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Can I avoid Surgery ? Can I avoid Surgery ?

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  #1  
Unread 06-02-2002, 06:20 AM
Can I avoid Surgery ?

I am 42, 3 wonderful kids. Have a fallen Bladder, Fallen Rectum and Fallen Uterus. I know these organs are all connected to the same supporting muscles.
But I have heard all these things can be repaired without a Hysterectomy.
A freind of mine had the Bladder and Rectum problem many years ago and her Doctor only tacked them back up--No Hysterectomy !
I think the doctors around here just like the fact that for the first time in my life I have good insurance, pay's 100%.
I do not have irregular periods or bleeding, no fibriods, no endo, no pain nothing. Just the things mentioned at the top of this letter.
Can't get a decent second oppinion in this area. But have an overwhelming feeling these things can be tacked up and a Hysterectomy may not be needed after all.
I love Children and have Grandbabies I adore. But a Hysterectomy is so final. It would be very depressing for me.
I know I will never have another child. But what if I am wrong, I could handle the children, not the Hysterectomy.
I know we can't give medical advice here, but any oppinion would be helpful. I see the Doc on the 19th to find out the Surgery date.
Thanks,
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  #2  
Unread 06-02-2002, 07:52 AM
Long...sorry :)

Hullo

I subsribe to a rather fabulous service called MD Consult - it's basically a complete medical information resource centre aimed at medical professionals...here's what the Patient Handout had to say about it:

Cystocele/Rectocele Patient Handout:

What is a cystocele and rectocele repair?
A cystocele is a type of hernia in which the urinary bladder pushes against weakened tissue in the front wall of the vagina. A rectocele is another type of hernia in which the rectum pushes against weakened tissues in the back wall of the vagina. Both conditions cause a bulging into the vagina. They may be caused by aging, surgery, or pregnancy with vaginal delivery.

A cystocele and rectocele repair is an operation that lifts and tightens the tissue around the bladder and rectum so these organs no longer push against the vagina.

When is it used?
Surgical repair is done to relieve bulging into the vagina that may be caused by a cystocele and rectocele.

Symptoms of a cystocele may include the following:

If the urethra (the tube through which urine drains from the bladder) is pulled out of position, you may leak urine when you cough, laugh, or lift a heavy object. (This is called stress incontinence.)
Your bladder may not empty completely after you urinate. The urine remaining in the bladder may then become infected, causing frequent and painful urination.
You may have bulging and pressure sensations in the vagina.
A rectocele may cause constipation by interfering with muscle contraction in the rectum.

Examples of alternatives to cystocele and rectocele repair include:

doing muscle-strengthening exercises, called Kegel exercises
having only the bladder repaired
having only the rectum repaired
placing a pessary in the vagina (A pessary is a device that can be put into the vagina to support the vaginal walls. Your doctor can help you choose an appropriate one.)
choosing not to have treatment, recognizing the risks of your condition.
You should ask your doctor about these choices.

How do I prepare for a cystocele and rectocele repair?
Plan for your care and recovery after the operation. Allow for time to rest and try to find people to help you with your day-to-day duties.

Follow instructions provided by your doctor. You may be asked to take an enema or medicine to clean out your bowel the day before surgery. Eat a light meal, such as soup or salad, the night before the procedure. Do not eat or drink anything after midnight or the morning before the procedure. Do not even drink coffee, tea, or water.

What happens during the procedure?
You are given a regional or general anesthetic. A regional anesthetic numbs part of your body while you remain awake. A general anesthetic relaxes your muscles, makes you feel as if you are in a deep sleep, and prevents you from feeling pain.

The doctor will make two cuts in the wall of the vagina, exposing the tissue between the vagina and the bladder and the tissue between the vagina and the rectum. The doctor will try to support these organs by bringing tissue around them. He or she will remove any tissue from the vaginal wall that has stretched from aging or pregnancy. If incontinence is a significant symptom, the doctor may also perform an elevation or suspension procedure on the bladder. Then the cuts in the vagina will be sewn closed.

The doctor may place a catheter (a tube for urine passage) in your bladder and lead it out through a cut made in your lower abdominal wall. This makes urinating easier during recovery and decreases the pressure inside the bladder.

What happens after the procedure?
You may stay in the hospital about 2 to 6 days. The catheter may remain in your bladder 2 to 6 days or until your bladder starts working again. You may be constipated during this time.

During the first 4 weeks after the operation, there may be some smelly, sometimes bloody drainage from your vagina.

After you leave the hospital, avoid all heavy activity such as lifting for the first 2 weeks. Then gradually increase your activity during the next 4 weeks.

Ask what other steps you should take and schedule checkups with the doctor 2 and 4 weeks after the operation.

What are the benefits of this procedure?
The procedure should allow easy, effective, and complete urination and better bowel control. It should help you to be more active. You might be able to resume your normal level of activity without leaking urine. Bulging and pressure sensations in the vagina will be relieved.

What are the risks associated with this procedure?
There are some risks when you have general anesthesia. Discuss these risks with your doctor.
The regional anesthetic may not numb the area quite enough and you may feel some minor discomfort.
There may be damage to the bladder and rectum. If damage occurs and the doctor is aware of it, he or she will try to correct it during the operation.
There may be infection or bleeding.
You should ask your doctor how these risks apply to you.


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This is very basic information - I do have more clinically minded info if you'd like it, but basically, it does appear that they can do a tuck without a hysterectomy.

Good luck with whatever you decide, and do keep us posted



Tess
  #3  
Unread 06-02-2002, 08:08 AM
Can I avoid Surgery ?

Dear Terri,

Welcome to HysterSisters

My prolapse didn't seem to be so terrible either, compared to all the icky stories here on the website. But I knew it would get worse with time (and age!). I made the decision to have a vaginal hysterectomy (TVH), keeping the healthy ovaries. Prolapse victms are excellent candidates for this less-invasive surgery.

As it turned out, my post-op surgery report stated that my cervix was very elongated, so the resuspension surgery (the tacking up you refer to) may not have been a viable option for me.

Here are some links about prolapse that can help you with the options available and the decisions ahead of you:

http://www.wdxcyber.com/nurine08.htm
http://communities.ninemsn.com.au/choiceforprolapse
http://www.pelvicfloor.com/
http://pages.prodigy.com/prolapse.html/

Only YOU must live with your pre-op symptoms and your post-op results, good or bad. Get smart about your symptoms and your options, and make the best choice for YOU.

Sending cyberhugs
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