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I'm going to see a pelvic reconstruction specialist I'm going to see a pelvic reconstruction specialist

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Unread 03-13-2004, 10:44 PM
I'm going to see a pelvic reconstruction specialist

Hi everybody!

I'm waiting to see a doctor who specializes in pelvic reconstruction surgery. I can't ever seem to empty my bowels properly and I have a "bulge" that feels like a tampon that's falling out. It's worse at the end of the day, and after being on my feet for a long time. It's also uncomfortable to sit. My doctor has put me on laxatives, mineral oil and metamucil--you'd think I'd have diarrhea by now, but after a week of this I'm still having problems with constipation!!! It feels like my bowels have gone on strike.

I realize my pelvic floor muscles are weak. My mom has this too, so maybe it's partly heredity. She had three repair surgeries and in spite of all that she still has incontinence. So I'm wondering, should I take the surgery route? I tend to get constipated easily, in spite of eating lots of fibre, fruits and vegetables, etc. and walking/exercising every day, so I'm worried that the surgery won't make things that much better and may even make my life worse. But I also don't see how I can keep on living with this kind of constipation and discomfort--it can't be healthy..... Maybe I'm answering my own question.

Anyone out there who thinks this surgery is worth all the pain and time off work, etc.? Also, how do you know if you really need it? (I know that using a pessary is a possibility, but my doctor thinks I'm too young--I'm 52 and married). I'm so scared, and I really don't want to go to the castle again!!

TAH/BSO for endometrial & endocervical cancer/complications: ruptured bladder, bladder repair with bilateral urethral stents, Dec.02, effexor for depression, synthroid for hypothyroidism
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Unread 03-14-2004, 07:41 AM
I'm going to see a pelvic reconstruction specialist

Hi Monalees I'm so sorry you're still having all of those problems

I also have a very weak pelvic floor, thanks to delivering two very large babies vaginally and to the fibroid, rectocele and TVH with rectocele repair making it all worse. Consequently, I have to deal with stress incontinence that is driving me crazy.

In my case, the rectocele repair held, but the pelvic muscles are extremely week. Instead of immediately suggesting surgery, my uro sent me to a therapist specializing in Biofeedback Pelvic Therapy. The therapy is expensive ($80.00 a visit) but it is covered by my Group Insurance. And it is welll-worth it: the therapist inserts a probe in the vagina that is hooked to a computer and, through a series of impulses, "trains" the pelvic muscles to do their job. It is like "super Kegles" and makes a world of difference. Furthermore, she mentionned that doing kegles with such a weakened pelvic floor would be the equivalent of doing any other kind of exercises without the proper techniques being explained: not only is it inefficient, it could also cause more problems.

This might be a venue worth exploring before resorting to surgery.
Unread 03-14-2004, 03:08 PM
I'm going to see a pelvic reconstruction specialist

Dear Dany,
Thank you so much!!! I can't express how much this means so much to me, Dany! I have printed out your reply and I'll take it with me to Dr. Wilke, the specialist, when I go to see her (I don't have a date as yet). I'll let you know how it goes.

A big thank you
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Unread 03-15-2004, 04:06 AM
I'm going to see a pelvic reconstruction specialist

Hi I have total pelvic prolapse too, had tvh last spring for prolapsed uterus. I just had a bladder tack , not a sling because I didn't have incontiance. Anyway it is so worth it! I am 43 what does age have to do with it if you will feel so much better? My cystocele bladder prolapse was very bad, stage three. It's only been a week and I feel great, they fixed it vaginally. Anyway good luck, I hope all goes well, and by the way my dr. said yes it does run in families. Also my dr. does not want to rush in to fix rectocele because so many women have worse problems with this repair, so we are waiting on that repair. Be Well
Unread 03-15-2004, 04:35 AM
cat here again

Hi Monalees, I forgot to suggest that you ask a lot of questions. Find out all your options. So many of us have had problems following surgery of repairs. It's a long road and surgery is not always the answer, but this time it worked for me. I went to more than one dr. about my repairs. Every dr. will say something a little different. Find one that feels right for you. BeWell
Unread 03-15-2004, 06:00 AM
I'm going to see a pelvic reconstruction specialist

Hi Catlau,
Was wondering what kind of problems you've heard people having after a rectocele repair. I am scheduled to have both my cystocele and rectocele repaired next month & I have been in so much pain I was actually starting to look forward to it. Thanks
Unread 03-15-2004, 05:49 PM
I'm going to see a pelvic reconstruction specialist

Thanks, Catlau, for your replies and good wishes. I'll be sure to ask lots of questions and get a second opinion as well. You've been very helpful. I'm glad your surgery helped you so much, and I hope you'll continue to enjoy good health!

Unread 03-16-2004, 04:09 AM
I'm going to see a pelvic reconstruction specialist

Dear notsitting, I'm not a expert, but my dr. told me with cystocele repair you can tear the bladder during surgery. I didn't have incontinance so dr. did a "bladder tack". Dr. didnt want to over correct the problem, you can actually create incontinace. With rectocele repair a lot of women have painful intercourse after repair, he chose to wait on that repair. Read the message boards here too, you can learn a lot! None of the other dr.s I went to explained everything to me. This dr. was very good and answered all my questions, ask questions. I can tell you I feel great, I'm still recovering I had the surgery on the 8th. I saw my dr. yesterday and everything is going well, lifting is a big no no. I was very scared but it wasn't that evasive. Good luck I hope all goes well for you.
Unread 03-16-2004, 04:19 AM
I'm going to see a pelvic reconstruction specialist

Dear Monalees, I'm glad that I could help in someway, we are all in this together. The message baords have been so helpful to me too. Best of luck, Be Well
Unread 03-16-2004, 11:46 AM
Pelvic Floor Prolapse

I had similar questions about my symptoms before surgery. I would always compare my symptons to others people and wonder if I should have surgery or not. Was it bad enough? It is an individual question, and you need to consider your quality of life. I had surgery last June. Yes, you do need time to recover, and my recovery went well. I was surprised on how I felt. Each person's recovery is individual, as we are all unique. Pelvic floor issues will be something that I deal with for the rest of my life. I have very thin tissue (and I am not menopausal yet), so I need to be very diligent in keeping my pelvic floor muscles toned. I did ripped my rectocele repair so need to have it repaired again.
Would I do it again, YES.


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