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more cystocele rectocele questions.......sorry! more cystocele rectocele questions.......sorry!

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  #1  
Unread 03-19-2003, 02:23 PM
more cystocele rectocele questions.......sorry!

HI girls well I almost didn't post this but if I can't ask you guys who can I ask right? As some of you know my GP thinks I have a cystocele or a rectocele or both, I have a referral to a Uro but can't get in until July.....while the "falling out" thing hasn't happened in about two weeks, I have been having alot of bowel and bladder pain and last night I was having a heck of a time have a BM and I remembered someone saying here that they do that "splint" thing and it might be a good way of "feeling" what is actually going on in there.........

so.....I did it and everything was fine until I "beared down" to push and then I didn't just have a bulge or a lump it was like the whole ceiling of the vault went away and the whole area filled with tissue.....I plan to tell my doc about this but I wondered if anyone else felt this? I did push on it, it hurt, but did not help me go, as a matter of fact it, the remaining need to go went away altogether?

thanks girls sorry for the graphics.......
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  #2  
Unread 03-19-2003, 08:32 PM
more cystocele rectocele questions.......sorry!

(((((Gidge)))))) Don't sweetie: How can you explain this if you don't describe it? That's one of the wonderful sides of this web site: you can ask just about anything and get answers!!!

I had a rectocele before my hyst and I found that, on some days, the only way I could go was by pressing on the coccis, just above the rectum. It would take time and it was sooooooo ackward, but, somedays, that was the only way to make it all work!!!

By all means, do mention this to your doctor: every little thing counts in painting the picture they need for an effective diagnosis.

Sending lots of s your way. Please let us know how you're doing.

  #3  
Unread 03-19-2003, 10:31 PM
more cystocele rectocele questions.......sorry!

Oh Gidge..
There is NOTHING too embarassing for ANY of us on this site. I have never felt more comfortable talking about things like this to anyone I know!!

The more details the better when you are trying to explain a specific problem.. I have tried to find where to push to help me have BM's, but I can not find a spot that helps.

Plus I have a good size to have to get around. I have gained almost 30 lbs in 3 months and with all of my medical probs, exercise is out of the question according to my Neurosurgeon so there is no hope for me right now. :cry:

I can feel your frusteration since I want to at the thought of even walking into my bathroom now.

July sure is a long time to wait. You can try the persistant approach by calling everyday and seeing if they had a cancellation, it always works for me. They dont call me persistant Pam for nothing!!

Keep up posted as to how everything is going and I will keep you in my prayers!!!



Pam
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  #4  
Unread 03-20-2003, 06:52 AM
more cystocele rectocele questions.......sorry!

Gidge,
You know you can ask us anything. I'm sorry I can't help with this one, I don't anything about cystocele or a rectocele. I know these terms are mentioned alot around here. Perhaps you could do a search and use those as your keywords. You should come up with a lot of posts on the topic. Check out The Resources forum here also https://www.hystersisters.com/vb2/for...s=&forumid=159

I'm sending s and es
  #5  
Unread 03-20-2003, 09:24 AM
more cystocele rectocele questions.......sorry!

thanks girls

I wimped out of going to see the GP at the clinic last night I just couldn't do it, I wanted to go home and lie down and that was that......I'm going to try and go when he's back in on Friday night and see if I can get a referral that's sooner and fill him in on how crappy I'm doing!!

thanks for the input, and any other info you guys come up with, the more I know the better!!!
  #6  
Unread 03-20-2003, 03:40 PM
more cystocele rectocele questions.......sorry!

S Gidge,

I do not have any personal experience with this...but wanted to pop in to let you know I'm thinking about you.

Let us know how you make out on Friday. Does this new doc have a cancellation list? Perhaps this is an option...Or maybe if your GP examined you, he might be able to try and 'push' the appointment ahead for you?! Sorry just me rambling away...

There are many ladies here struggling with this issue. Hopefully more will be along soon...Or perhaps you cold ask some questions on one of their threads?

S
  #7  
Unread 03-20-2003, 05:12 PM
more cystocele rectocele questions.......sorry!

ahhh thanks Jude, it's always so nice to see you!!!

I phoned and asked right away to get on this ladies cancellation list and turns out she's some bigwig and will only be in the office three days between now and July 15th....so I conveyed my urgency and her assistant said she'd do what she could?

I'm so confused I mean who knows what's going on in there, all I know is I"ve had a heckuva busy day running around at work and my tummy hurts so bad and so does my vag/rectum area and it totally feels like it's going to do the "falling out" thing anytime now....I"ll go home and lie down and take some meds and it will be better in a few hours.......

I guess I just didn't think I was going to be like this again :cry:

PS on top of that it feels like there's a flame thrower up my bladder
  #8  
Unread 03-21-2003, 09:08 AM
more cystocele rectocele questions.......sorry!

Hi Gidge,

I have had the same sensation of the "mass type bulge" up there
and it turned out to be my dropped bladder sitting right up there.
If you bear down, you can really feel this.

I had the rectocele repair done already, now have the cystocele to deal with. Am seeing the Gyn in Aug. I have lost 30 lbs. and this has helped tremendously. I also recommended (on my own...thanks to these smart women) the Vagifem and this has really helped to strengthen the muscles in the area. The bladder prolapse actually pushes down and puts pressure on the rectocele and hemorrhoids if you have them, so it's very difficult to tell where the pain is coming from sometimes, but can be very painful, It feels as though all these prolapses can probably push against/rub against each other when out tissues are thinned.
That is why the Vagifem helps so much making the muscles stronger and more pliable .

What has helped me the most is the Vagifem and also Fiber 1 cereal every day.

Hope this info helps. Hang in there!

Nel
  #9  
Unread 03-21-2003, 09:29 AM
more cystocele rectocele questions.......sorry!

Thanks Nel!!

I can't use vaginal estrogen's (or at least have not found one yet) that I"m not allergic to, the ones that are derived from soy I'm allergic to and I tried the Premarin vag cream and had a reaction to it as well......if anyone knows of one that is made from synthetic estrogen (ethynil estradiol - 17a) I can tolerate that.

's!!!
  #10  
Unread 03-21-2003, 03:45 PM
more cystocele rectocele questions.......sorry!

(((Gidge))),
I have been experiencing similiar symptoms...mine started several months ago. I had been having increasing problems w/ BM's. The 1st time I noticed it, I had this *feeling* as if things were falling out, so I looked & there was tissue protruding out. It scared me, I thot my insides were going to fall out I try to not strain as much, hoping it will help to not worsen it any further. I also have to *splint* often. Here are some good sites with info on different types of Prolapses, some with images:

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

  Quote:
Vaginal vault prolapse usually refers to an apical vaginal relaxation in an individual who no longer has a uterus (post hysterectomy). As the apex of the vagina continues to descend it pulls the rest of the vagina down resulting in apical tears of the anterior and posterior fascia from its lateral points of attachment. Continued descent of the vaginal apex may result in complete eversion of the vagina. Complete eversion of the vagina means that the once highest point in the vagina is now the lowest point hanging out of the vagina.
http://www.urogynecologychannel.com/prolapse5.shtml

surgical treatment information:

Vaginal Vault Suspension:

As described earlier, a vaginal vault prolapse means the apex of the vagina (upper 20-30% of the vagina) has broken away from its original support structure known as the uterosacral ligaments. The uterosacral ligaments hold up the apex and the uterus when the uterus is in place. When the uterus is removed (hysterectomy) the uterosacral ligaments must be cut to remove the uterus. In an attempt at preventing future vaginal apex or vault prolapse the uterosacral ligaments should be attached to the apex of the vagina before removing the patient from the operating room.

If the patient did not have her uterosacral ligament attached to the vaginal apex or the uterosacral ligaments did not remain attached after the surgery, the patient risks ending up with vaginal vault prolapse. As the prolapse continues to pull down, it will increase the risk of anterior and posterior paravaginal defects.

There are many ways to perform vaginal vault suspension. Three commonly described methods are:
  • sacrospinous ligament suspension
  • *abdominal sacral colpopexy (mesh between vagina and tailbone)
  • uterosacral ligament suspension (restore normal anatomy)

Most patients requiring a vaginal vault suspension also require other reconstructive supportive procedures such as:
  • paravaginal repair
  • enterocele repair
    posterior repair
  • Burch urethropexy
Good Luck ((gidge)) Please keep us posted...(((hugs)))

PS~Here is some info on the abdominal sacral colpopexy

Abdominal Sacrocolpopexy: A Long Term Follow-up Study
http://www.sgsonline.org/agenda.html

http://www.greenjournal.org/gj1-01.cfm
http://www.tuga.org.tw/edu_02.htm
http://www.icsoffice.org/publications/2002/pdf/m2.pdf

Abdominal Sacrocolpopexy surgery info:
http://www.ucsf.edu/wcc/print_surgery4prolapse.html
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