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Unread 11-09-2005, 09:15 PM

HI Sisters,
I'm almost two years from a TAH. Everything was removed and about 6 months ago according to my doctor, my pelvis was starting to relax. Well now it's to the point that it's painful. I'm considering the vaginal vault prolapse surgery and just wondering if any of you sisters have had this surgery and what are your thoughts on it? I know I have to do something or this is going to drive me nuts. Thanks for listening.
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Unread 11-10-2005, 05:17 AM

Hi Joseyj!

I'm sorry that you are facing yet another surgery. I know that can be an incredibly tough decision to make.

I personally do not have experience with this - but I know there are many women here on the road that do. Please take care - and keep us posted.

Lots of gentle s
Unread 11-10-2005, 05:32 PM

Hello Joseyj!

I had a TAH/BSO 3 years ago and then repairs this past March (see my info beneath my signature) so I am hoping I can help you. It isn't uncommon to have a vaginal vault prolapse after a hyster. It is common, though, to have other prolapses as well as a vault prolapse. I'm not suggesting that you DEFINATELY have other prolapses, what I am suggesting is that you go to a URO/GYN. They specialize in diagnosing and treating prolapses as well as other gyn issues. Please believe me when I say that they are worth their weight in gold. If you are diagnosed with other prolapses it is usually best to have them done all at one time. I hope this helps you out a bit....good luck on your hunt for a uro/gyn and keep us posted!
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Unread 11-11-2005, 03:45 AM

Hi there
I am 5 weeks post op from anterior and posterior repairs and tvt for bladder. I had tah/bso two years ago. I agree with hunting, pelvic floor issues are really quite common post hysterectomy. It's funny how it isn't mentioned beforehand though! I wasn't even warned about the surgical menopause! Boy - was I in for a shock!
Are you having any bladder problems? My bladder never really settled down post op.
It is a good idea to get everything sorted out at once as suggested. I wish you luck - keep us posted.
Big s
Unread 11-11-2005, 07:09 AM

I had my TAH in May 2004. I was never told anything about possible prolapses after having a hysterectomy either. I was diagnosed with a large rectocele and enterocele five months post op. I had the surgery almost four months after that. My gyn had me have a urodynamic test before I was scheduled for my repair surgery. The findings said I had mild stress incontinence and recommended a tvt if I had the posterior repairs. The urologist wasn't avaliable my gyn uses, so I decided to have the posterior repair anyway. I ended up having a tvt and a small cystocele(anterior repair) repaired a little less than seven months later.
It is best to have a uro/gyn do your surgery. He will most likely want you to go through urodynamic testing to check for incontinence. Take it from me, it is the best to have everything checked out and fixed at once. The prolapse won't kill you (emotionally, I thought it would LOL )so just make sure the dr. orders all tests necessary, so you can get it all fixed at once. I could have went through one prolapse recovery instead of two. I have to say it is well worth it to get the prolapses repaired. I didn't have a vaginal vault prolapse and I guess I won't know with the anterior and posterior repairs I've had done. I think the recovery is about the same. I wish you luck on find yourself a very good uro/gyn. My gyn did a excellant job on the enterocele/rectocele repair(even used pelvicol graft), but he was not trained to do the tvt. That is why he neded a urologist to be there if I was to get the tvt. He tried to tell me we should postponed the surgery until he was avaliable, but I was too stubborn. All I could think of was the misery I was going through having to strain and splint to have a bm. A few more weeks wouldn't have killed me.
Sorry for rambling. I am on alot of pain meds from my back surgery,(I may not make alot of sense) but I just want to be able to continue to offer support to my sisters here.
Unread 11-15-2005, 10:11 AM

Thanks for all your advice. It's good to know prolapse is common after a hysterectomy. I wasn't warned about it from my doctor either. He just told me I was too young for cancer and he was going to fix me up! Of course at the time, that's all I wanted to hear anyway. I wish I would have found this site pre-op. As far as bladder problems go, I had six weeks of external raditation after my TAH for preventative measures. They couldn't avoid giving my bladder a healthy dose of radiation every day so that caused me to have bladder spasms. You know...that "gotta go- gotta go- gotta go- right now" feeling. My doctor prescribed Detrol LA and that works for me. Now with the prolapse starting, I have to lean forward and touch my toes while sitting on the throne to get all the pee out (sorry for the wording). Also towards the end of that experience, when the peeing is almost over it is pretty painful. Do any sisters experience this? I called my doctor yesterday and I can't get in to see him until December so I left a message for him to call me. I'm going to see if he will refer me to a URO/GYN. Thanks again for all your words of ladies are a God send. Prayers to you all.
Unread 11-15-2005, 11:39 AM

Could this happen if I've already had cystocele/rectocele repair and a bladder sling? Those were done at the same time as my TVH and the pelvic pain I had before the surgery returned about 6 months out. I have an appointment with my GYN today to talk about it. My ovaries stayed, even though I'd had recurring problems with cysts.

BTW, my surgery was done as a team procedure by my GYN and my urologist. They work together a lot and so I felt pretty comfortable with that setup.
Unread 11-15-2005, 10:12 PM

Why did you have radiation? Did you have cancer?
Unread 11-16-2005, 05:47 PM

Yes...I had cervical cancer stage 1b1. The radiation was to decrease the chance of reocurrance. Well another day almost gone and still my doctor didn't call me back. I found a womens center about 80 miles from me that seems to have a good URO/GYN, from what I can find out, so I made an appointment for December 1st. That's the earliest they could get me in. That's two weeks sooner than my appointment to see my own doctor so I guess that will have to work. I'll just have to "hang" (excuse the pun) until then. Hey there somewhere at this site where I can find out what the abbreviations mean? Example: TAV, BSO etc.
Unread 11-16-2005, 07:27 PM

Hey again. My doctors nurse finally just called me. She said that prolapse isn't usually painful. Is this true? She suggested a bladder infection?? If this is true then I've had it for the last few months. I don't see how that can be right. Anyway, she is going to give the information I gave her to my doctor and she said he will probably start with a urinalysis. So more waiting for me.

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