about whether they are similar, but I have read that they are not - that the recovery from the C-section is easier than from a hysterectomy.

I wish you the best as you continue to research all of your options. Please keep us posted.

's
  #6  
Unread 11-20-2003, 08:02 PM
Has anyone had a Hysterectomy and a anterior/posterior repair??

Hi, I had a TVH with rectocle repair. The TVH was not painful. The posterier repair was the worst of it. I had constipation problem 5 days post-op and my behind hurt a lot. I could not sit for 6 weeks comfortably. I got the go ahead at 2 weeks to drive, but did not till 3 weeks and then very little. I also healed inside very slowly and had granulation to deal with. I did not really feel fully healed till almost 8 mos. I don't think that is what everone experiences. That is just what my side effects were from the surgery.

It is different for everyone. All surgeries have their risks. Good luck to you on finding what is right for you.

s
  #7  
Unread 11-21-2003, 07:07 AM
Has anyone had a Hysterectomy and a anterior/posterior repair??

Just wanted to add a note that I never had any "potty issues" or complications with the A/P repairs. Of course each person's case is different, but I just wanted you to have some "positive" info from someone who is very glad she had the surgery! I've always been an active lady, and am delighted to have regained my active lifestyle!

Kajsa
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