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adhesion on bladder adhesion on bladder

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Unread 01-02-2008, 05:26 PM
adhesion on bladder

Hi Everyone - This is my first time posting though I joined months ago. Thank you all for all your advice and help prior to my surgery. I couln't have been better prepared!
I had a TAH for multiple fibroids and bladder sling for incontinence performed on Dec. 26th. Main issue after surgery was getting the pain managed. After the 2 hour surgery I apparently spent another 2 1/2 hours in recovery with the nurses? trying to get the pain under control. Because of all the different pain medicines and there side effects I have only vague memories of the first 2 days in the hospital. My question or concern is that my surgeon found that my bladder was adhered to my uterus (3 previous c-sections). We expected plenty of adhesions because of ultrasound but not on the bladder. When the catheter was removed on the 3rd day I was unable to urinate and the pain as it filled up was excruciating so the catheter was put back in. I was sent home the next day with a foley catheter in place and hopefully will get it removed Thursday at my 1 week appt. My surgeon felt that since my bladder was handled so much on the top to remove it ever so carefully from the uterus and then from the bottom to place the sling it was probably too swollen and needed to heal longer.
Has anyone else had their bladder adhered to their uterus and/or had a catheter in after going home? What sort of pain and urinary issues do I have to expect when the catheter does comes out? I'm still having to take atleast 1 dilaudid every 3 hours for pain along with phenegren for nausea and 600 mg advil plus I'm on cipro just in case. I was sure hoping I could be one of those that got away with just taking advil with an occasional pain pill.
Thanks ~ Tina
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Unread 01-02-2008, 07:15 PM
adhesion on bladder

I didn't have an adhesion, but I had a surgery complication and my bladder was perforated, which required major repair and turned my planned TVH into a TAH. I had a foley cath in for 2 weeks post-op. I'm now 4 weeks post-op and, although my bladder isn't totally back to normal yet, it's getting better every day. I've been trying to remember to do kegal (sp?) exercises daily to help recondition it. I wear a pad daily for leakage issues (not a thick maxi - - - a thin pad, but more substantial than a mere pantyliner). I've gotten better at controlling leakage, but if I sneeze or cough and don't have a chance to cross my legs, I'm sure glad I have the pad for extra protection. I have a follow-up appointment with a urologist tomorrow, so I'll hopefully learn more then. I imagine this is fairly normal since my bladder was not only injured, but got "lazy" after surgery since I had a catheter in for 2 weeks.

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