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Can the vaginal cuff prolapse? Can the vaginal cuff prolapse?

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Unread 03-30-2008, 01:55 PM
Can the vaginal cuff prolapse?

I just had a coughing spell and something seems to be coming out of my vagina. Can the vaginal cuff prolapse? I am not having any pain, and in fact have had an easy recovery so far. Even so, I have avoided lifting and have spent a lot of time resting. My doctor is out of the country until the 7th, and since I am having no pain or bleeding I don't want to go to the ED. I wasn't prolapsed before, and didn't have any a/p repair done. Any advise?
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Unread 03-30-2008, 02:22 PM
Can the vaginal cuff prolapse?

I have no idea, I am sure someone will come to the rescue and give you some advice. good luck
Unread 03-30-2008, 03:29 PM
Can the vaginal cuff prolapse?

Even though your Dr is out of the country isn't there another Dr to fill in or a hotline to call for a triage nurse? What is exactly coming out? I would call a Dr if your conserned.
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Unread 03-30-2008, 05:47 PM
Can the vaginal cuff prolapse?

Yep, the cuff is suspended in your abdomen by ligaments, (or in our case, stitches,) so it can definitely collapse, (prolapse). The good news is, it probable won't hurt you since the original prolapse wasn't life threatening either. The bad news is, if it is in fact prolapsed then it will have to be tacked up again. It may be that you caused swelling and it will go back once you have rested and spent some time off your feet and the swelling has gone down. Personally, I wouldn't hit the ER for it, but you definitely will want to see your doc. I'd let his office or whoever is covering his patients decided how soon you need to be seen.

Keep a close eye on yourself though, if you start feeling cold, light headed, or your abdomen start to feel swollen or ridgid, it indicates abdominal bleeding and you need immediate attention.

And if you just have a hunch you should go to the ER then go, our instincts are still intact without our uteri (or whatever you call our collective lost uteruses .)
Unread 03-30-2008, 06:00 PM
Can the vaginal cuff prolapse?

Can you clarify your statement? [quote=snowy_owl]Yep, the cuff is suspended in your abdomen by ligaments, (or in our case, stitches,)
I was told by my doctor when I asked what held it in place, he said " I attached the ligaments that held your uterus to your vagina"... I have asked this question before here, but you are the first that said a similar thing...
I am assuming you mean the ligaments hold it up and they are held in place by stitches... have I got that right.?
If there is a prolapse, would they have to go in abdominally again??
Unread 03-30-2008, 06:34 PM
Can the vaginal cuff prolapse?

Please get it checked out before your doctor gets back. If your doctor doesnt have a doctor on call, then go to the ER. I knew someone who had the same thing happen and what was coming out their vagina was their intestines!! Please go have yourself checked!!
Unread 03-30-2008, 06:41 PM
Can the vaginal cuff prolapse?

Thanks, everyone. I am watching for pain and symptoms of internal bleeding. I'm hoping it is just swelling, but I will call my doctor's office tomorrow. I suspect that unless I am having other symptoms they will want me to wait until my doctor returns, perhaps until the appointment I already have on the 9th. Whatever it is doesn't seem to be sticking out any more, but I can feel that it is just inside the vaginal area when I wipe. (sorry tmi, I know)
Unread 03-30-2008, 06:48 PM
Can the vaginal cuff prolapse?

The uterus, (and everything else,) is suspended in the abdomen by a network of ligaments. Fortunately, ligaments are slightly stretchy, and the abdomen is mushy, so with the uterus removed the top of the vaginal canal, or vaginal vault, is connected to the ligaments that used to hold up your uterus. Actually, an unoccupied uterus is fairly small, (assuming it isn't full of fibroids,) so the extra space being closed isn't that big.

In my case, my doctor said the ligaments on my left side were virtually gone so he only got one stitch in. Meaning my uterus had prolapsed, and the ligaments had let go so long ago, there wasn't enough to close the gap. So all the rest of the stitches are attached to my right side. (Talk about incentive not to pop a stitch!) He did say, if the one stitch on my left let go, that the ones on the right would be sufficient to hold everything up. ( I guess DH will just have to hang a left :ROFLOL: )

So really, the cuff is held up by stitches attached TO ligaments. I believe the sudden stress caused by your coughing could cause significant enough swelling to make things puff up and stick out a bit. Put your feet up, get your abdomen level with your heart by lying down, and rest. If it isn't back in by morning, call your doc's service and get in to be seen.

Yes, if it is truly prolapsed and you popped all our stitches, it would have to be redone, but I really doubt you could have done that much damage and not be in serious pain. If they could fix a prolapse without surgery, I wouldn't be recovering from one But I think the likelihood of your popping enough stitches in one coughing fit to prolapse is much lower than it appearing prolapsed from swelling.

Bottom line though, I'm not a doctor and although I can explain how the vaginal canal is held up, I'm no where near qualified to diagnose what is going on in your body or whether or not you have an emergency on your hands or will need more surgery.

I hope you are feeling better soon and everything settles back into place!!
Unread 03-30-2008, 06:49 PM
Can the vaginal cuff prolapse?

Just caught your reply, so glad things are feeling more normal!

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