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Vaginal Cuff Rupture Vaginal Cuff Rupture

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Unread 10-12-2009, 08:05 PM
Vaginal Cuff Rupture

Good Day!

I'm looking for someone with a similar experience, someone who has been there to talk to.

In late Aug of 2007 I had a LSH with a subsequent trachelectomy in late July of 2009. On Sunday Oct 4th the vaginal cuff ruptured completely and the small bowel prolapsed into the vagina. The details prior to the rupture are too graphic and too embarrassing for me to post publicly but I will say it was not intercourse related.

The whole thing has been a nightmare. During my morning hike/jog I experienced a sharp pain and a gush of fluid. Initially I was crampy but the pain was tolerable so I merely cut the jog short and drove home. After the 30 minute drive home though the pain had worsened. I showered and put in a call to the on-call doctor to determine my best course of action. I suspected some sort of tear and told him of this but he felt it to be unlikely. He said I should schedule an appt first thing Monday morning unless GI problems presented, there was blood in the urine or if a fever spiked. This was reassuring but only for a short time. At one point during the morning I went to use the restroom and though it seemed like I was urinating it was actually the fluid draining from my body. This was the point I decided to go to the ER.

Though I explained to registration, 2 nurses and the doctor what I felt the issue to be it seemed to implausible for anyone to believe. After 2 hours I finally talked them into giving me a pelvic exam. The look on the doctor's face was priceless as he confirmed that the cuff did in fact rupture. He immediately called the on-call doctor I had spoken with earlier in the morning and I was in the OR less than 45 minutes later.

I saw my doctor a few days later, the doctor that preformed both the LSH and trachelectomy. We spoke at length about everything that occurred and he really has no answers why this has happened. He said the entire cuff had ruptured, not just a portion. In at least 500 surgeries he has preformed I am only the 2nd ever in his practice with this complication.

I am a very active woman in my early 30's and the restrictions for the next 8 weeks are very trying. Though I recognize in the grand scheme of things this is a short time it's still very difficult for me. I plan to speak with my doctor more at my next post op appt but it would be great to talk to someone else out there who has been here. I'm terrified it will happen again and that my body will never be the same.

Thanks for reading... sorry for the long story.
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Unread 10-12-2009, 10:35 PM
Re: Vaginal Cuff Rupture

Hi, sorry you have had such a horrible experience. I am happy to hear you handled the situation so well and advocated for the care you needed. I know there is at least one other lady that has had similar experience in this past year. Maybe if you google search this site you will find them. If I remember correctly they would both be happy to speak with you. Good luck

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