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New to Bladder Matters ~ Questions ~prolape? TVT? New to Bladder Matters ~ Questions ~prolape? TVT?

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Unread 09-23-2005, 07:37 AM
New to Bladder Matters ~ Questions ~prolape? TVT?

Hi sisters, this is my first post on this forum. (Have been on the Hyst side) Kind of in the dark here about proper terms so bear with me and educate me!

I had a TAH/BSO on 6/3/05. Healed well, feel pretty good except for hormone jungle issues, bladder spasms, and a lingering numbness on my (swelly) belly.

I went to my GYN for the bladder spasms about 8 weeks ago. He felt I would be better treated by a URO. He sent me to one who is not a URO/GYN, but whose primary practice is women’s issues.

URO put me on Vesicare about 6 weeks ago. I feel it has helped some with the spasms. Just to be thorough the Dr wanted to do Urodynamic testing and a Cystoscopy.

Tests were done on Tuesday and it showed Stress incontinence (Ummm, hello… I have had 4 kids, 9+ lbs, all vaginally, what was he expecting there. LOL) and “front vaginal wall thinning that is allowing the bladder to drop forward and into the vagina”

~ is this Cystocele? Prolapse? ~

He recommended surgery to “bring the muscles in the front of the vagina back together tightly to provide a stable base to support the bladder”

~Is this Anterior Repair? ~

And do Trans-obturator Sling procedure using ObTape to reposition the urethra.

~ Is this TVT? ~

UGO says this is a 30 minute surgery, very simple with an easy recovery compared to TAH. That I will stay overnight only as a precaution, get my cath out first thing in the morning and go home.

Sounds good enough….

So sisters, what’s it really like? Is this common? How is the recovery? I see many of you on here having long term cath’s. How common is that?

I am just scared of more surgery and a little uneasy and would love to get more information and hear experience, good and bad!

TIA ~Allison
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Unread 09-23-2005, 09:34 AM
New to Bladder Matters ~ Questions ~prolape? TVT?

I would say that you have a cystocele. It sounds like the procedure he is proposing is an anterior repair with TOT for the stress incontinence. TOT is a modification of the TVT procedure. I believe the difference is where the incisions outside are made. The website describes both I think.

I don't know how to answer the party line of this procedure being so simple versus the number of women on this board who have problems. I would think you are on the right track by having a urologist who specializes in women's issues. I would also inquire as to how many of these he has done and what his success rate is.

Best wishes to you.
Unread 09-23-2005, 10:19 AM
New to Bladder Matters ~ Questions ~prolape? TVT?

Hi Allison
It does sound like you need a anterior repair for a cystocele. I just had one done along with a tvt on the 12th. My surgery took a little over 1 1/2 hours, but I had alot of nasty scar tissue around the bladder. My uro/gyn had a very hard time getting the needles through. He had to do it twice on each side before he could get the tape through. I had 4 c sections, then the TAH, so that is why he had complications. Normally a tvt takes about 30 minutes or less.I don't know how long a anterior repair usually takes. It took about 45 minutes for my rectocele repair and 45 minutes for my enterocele repair. I am guessing around 45 minutes. I also had a very quick 10 minute or less lapro to look for adhesions.
I stayed in the hospital for 2 nights, but I had a unrelated complication. My bad back went out from the positioning.
As far as the post op goes I had a cath in for a week. This is quite normal because of the swelling. Don't worry if this happens to you. It was no big deal. I bled kind of heavy for a few days, but then it has almost stopped.Just a hint of pink. I feel no pain at all in my vagina, but I have nerve damage related to my back. My dr. sent me home with percocets and 800mg ibuprofen for pain. My worst pain is from where he inserted the instrument through my naval for the lapro. I have had no problems from the bladder repairs.
I have seen where others have had complications, but I think there is a lot more who do fine and don't post here. If you have pain just make sure to keep the pain meds in before you have terrible pain.
My restrictions are: no lifting over 10 pounds until my 6 week post op, nothing in vagina(intercourse, douhes) or rectum (suppositories)for 6 weeks, no hot tubs, etc for 6 weeks, no driving for 2 weeks and no driving if you have taken narcotics for pain. no pushing, pulling and limit climbing stairs to 3 times a day. I am off of work for 8 weeks to make sure I heal properly. I have a physical job.( I may not even go back, because I have to see a neuro surgeon for my back.)
Follow these guidelines and everything should go ok for you. It sure is better than having that bulge in there and urine leakage.
Good luck
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Unread 09-23-2005, 10:40 AM
New to Bladder Matters ~ Questions ~prolape? TVT?

Thank you for the replys. The web site posted was great. Good information. When I asked how often my Dr does these two procedures his reply was that they are the most common he proforms. And since he is a very well established Dr in this area, I took that to mean he has done lots. He said he has 85% full success rate with no to very minor complications.( Like cath for a couple days ) Another 5-7% have success but after minor complications. (Did not give an example) Do these numbers seem right or is he a bit full of himself?
Unread 09-23-2005, 10:53 AM
New to Bladder Matters ~ Questions ~prolape? TVT?

I should probably add that Dr has set this up for Oct 12th. We have a major move (SC to CT) coming up on Dec 12th. Is that a long enough recovery time? Our home will actually be packed on Dec 1st. Dr says it is no problem, (LOL) and that it is much more important that I get this fixed now before it gets worse. Soon after we move my husband will be deployed for min 6 mos so I would not have the oppurtunity to get this fixed again for about 1 year.
Unread 09-23-2005, 11:02 AM
New to Bladder Matters ~ Questions ~prolape? TVT?

I think that success rate is probably in the ballpark. Before TVT (and then TOT) came around, the burch was considered the gold standard, and 85-90% success was what was widely quoted I believe.

In regard to the move, I hope you will not have to do a lot of the packing and lifting yourself. I think it would be pushing it to do a lot of physical labor at that point without taking a chance on compromising your repairs. Just my opinion.
Unread 09-23-2005, 01:21 PM
New to Bladder Matters ~ Questions ~prolape? TVT?

What your Dr is telling you is exactly what I was told by my old GYN (who did tvh/a-p repair) and by my current GYN (who did TVT). Complications happen and theres no way to predict who will suffer and who won't.
Personally, I've had no significant problems with the repairs or the TVT. I'm also one of the lucky ones who didnt have to come home with a catheter (its a 50/50 shot).It was a bit tricky to urinate for a week or two, however things eventually settled down.
From my experience and from experiences of a couple of my friends, I think what youre Dr is telling you is right on.

good luck and dont worry
stay well
ps--if you can birth 9lb babies you can surely handle this procedure.
Unread 09-23-2005, 02:27 PM
New to Bladder Matters ~ Questions ~prolape? TVT?

I had to have the TOT & anterior repairs about 3 months after my TVH. It was much easier recovery for me than compared to the TVH. I was sore and schy for a week or so....but I was able to just about anything I wanted to with in reason of course. I didn't have to stay overnite...came home that same evening by 6PM and without a cath. I was able to pee quiet well before I left the hospital. I think the success rate for the TOT is somewhere in the 90% range. So for me it was a good thing, but it all depends on you and your situation
Unread 09-24-2005, 05:12 PM
New to Bladder Matters ~ Questions ~prolape? TVT?

Thank you all for your replys. I have really been thinking about this and have descided to go ahead with it. I have been trying to be very consious of my body the last few days and have noticed a pressure feeling while standing and have noticed that my undies seem slightly wet most of the time. I also felt (TMI??? Sorry!) inside while I was standing up and could feel a bulge thingy on the fromt wall.

Okay, now I know Dr was right and not just looking to operate for no reason. LOL

Hubby is very supportive of this surgery, and very calm about it too. He was a bit of a basket case regarding my TAH. (Think it has anything to do with the words "tighten" and "vagina" being used in the same sentence??? LOL)

Thank you for all your opinions and experiences. I'm sure I will have more questions as time draws near!

Unread 09-24-2005, 10:29 PM
New to Bladder Matters ~ Questions ~prolape? TVT?

I think you will be able to pack things up as long as they aren't very heavy. I would suggest sitting down and packing as much stuff as you can. Don't move any heavy furniture or anything like that. Leave that to the guys. LOL
You'll see that your decision to have the surgery is a good one.

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