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tie bladder+hyst. age 57/advice???? tie bladder+hyst. age 57/advice????

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Unread 06-14-2001, 08:00 PM
tie bladder+hyst. age 57/advice????

GYN has been wanting to do surgery for years, my bladder is falling badly. Up to this point I have said no, because he said he does a hysterectomy at the same time. Gee, does this mean that not everybody has to pee 14 times after one cup of coffee? Kind of handy knowing where all the bathrooms are when I am shopping with my grandkids!!! Am presently doing a tiny bit of spotting, looks like dead blood, and have cramps. Six months ago I had cryosurgery for polyps. Finished menopause at 51 with minimal problems. I have heard this bladder procedure called Marshall Marchetti, does not necessarily last. Any opinions, experiences, etc. would be greatfully appreciated. Call me a super chicken, the only surgery I ever had was a D&C about six years ago. I have an appointment June 18 with GYN and I know what he is going to say, guess I don't need to be psychic to figure out he is going to want to do surgery. Don't you dare laugh, chuckle, but I am probably only one sneeze away from Depends!! Break the mirrors, bring on the hair color, get the liposuction ready, I can't be this old. Somebody trapped me in this double chin old body. Thanks you guys.
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Unread 06-15-2001, 01:41 PM
tie bladder+hyst. age 57/advice????

Hi KP,

I had the MMK procedure along with my hyst. I was 35 at the time, and had a pretty bad prolapse of the bladder. I would never laugh at the symptoms from this, they are very embarrassing! I am 1.5 years post-op, and the bladder is still tacked up where it is supposed to be. I have not had any major problems with recovery, nor have I had any problems with the bladder since surgery. It is wonderful being able to run, jump, sneeze, cough, etc.....

Is there a specific reason why the doctor wants to combine both surgeries? The only reason I had them together was due to adenomyosis. My uterus was enlarged and had created the prolapse. Is there a gynecological reason for the hyst, or is that just the way your doctor performs the procedure? You may want to get a second opinion from a urologist on the bladder correction, or even a urogynecologist, to see if a hyst is really necessary.

It is good to ask questions and take charge of your health!
Unread 06-15-2001, 01:52 PM
Thank you

GYN said that on a woman my age he would just as soon get the female parts out, they could be cancer waiting to happen. I am glad that you have had good results so far. My bladder has been falling for many years, the last 9 lb. 3 oz. baby didn't do it any favors. I do not want to impose on you further, but if you have a chance, I would appreciate details of post up. Either I have had a pretty healthy life or I have just managed to avoid any surgeries. Some years back, maybe 15 another doctor wanted to remove my gall bladder simply because small stones showed up on an X ray for another problem. That was before laparascopic surgery, but I still have the stones, and have not had problems with the gall bladder, so I still own it! I know zero about being a patient, pain control, etc. I am also concerned as I have fibromyalgia which complicates staying in bed. Thanks so much, you are a sweetie. May you continue to sneeze in peace! Granny
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Unread 06-16-2001, 05:51 AM
This is long!!!


You may want to get a second opinion, I know I keep repeating this, but if there is no medical condition for the hyst, I would question the doctor. Is there a family history of ovarian or cevical cancer in your family? Have you had indications that cancer may be lurking? This is a major operation, in fact each of them are. If there is nothing medical, or no family history, your female parts are more than likely healthy. Why remove healthy parts if it is unnecessary? Now to answer your question!

With the two surgeries combined, I seemed to hit many of the healing milestones a little slower than some of the women who just had the hyst. It makes sense now, but was very frustrating at first. I found out that toilets are much lower than I realized, and bought one of those raised seats with handles, that attach to the toilet. I pinched a nerve in my leg trying to get up and down!

The first week of my recovery, was full of pain meds, and fuzzy memories. I needed help getting up, getting in/out of the shower, and remembering what meds I had taken when. Food was prepared for me. I made sure I walked laps around the inside of my living room, and never visited upstairs. I was drinking large amounts of fluids. I did not come home with a catheter. It was removed within the first 24 hours following surgery. It seems my body did not appreciate the tubing, and it was causing major pain. My urethra was swollen, and something inside was bleeding around the tube. I had to measure my output, and was put on antibiotics as a preventative measure. My ovaries had gone into surgical shock, and I was dealing with night sweats, hot flashes, and emotions all over the board. My doctor gave me a scrip for Premarin, but I never took it. The fact that I had suffered with migraines for years, (one of the listed side effects,) was enough for me to stay away from it!

The second week, I was still dragging, but making more laps around the inside of the house. I was getting better at showers, but waited until DH was home, in case I needed some help. I was able to fix myself a sandwich, or heat something in the microwave, but I would get tired from even this simple activity. I was still drinking more water than I usually drink, and measuring the output. I had learned that I needed to sit in a different position to void, and that pushing to go, means nothing comes out. You have to really relax and let it happen. The difference in the seating position was due to the new position my bladder was in from surgery.

The next few weeks went by uneventfully, but slowly. I was off the pain meds, and able to focus on some couch potato activities(reading, puzzlebooks, crocheting.) I learned that healing seems to go faster if you focus on what you are able to do each day compared to what you did the day before, and not what you were able to do before surgery. My ovaries kicked back in at about 28 days post-op. (No more night sweats, hot flashes or emotional outbursts)

I returned to work at 6 weeks post-op. I was very tired, and needed a nap after I got home. This too faded with time, somewhere in the 4-5 month mark. Swelly belly, and tenderness if you lean against the counter,was with me for about 6-8 months. After that, I just increasing gained more energy. I was able to do sit-ups at about the 1 year mark, it comes earlier for others.

Everyone heals differently, and their bodies let them know this. Swelly belly, when you are farther along post-op, can be an indicator that you have done more during the day, than your body is used to. I hope this helps, and if you have any more questions, don't hesitate to ask!

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