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prolapsed bladder after TVH prolapsed bladder after TVH

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  #11  
Unread 02-02-2003, 02:08 PM
prolapsed bladder after TVH

Hi Kajsa,
Sorry to hear that you are going through the same thing.
I checked out a website called uprise.com which is similar to this site but deals only with prolapses and I was staggered by the number of women who have secondary prolapses after the original surgery.
Many of them have opted to live with the discomfort rather than face surgery again, and that's their choice, but I don't know if I could give up like that. I love to exercise and live a busy life and I want to feel healthy again. Just wish I could do that without surgery !
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  #12  
Unread 02-02-2003, 06:46 PM
prolapsed bladder after TVH

Hi Jano,

Yes, I do find it painful to exercise with the cystocele. If I overdo it, I feel it the next day...kind of a strained feeling. I have a
problem getting to the bathroom first thing in the morning, when I get up, I have to get there quick, or it can get ugly!!! If you
know what I mean, but as long as I don't drink too much, I don't have too much of a problem. The Vagifem has helped with that.
The hormone helps strengthen the muscles, which weaken after
the Hyst., so I don't have as many accidents as I used to. I don't like the idea of taking in more hormones, but I really don't have any choice in the matter. I also lost 25 lbs, which has helped.
I have another 40 to go. We'll see!

You can E-mail, just use the feature on the side, me with any ?'s or if you need to vent!

Sorry you have to go through this...it is not fun!

Take care.

Nel
  #13  
Unread 02-28-2003, 08:41 PM
prolapsed bladder after TVH

Hi everyone,
After seeing my GYN this week i have decided to have the repair job done and I go back to the castle on the 30th April. He was as disappointed as I was that this has happened and has suggested he strengthen the vaginal wall with mesh. It seems that I also have a prolapse of the bowel that I wasn't aware of ( too busy fretting about the bladder I suppose ) and he will use ligaments from my back as a sling to hold that in place. As far as the bladder sling, he doesn't want to do that as he said it could cause more problems. I just hope the mesh holds as I don't want to do this EVER again.
Has anyone out there had this kind of thing done. I really need to know the success rate.
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  #14  
Unread 02-28-2003, 08:43 PM
prolapsed bladder after TVH

Hi Jano,

I just wanted to say that I don't think you will regret it in the long run. I just feel so great since my surgery, I NEVER want to have that yuck feeling again! I would do the same thing that you are doing.

Good luck and let us know how it goes.

Kathy
  #15  
Unread 02-28-2003, 09:40 PM
prolapsed bladder after TVH

I know exactly how you feel about your most recent prolapse! My surgery was done solely to correct prolapses - TVH, rectocele, cystocele, Burch. Wouldn't you think that was just about everything??? So you can imagine my disappointment with this latest prolapse - vaginal vault prolapse - that occurred within 3 months of my surgery. I researched for a specialist (uro-gyn) and am scheduled for a sacro colpopexy on March 18. Mesh will be sewn from the top of the vagina to the tailbone area. I am soooooo nervous. Sure hope this mesh works as I have always been an active person and hate this sedentary life style.

My doc said he has a 98% success rate with the mesh. I feel better knowing those odds. I hope the mesh holds too, as I NEVER want to do this again either !!! I'd like to hear from others who have had mesh sewn in.

Kajsa
  #16  
Unread 02-28-2003, 10:07 PM
prolapsed bladder after TVH

I am so sorry you are headed for another surgery. I am on the road with you though. I had a TVH/BSO almost 2 years ago and my Gyn never mentioned anything about prolapse.. Right now I am battling to find 3 different 's to FIX ME!! I have severe stress incontinence, cyctocele and rectocele, vaginal vault prolapse, and horrific hemerriods (internal and external).
I was feeling really good too. It started with lower back pain a year ago, now I found out I have DDD and 2 herniated discs and am getting ready for epidural steroid injections. I am taking pain meds all day to help me even function because of my back. I also found out that I have hypothyroidism and my HRT I have been on for over a year has not been absorbed at all because of my thyroid. My gyn told me I have (what they term) an "Old vagina" I do have pain with all of my problems and I am not sure what pain is coming from where, but I guess it will get taken care of with surgery..

I really HATE the thought of having another surgery, especially since I still do not know exactly what they are going to do, besides the bladder sling, but hopefully this will be the last one!!!
My back is a different story all together. Right now I am going to have to deal with the problems I can actually have fixed.

I will keep you in my prayers and hope that this will be your last surgery as well. I am almost tempter to tell them to take EVERYTHING that I do not need out so I will save myself more surgery later in life, but I guess if it is not broke then dont fix it.

Feel free to post and do not worry about a subject being too personal, you would be suprised at the things I have asked..




Pam
  #17  
Unread 03-01-2003, 07:20 AM
prolapsed bladder after TVH

(((Jano))),
I'm so sorry you will be having another surgery I've been having similiar problems but mine are in my rectumI've been putting mine off, for fear of more surgery & just dealing with all the other pain & problems...Here is some links containing some info on Prolapses & repair. This can be somewhat common post-Hyst/Menopause:

Rectocele & Cystocele:

http://www.intelihealth.com/IH/ihtI...9339/24445.html
http://www.emedicine.com/med/topic3325.htm
http://www.nwcrc.com/Rectocele.htm
http://www.fascrs.org/brochures/rectocele.html


Surgical repair info on Rectoceles:

http://health_info.nmh.org/Library/...asp?hwid=tv1532

Rectal Prolapse :

http://www.clevelandclinic.org/misc/...tal/rectal.htm
http://www.fascrs.org/brochures/rectal-prolapse.html
http://www.surgical-tutor.org.uk/sys...l_prolapse.htm

Cystocoele, rectocoele and pelvic support surgery:
http://www.sgsonline.org/edpro002.html

Repair of the rectum (rectocele) and small bowel:
http://health_info.nmh.org/Library/...asp?hwid=tv1532

http://www.healthcentral.com/librar...tent.cfm?id=266

Treatment options:

http://www.dukeuroandgyncare.com/trea_ui.html

http://www.dukeuroandgyncare.com/trea_bladder.html


Incontinence Surgery:

http://www.gyndr.com/incontinence_surgery.htm


Laparoscopic and Minimally Invasive Procedures:
http://www.urogynecologychannel.com/lap_proc.shtml

http://www.obgyn.net/displayarticle...dures#lap_proc4


Treating women with urinary incontinence and prolapse:

http://www.mybladdermd.com/URPS.htm

http://www.urogynecologychannel.com/laparo.shtml


Dropped Bladder:

http://www.hisandherhealth.com/arti...d_bladder.shtml


Burch procedure:

http://www.obgyn.net/displayarticle...dures#lap_proc3

http://physicaltherapy.about.com/li...s=Urinary+Sling

Hysterectomy associated with urge incontinence:
http://www.womens-health.org.nz/whws...tm#hysterect62

Urinary incontinence higher after hysterectomy: http://www.womens-health.org.nz/whwsep00.htm#urinary

http://www.orgyn.com/news/2002/week_...my_increas.asp

Is surgery always necessary to treat a prolapse?
http://www.womenshealthmatters.ca/ce...l#hysterectomy

http://www.womenshealthmatters.ca/ce...pse/index.html

Menopause, Estrogen Loss, and Their Treatments:
http://www.umm.edu/patiented/doc40.html

Laparoscopic Pelvic Surgery for Prolapse: http://www.reproductivecenter.com/prolapse.html
http://www.reproductivecenter.com/lecture.html

Patient Brochure - Rectocele:
http://www.fascrs.org/brochures/rectocele.html

Pelvic Organ Prolapse, Urogynecology: Ob/Gyn:
http://info.med.yale.edu/obgyn/uro/prolapse.html
http://www.orgyn.com/resources/magowan/hc005270.asp


Hormones and Hysterectomy:
http://www.phenomenalwomen.com/showc...ah_newman1.htm

Laparascopic Surgery:
http://www.newmilfordhospital.org/se...parascopic.htm

Urethral sling :
http://12.31.13.84/library/healthgui...?HWID=hw219880

PROLAPSE TREATMENT - Dr. John Miklos, M.D. F.A.C.O.G. / Robert D. Moore D.O.
http://www.urogynecologychannel.com/pro_treat.shtml

Answers to FAQs and Articles about Prolapse and Pelvic Relaxation:
http://www.wdxcyber.com/mprolaps.htm

Treating women with urinary incontinence and prolapse:
http://www.mybladdermd.com/URPS.htm

TVT Transvaginal Tape Sling:
http://www.urogynecologychannel.com/tvt1a.shtml

MENOPAUSe FAQ:
http://www.howdyneighbor.com/menopaus/faq2.htm

Good Luck ((Jano)) My prayers will be with you that this surgery will be the last & finally bring you some premanent relief Pls keep us posted....(((hugs)))
  #18  
Unread 03-01-2003, 08:10 AM
questions about detecting a cystocele

hello,

can I ask you all some questions about cystoceles? I had stress incontinence and urge incontinence before my hyst--I probably underreported how severe it was to my doc, because the other docs I'd seen never seem too concerned about it. But I think I had at least one kind of prolapse now (I'd have trouble keeping tampons in, for instance, unless I was bleeding very heavily). Anyway, my stress incontinence improved after surgery, but I still have it when I exercise and wearing a tampon helps. (Wouldn't the fact that a tampon helps indicate that I have some mild prolapse at least?) I went back to my doc a few months after surgery, worried about prolapse issues. I know my vagina feels differently now. I could feel a bulge in the anterior of my vagina--it doesn't completely obscure the opening, by any means, but I can push that wall of my vagina back and away with my fingers. Is that a prolapse? maybe a mild one?

My doc checked me out and said the pelvic support looked great. But I was lying down at the time. I've also had the urodynamics tests and they were sort of inconclusive. My doc specializes in pelvic incontinence and reconstruction, so I trust him, but I still don't feel everything is right.

Does it sound like I have a cystocele? How did you all know?
  #19  
Unread 03-01-2003, 10:56 AM
prolapsed bladder after TVH

((cmcm)),
Mine hasnt been dx'd by a Dr but I have the symptoms of a Rectocele...BM's are geeting close to impossible, when I do have them I have protruding tissue from my vagina Here is some info that might help on dx'ing prolapse:

Urodynamic tests for urinary incontinence:

http://12.31.13.84/library/healthgu...p?HWID=hw219446

Making the decision about treatment for urinary incontinence in women:

http://12.31.13.84/library/healthgu...p?HWID=aa137467

Possible Causes of Urinary:

http://www.bidmc.harvard.edu/obgyn/...on.asp#possible

Urinary Incontinence in Women--How it is diagnosed

http://physicaltherapy.about.com/li...ontinencerx.htm

Urinary Incontinence-Learn to lead a quality life:
http://www.living-with-urinary-incontinence.com/

  Quote:
Vaginal Prolapse

Vaginal prolapse implies that the vagina is stretched so that its front wall bulges (a cystocele) or its back wall bulges (a rectocele) when a woman strains down, for example in having a bowel movement.

Description
Aging may produce changes in women's pelvic structures, creating an opportunity for a variety of problems. Loss of tone in the muscular components of the pelvic sling and stretching of ligaments may sometimes lead to protrusion of pelvic structures through the vaginal introitus (opening).

In vaginal prolapse, the supports of the uterus are also stretched, so that it too prolapses down when a woman strains, and the cervix of the uterus may protrude outside of the vagina.

When the anterior wall of the vagina and the bladder or urethra are involved, the protrusion is a cystocele or a cystourethrocele.

When the posterior wall of the vagina and the rectum or small bowel are affected, the result is a rectocele or enterocele, respectively.

Loss of support for the uterus results in protrusion of the uterine body into the vaginal barrel. When the protrusion extends into the upper portions of the vagina, it is described as a first-degree prolapse.

When the protrusion extends to the vaginal introitus, it is a second-degree prolapse.

When prolapse is complete, with protrusion of the cervix into the introitus (opening), the condition is described as procidentia, or third-degree prolapse.

Risks and Factors
Aging and the birthing process can be associated with the development of vaginal prolapse.

Diagnosis
Diagnosis is usually made by medical history and physical examination, including a pelvic exam and/or rectal exam.

Treatment
Non-surgical treatment of these conditions involves placing an object (pessary) into the vagina to support surrounding structures. The wide variety of available pessaries permits rather precise choice of pessary to meet a given patient's needs.

In elderly women, a basic ring structure may suffice. This may consist of a collapsible ring device or a ring attached to a semi-rigid stalk. If these devices are not adequate or the pelvic structures are too relaxed to permit retention of a ring, an inflated donut-shaped ring or a ring that is inflated on insertion should be considered.

Another variation is a collapsible cube made of surgical plastic that resumes its shape after insertion into the vagina.

If the vaginal introitus is constricted, a large tampon that is changed often may function adequately as a pessary.

Not all women can use a pessary. If this is the case, surgical intervention may be the only effective approach. An obstetrician-gynecologist will explain the risks and benefits of surgical treatment with you.

Surgical repair is based on the fascial and muscular support defects as well as on the functional demands and limitations of the patient. Colpocleisis, or closure of the vagina, is an alternative to surgical repair, but is unacceptable for a sexually active woman.


Questions To Ask Your Doctor:

Are there any signs or symptoms?

Is it first-degree, second-degree or third-degree prolapse?

Is there evidence of cystocele or rectocele?

Will the prolapsed vagina have an effect on sexual relations?

carrying and delivering children?

Are there any other non-evasive treatments that would help the condition?

Will Kegel exercises help in strengthening the vaginal muscles?


http://www.healthcentral.com/library...ent.cfm?id=747


  Quote:
Prolapse can occur in different areas of the vagina:

Cystocele is caused by a defect in the anterior vaginal wall, which allows the bladder to protrude into the vagina. If the defect is severe enough, the bladder may protrude through the vaginal opening. Women who have a cystocele may experience pelvic pressure, involuntary loss of urine when she coughs, sneezes, or lifts something heavy, a protrusion from the vaginal opening, and an uncomfortable feeling during intercourse. Occasionally, women with cystocele may also experience involuntary urine loss immediately after she feels the urge to urinate and urinary retention (unable to empty her bladder). Frequently, the involuntary loss of urine associated with coughing, sneezing, or lifting will become less severe because the urethra is kinked when the prolapse becomes severe.
Rectocele is caused by a defect in the back of the vagina, which allows the rectum to protrude into the vagina. If the protrusion is large enough, it can be seen or felt outside the vagina. Women who have rectocele often experience pelvic pressure, a protrusion from the vaginal opening, constipation, and an uncomfortable feeling during intercourse. This constipation frequently can be relieved by assuming a specified posture or put pressure in the back of the vagina.
Enterocele is caused by a defect high in the back of the vagina, which allows the small intestine to protrude into the vagina. If the protrusion is severe enough, it may be seen or felt outside the vagina. Women who have enterocele often experience pelvic pressure, lower backache, a protrusion from the vaginal opening, and an uncomfortable feeling during intercourse
Vaginal vault prolapse is caused by tears in the tissue, which attach the top of the vagina to the pelvic sidewall. When the top of the vagina falls down, it can cause the front and the back of the vagina to fall down as well. In its most severe form, the entire vagina can protrude outside the vaginal opening. This complete prolapse of the vagina is known as procidentia.

http://info.med.yale.edu/obgyn/uro/prolapse.htm
  Quote:
cystocele occurs when the wall of the bladder bulges through the wall of the vagina. A urethrocele occurs when the urethra sags downward, into the vagina. Both conditions are easy to see during a physical exam. They often occur at the same time and are usually caused by injury during childbirth.

Symptoms of urethrocele and cystocele include difficulty urinating, urinary incontinence, and painful intercourse (dyspareunia). Many women have these conditions and do not have any symptoms. Surgery is not required until symptoms interfere with daily activities.

Unless another health problem is present that would require an abdominal incision, cystoceles and urethroceles are usually repaired through the vagina. The bladder or urethra is repaired through an incision in the wall of the vagina. This closes the area of prolapse in the bladder or urethra and strengthens the wall of the vagina to prevent prolapse from recurring. Experts report a 93% cure rate for vaginal repair of a cystocele or urethrocele.1
http://aolsvc.health.webmd.aol.com/c...se/19/4665.htm
http://www.gyndr.com/genital_prolapse_surgery.htm

If You Have Bladder Problems or Prolapse:
http://www.gynsecondopinion.com/bladder.htm

Bladder Control & Pelvic Pain Center:
http://www.utmedicalgroup.com/pages/..._videouro.html

Patient Education - Bladder retraining instruction sheet:
http://www.sgsonline.org/edpi001.html

Patient Education - Kegel exercise instruction sheet:
http://www.sgsonline.org/edpi002.html

bladder diary:
http://www.dukeuroandgyncare.com/diar.html

Please discuss this with your Dr ((cmcm)) There are some alternatives available besides surgery that could help exp when caught early Good Luck & pls keep us posted....(((hugs)))
  #20  
Unread 03-01-2003, 11:17 AM
prolapsed bladder after TVH

cmcm,

Well it soulds like a slight prolapse, but I am not to knowledgeable about it since I was just diagnosed with it all. I am still waiting to see my Gyn next week and I will probably be a little more informed afterwards as I have a HUGE list of questions for him.. I also had the urodynamics test and failed miserably for stress incontinence. I am having a bladder sling surgery as well as repair of vaginal vault prolapse, rectocyle and a hemerroidectomy. I on the other hand have no pelvic support because my HRT is not absorbing. I have not idea what I am in for with all of that at once, but I guess if they can take care of it all in one surgery then I will only have to go through recovery once..
I wish you the best in having yours fixed and hopefully you wont have to go through surgery, but I may be wrong here, but I thought once it comes through the vagina that surgery is needed to pull it back up.. Like I said I amy be wrong on that one.

Good luck and keep us posted on what the Dr says..




Pam
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