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Posterior Repair Posterior Repair

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Unread 04-24-2005, 06:14 PM
Posterior Repair

HI all,
I had my rectocele repair Wednesday and got home Friday and I have a few questions I forgot to ask my doc. He went on vactation and his partner did the discharge...I was a little thrown. Anyway, how long is normal to bleed after this repair? He told me that it would change from red to brown to a yellowish discharge but not how long it would last. Also, his partner told me that at this point I should only be taking Motrin for pain and should only use the Vicodin at night and then only if absolutely necessary. Well, I took some Vic last night at 9PM and this morning decided that I would just do the Motrin as she recommended.....but by 2PM I was hurting so bad I could hardly stand it. I know, as a nurse, I should have taken it earlier so I wouldn't have to play "catch up" but I guess I'm just wondering if I'm a total wuss or if the doc was out of line. Any comments or help are greatly appreciated. Thank you in advance. This site is the best and I have found such comfort and support here.....ya'll are just the best.

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Unread 04-24-2005, 06:50 PM
Posterior Repair

HI, Jami

I am so sorry you are in so much pain.

I had a rectocele repair at the same time I had my hysterectomy. My pain was all in my lower abdomen from the hyst. so that's where I felt everything. I believe the discharge for me did not last more than 2 weeks and it wasn't too bad. I wasn't even told I was going to have a discharge so I thought I had broken something loose there for awhile.

I was sent home with Percocet for the pain. I guess you will have to use your own judgement about taking the Vicodan. I was in terrible pain and burning for some time with scar tissue and I had a PA tell me to definitely take something for the pain because my body would not heal as fast as long as I was in so much pain. This was 6 months after my surgery.

Take it very easy and

Unread 04-24-2005, 06:56 PM
Posterior Repair

Hi (((Jami))) I'm sorry you're in so much pain

I had a stage III rectocele repaired at the same time as my hyst. Personally, I was just taking extra-strength Tylenol by the third day post-op, but I know that we're all different: you know how bad the pain is and what you need to relieve it effectively. One thing to keep in mind is that pain meds can result in increased issues with constipation and bloating which could both result in a lot of discomfort and in damaging the repairs. If the pain is mostly in the perineal area, where mine was, you may want to use a peri-bottle to spray the area with hot water: for me, it was instant relief that, surprisingly, lasted quite a while. Another tip: avoid sitting as much as possible as it puts too much stress on the internal and external stitches. This, in turn, results in very uncomfortable swelling and tenderness.

As far as the discharge is concerned, for me it's hard to tell what part of the recovery was due to the hyst and what part was due to the rectocele, but I do remember that I had dark brown discharge for a very long time. In fact, I was still having it when I went for my post-op appointment. At that time, my OB/GYN told me that the discharge was due to the extent of the repairs and that it would stop soon. Your best strategy would be to call your doctor's office and to ask how long the discharge will last for.

I do send lots of healing s your way. Please do keep us posted.
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Unread 04-25-2005, 05:48 AM
Posterior Repair

I am sorry you are having so much pain. From one nurse to another () you are right you should have not had to play "catch up" and you know if the pain is bad enough for the vicoden and everyone heals differently. I would give the doc a call....if he is still on vacation, talk to whoever is on call for him. Explain what you were supposed to do for pain control and that it is not working and by 2pm the pain was excruciating. You can also ask about the discharge then too. YOu should not be in that much pain without some sort of pain know that. Fight for yourself, like you would fight for your patient (if the patient was you) You deserve it just as much. Please keep us updated.
Unread 04-25-2005, 11:05 AM
Posterior Repair

Thank you all for your responses. The pain is controlled quite nicely when I piggyback my Motrin and Vicodin. It's when I don't take the Vicodin that I have problems. I am using my peribottle (thank goodness for those!!!!) and am taking pericolace daily to stay regular. Thank goodness constipation has never been an issue for me. Unfortunately, I am unable to lay around enough like I goes on whether or not I feel like dealing with it.

Unread 04-25-2005, 06:44 PM
Posterior Repair

I had a large rectocele and a enterocele repaired 3 months ago. I was sent home with percocets and 600mg ibuprofen. Weirdly enough I never felt any pain, so didn't take any pain meds. I thought I must of had one heck of a surgeon ! (He did my TAH last May also). I started having shooting pains in my vagina about 2 months post op. I saw my gyn and he believes I have scar tissue rubbing on my nerves causing the pain. I have used percocets off and on since that pain started. I am guessing I didn't have pain after the repairs because of the nerve damage.
The bottom line is we don't have to be in pain and deserve to be given pain meds so we can live as much of a pain free life as possible. Don't feel bad about using your vicodins.
As far as the bleeding mine only lasted a couple weeks. At first it was bright red, but then after a week or so it lessened and eventually looked more of a yellow color. My gyn said that was normal. My gyn also said I will need to stay on fiber for the rest of my life.No more straining allowed or it could mess up the repairs. Be sure not to do heavy lifting either. My dr. said I shouldn't lift over 40 pounds from here on out.
I hope your recovery goes well. It sounds like what you are experiencing is normal at this point.
Good luck and know it will get better,
Unread 04-25-2005, 08:35 PM
Posterior Repair

(((Jami))) I hope you are giving yourself a chance to recover: this surgery is probably just as demanding as your hyst was and requires the same type of pampering It is especially important to avoid sitting for prolonged periods. I also remember that standing in one place would also result in a lot of discomfort.

Once again, it is time to ask your loved ones for help. It's especially important to avoid straining as once you've had a prolapse, you're at risk for further prolapses.... especially since, in our case, we no longer have the extra support of the cervix.
Unread 04-25-2005, 10:11 PM
Posterior Repair

Again, thank you all for your kind and supportive responses. I talked to my doc this afternoon (back from vacation....YEAH) and he said that it sounded like I had popped some stitches. He said that it was fine if I was still taking the stronger pain meds....if I need them, take them. He did say that he'd rather me be down to Motrin only by the second week but that we'd discuss it later if need be. I have started cutting the Vicodin in half and it seems to be working well. Anyway, again many thanks...I'm off to bed.


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