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bladder support??? bladder support???

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  #1  
Unread 02-18-2005, 06:33 PM
bladder support???

Ok, I hate to ask dumb questions here, but I'm afraid that's exactly what I'm going to do.
I've talked to some of the ladies at my church who have also had hysterectomies. All but one came through with great ease. (1 had to go back for bladder repair 2 weeks after her LAVH.) One lady was telling me that with every hysterectomy they have to put in some kind of bladder support to substitute all the support organs they have removed, and that is why every woman who has had a hysterectomy doesn't prolapse her bladder. Is this true? My doctor said nothing to me about any bladder support. Is this just so automatic that the docs don't even mention it. Should I have just known this already?
All my doctor said to me was that the surgery took about an hour, that everything went just like it was supposed to go. My uterus was enlarged, about the size of a grapefruit,(not sure how big/small it normally is anyway) and I had multiple small fibroids and a fair amount of scar tissue, along with an ovarian cyst. I will ask my doc about it when I go see him. I want to see my op and path reports too. But, I don't go back to the doctor until my 4 week check-up on 3/11. What can you girls tell me about this? Is it routine to put in some kind of bladder support?
Not that it really matters so terribly much, but I'm rather curious as to what is or isn't even in my body right now. I sound so naive. Ugh.
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  #2  
Unread 02-18-2005, 07:54 PM
bladder support???

There are no dumb questions here. I was actually wondering about the bladder question myself. I just don't feel 'normal' down there and I was so sick at my 3 week I didn't ask any questions.
Here's to getting the answers we need
Lori
  #3  
Unread 02-19-2005, 12:25 AM
bladder support???

I wish your post would stay a while longer, in the post-op and pre-op forums questions/comments get moved so fast. I hope someone finds your post with answers for as all. I think your question is great...I have wondered the same thing many times, but until I found the hystersisters I had no one to ask. Thanks sisters for all your support!!s
luv
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  #4  
Unread 02-19-2005, 08:27 AM
bladder support???

Hi ladies,

I will share what I know, which isn't a lot. I don't think that doing the bladder suspension is an automatic procedure with every hysterectomy. I had one, but I had asked about it and was dealing with stress incontinence. If you look in bladder matters in the resource section there are a few discussions on this. One woman shared that her dr did them routinely with the hyst., but there were others whose did not.
This issue of bladder prolapse is common as women age and especially after childbirth, but everyone should ask their own physicians what they think is best for them. It is certainly wise to take care of it at the same time you have the hyst if you are going to do it. I love mine, it made a huge difference.
Keilios- good quesion!

's, Rita
  #5  
Unread 02-19-2005, 08:59 AM
bladder support???

My Dr. did a suspension on me. My best friend's Dr didn't.
I'm glad mine did. I never gave it any thought. Thank God that my Dr does it on a routine basis, because I don't think I would have asked. When he explained the surgery to me, the suspension was a normal part of it for him. He said I'm good for another 40 years!

My friend is now having some leakage issues 2 years out from her surgery. She wasn't given very much information about her surgery.

My advise is to ask. No question is dumb.

Luvmabug
  #6  
Unread 02-19-2005, 08:59 AM
bladder support???

I agree with ((Rita)) I don’t think they are routine. The bladder is attached to the uterus. So, all hysterectomies *do* involve the bladder because it needs to be dissected away from the uterus.

I've heard of lots of work on ligaments and such providing for vaginal support after the uterus was removed, so maybe that could be part of what your friend heard. ?

I considered the bladder sling for my stress incontinence, but decided to see if the hyst alone would be enough. I don't know if it's because the heavy uterus is gone or because they freed up my severe adhesions, but my bladder and urinary stream seem different now. Not better, not worse, just *different*.

I would think any additional bladder or urethral support procedures would have been discussed with you for your consent. My doc told me if there is no lack of support causing incontinence, then adding additional urethral "support" (like what we read about here) might make the patient unable to urinate on her own.

Good luck with your appt. and getting answers from your Dr.
s,
Beth
  #7  
Unread 02-19-2005, 10:27 AM
bladder support???

Keilios,

Did you have bladder issues before your hysterectomy? Do you have new issues, like stress incontinence? My GYN has referred me to a urologist for urodynamic testing and to decide if I would benefit from a bladder suspension done at the same time as a TAH. It is my understanding that the urodynamics must be done to be sure that the suspension won't cause more incontinence post-op.

My GYN told me that the ligaments that supported the uterus would be attached to the top of the vagina to support it and that he would also anchor the vagina to the sacrum (I am assuming with ligaments originating from the sacrum). He was assuring me that everything won't "just cave in" as I fear.

My hope is that once my grapefruit sized uterus and nasty fibroids are removed, the lower back and pelvic pain I have had over the years will be gone, or at least vastly improved.

Write down you questions and be sure to ask at your post-op. Let us know what you find out. Take good care of yourself and don't over-do so that you can recover well.

Maggiemay
  #8  
Unread 02-19-2005, 10:34 AM
Re: bladder support???

  Quote:
Originally posted by keilios
Ok, I hate to ask dumb questions here, but I'm afraid that's exactly what I'm going to do.
I've talked to some of the ladies at my church who have also had hysterectomies. All but one came through with great ease. (1 had to go back for bladder repair 2 weeks after her LAVH.) One lady was telling me that with every hysterectomy they have to put in some kind of bladder support to substitute all the support organs they have removed, and that is why every woman who has had a hysterectomy doesn't prolapse her bladder. Is this true? My doctor said nothing to me about any bladder support. Is this just so automatic that the docs don't even mention it. Should I have just known this already?
All my doctor said to me was that the surgery took about an hour, that everything went just like it was supposed to go. My uterus was enlarged, about the size of a grapefruit,(not sure how big/small it normally is anyway) and I had multiple small fibroids and a fair amount of scar tissue, along with an ovarian cyst. I will ask my doc about it when I go see him. I want to see my op and path reports too. But, I don't go back to the doctor until my 4 week check-up on 3/11. What can you girls tell me about this? Is it routine to put in some kind of bladder support?
Not that it really matters so terribly much, but I'm rather curious as to what is or isn't even in my body right now. I sound so naive. Ugh.
I'll be intereste to hear. I am 9 days out from a TAH and peeing my brians out! I want to stop the urecholine which helped me peee after they removed the Foley. i'll ask Monday on my post op visit. BTW, 4 weeks??? I have seen my guys once and go back Tuesday...2ce in less that 2 wks post-op.
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