Joined: 09 Jan 2004 Posts: 11 Location: New Jersey
Uterovaginal prolapse - Prolapsed Bladder And Uterus Posted: 04-06-04 07:41am
I have uterovaginal prolapse....Known as a
combination of prolapsed bladder and
uterus. I am contemplating
surgery..Although it is not an emergency
matter at this time. I need to know if
anyone viewing this message has had an
operation to correct this problem. So
desperate to know what, if any,
complications came about after operation.
Also whether anyone has chosen to use a
passery instead of going for the operative
procedure.
|
BMW
New User, Becoming EHEALTHy
Joined: 24 Apr 2004 Posts: 3 Location: new jersey
Uetrine/bladder Prolapse Posted: 04-24-04 09:21am
I'm a 52 yr old woman with uterine and
bladder prolapse following a viral cough
that was so severe I actually felt my
uterus collapse. I'm having difficulty
in deciding the best surgical procedure to
have since i've scanned the internet and
there is divided opinion as to
hysterectomy versus preserving the uterus
and pinning it back up. I've learned
that some professionals believe the
bladder is dependent on the uterus
especially in the case of prolapse, and
that if hysterectomy is performed, at some
later date, the bladder will fall again
and cause trouble.
All this just happened about 3 weeks ago,
I have a pessary in the meantime, and now,
I am experiencing bladder infection due to
the pessary. A rock and a hard place.
The doctor I see wants to do abdominal
hysterectomy with a&p repair, but i'm
now not so sure.
I'm also living in new jersey. The
doctor I want to see has left the hmo I am
insured with, leaving me with no reliable
alternative for a second opinion.
Have you had the surgery? How has your
situation turned out?
Bmw
|
grandma1234
New User, Becoming EHEALTHy
Joined: 09 Jan 2004 Posts: 11 Location: New Jersey
Prolapsed Bladder And Uterus Posted: 04-24-04 10:27am
You asked me if I have had the surgery for
this condition? No!! I am very
hesitant since reading up on this matter.
My one doctor, who is no longer in my
health insurance network, advised me to
think long and hard before having such an
operation and also... She advised me to
first try a pessary. I did some research
on pessaries and found them to be very
problematic...Just one in particular, you
have already experienced. They can also
do damage to your bladder wall, besides
cause infection if not taken care of
properly. I do not wish to use any type
of pessary in.....Due to chances of
complications. I also asked a couple of
my dearest friends if they knew of anyone
who has had surgery for a prolapsed
bladder/uterus. (did you know this is
very common in women after having
children?) I found that there were two
women. One had complications after the
surgery but they weren't severe. The
other woman, being in her late 30s, did
not suffer any complications and was able
to go about her normal routine after a
week of being home. Since my regular gyn
is no longer in my network, I am seeking
another gyn"s opinion. I've already seen
a urologist, which was prescribed by my
first gyn. Are you going to continue
using the pessary? Is it uncomfortable?
How long have you been using a pessary?
|
BMW
New User, Becoming EHEALTHy
Joined: 24 Apr 2004 Posts: 3 Location: new jersey
Pessary Posted: 04-25-04 01:18am
I've had the pessary in for 3 1/2 weeks,
the duration of the prolapse. I didn't
consider it an issue because in the past
when I was younger, i'd used a diaphragm
with no problem, and it is similar in
construction. Of course, all this
changes when there is a prolapse. Since
the insertion of the pessary, I have had
no urge to urinate, which concerns me, but
I seem to urinate freely whenever I wish.
I haven't had incontinence. My doctor
told me that I would not get an infection
from the pessary, but it seems I have.
I'm waiting for lab results due this
monday. I may ask to have the pessary
removed because it may be causing
neurogenic bladder, although it has raised
my uterus so that it is no longer hanging
outside the vagina.
There are many issues both pro and con
regarding surgery. I am abhored that the
uterus has proceeded past my opening, feel
as though I may be urinating on my own
uterus, and that this may cause infection
due to unsanitary conditions. By the
same token, I am not happy with my
doctor's cavalier attitude regarding my
concerns. I am a medical
assistant/phlebotomist, and I am
well-versed in the medical agenda. And I
want solid answers, which I don't seem to
be getting.
I also have done research, and my point of
view is that I agree with the theory that
the uterus and bladder should be
resuspended (they are doing this with a
mesh sling or cadaver fascia) and not
removed because in cases of pelvic floor
herniation, the bladder depends on the
uterus for maintaining its position. My
doctor disagrees with me, and I am in an
hmo which doesn't provide a sort of doctor
who takes my point. Yet I am still
considering other doctors. I have
appointments with 2 more, off the hmo,
just to hear their views. Once I find an
md with whom I can connect, one who shares
my beliefs and is experienced in the
proceedure I choose, I will go ahead with
surgery.
It is my opinion that the sooner the
better. I don't believe that my prolapse
will improve on its own. I'm past that
point. I will assume the surgical risk
insofar as I believe the benefits may
outweigh the risks. Much depends on the
skill of the surgeon. I have chronic
pressure in the pubic bone, no urge to
urinate, a pulling and tugging sensation
about the ovaries, and profound lethargy
and some mild abdominal swelling since
this has occurred. At 52, I do not wish
to suffer this for the rest of my life
with a future of it gradually or suddenly
becoming worse, particularly since as I
age, my health may not be as good as it is
now, and I might not tolerate a procedure
and anesthesia as well as I would now. I
don't believe in staving off the
inevitable.
You say you are in new jersey. I am
living in bergen county. Maybe, if you
are nearby, we could share doctors' names
and keep one another posted on our
progress. I expect to do something
about this within the year.
Additionally, i'm not always successful in
reaching forums. I kind of surfed my way
around and got to your post. Is it
acceptable to trade email addresses here?
Also, are there other women you have
reached on the net that have similar
experiences and can offer some useful,
intelligent information?
Be interested to know.
Bmw
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grandma1234
New User, Becoming EHEALTHy
Joined: 09 Jan 2004 Posts: 11 Location: New Jersey
to Bmw Posted: 04-25-04 07:26am
Hi, forgot to mention, I live in mercer
county, nj. I'll have to see how far you
are from my area??
|
BMW
New User, Becoming EHEALTHy
Joined: 24 Apr 2004 Posts: 3 Location: new jersey
Posted: 04-25-04 12:05pm
Mercer county would mean that you are
closer to trenton. I'm in closter, nj,
which is nearer to new york state line.
The hospitals I am personally looking at
are englewood (i work for and know a good
many doctors in this hospital) and
hackensack, which I may have to use
because I am in horizon hmo, and it seems
that a handful of good mds there are still
participating.
A sizeable group of gyns up here are
cancelling their contracts with most
insurances (except medicare). They are
complaining of malpractice insurance
costs, and some are folding up their
practice. The doctor I wanted to use
just removed himself from my plan. Now
i'm really disappointed that I have to
start all over looking for a suitable
surgeon. This snafu with the insurances,
both medical and malpractice, means that I
had better jump on the bandwagon and have
the procedure done now, or wait until I
hit 65 and get on medicare. I don't want
to wait 13 yrs with a fallen uterus. So
i'm going to do my best to get as much
info as possible as quickly as possible
and head for the or!
The way I look at it is that there is
surgical risk with any procedure-- even a
tooth cleaning can cause death in a
susceptible individual. You can't go
through life worrying about everything.
I think it's wise to investigate to the
best of your ability all aspects of the
procedures in question and their
alternatives, and then make a decision
based on your needs and aspirations, and
go with it. I know mine will definitely
include surgery of some sort.
On the other hand, there is risk in doing
nothing. With a uterus outside the
vaginal opening, you leave yourself open
to infection, ulceration, increased tear
in other organs, and it is always wiser to
go into the or when you are not "hot" as
they call it, meaning without infection
present. Ulceration of the uterus can
lead to septicemia. Not a pretty way to
go. The vagina at the point of total
prolapse is too close to areas of
urination and defecation, both breeding
zones for infection.
Just spoke to a nurse friend of mine whom
I had worked with before in an ob/gyn
setting. She said they just did an 83
yr-old woman (hysterectomy and a&p
repair) and she is as happy as a clam
about it. Says she never felt better in
her entire life. She'd had a pessary for
years and now she's so glad she had the
operation. I try to think positive.
The truth is that this procedure is so
common, and the more procedures of this
sort that are done, the more the odds will
go up that there will be complications.
However, I believe that in the hands of a
skilled surgeon, the odds are kept at a
minimum and they're worth risking.
I just sent away for a book called "saving
the whole woman," by christine anne kent.
I'll receive it in about 3 days, and I
will read it from cover to cover to see
what she has to say, but afterward I will
still inquire about surgical alternatives.
I'm very doubtful that exercise, foods,
and postural positioning will erase the
medical condition I already have. I've
never had poor posture, I am not
overweight, and I eat correctly, but none
of these measures has proven an effective
prophylaxis against prolapse. The truth
is, I run like a horse, have family issues
that keep me lifting (i'm a grandma, too),
and my mother had uterine prolapse at 40.
Some people are just designed to get a
prolapse, and it has to be fixed!
All that aside, keep me posted in the
event that you locate any news that might
be of interest to me, and I will you as
well.
Prolapsed Uterus, Pessary, Etc. Posted: 04-25-04 14:24pm
I am a 53 yr old woman who had a prolapsed
uterus after my 2nd pregnancy at age 33.
After putting up with it for a couple of
years, I was given the same options
mentioned by everyone else...Pessary,
surgery, etc.
Had the hysterectomy at age 35 and have
been happy ever since. Ovaries intact, no
incision. The freedom from discomfort,
periods and birth control was wonderful.
I have never regretted it for a minute.
No bladder problems, either.
Don't be afraid of surgery----you have a
lot of years left. Live them without the
nuisance of a pessary and have a permanant
solution.
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Snowy
New User, Becoming EHEALTHy
Joined: 13 Dec 2003 Posts: 34 Location: ARKANSAS
Bladder Tied Up Posted: 07-08-04 10:09am
My mother had surgery to have her bladder
tied up 8 days ago and is feeling just
fine. She was very excited about the
procedure after being miserable for 25
years after her hysterectomy. They went
up through her vagina and placed a mesh
net and then made a very small incision
above her pubic bone to insert the
instruments to tie it up with. She was
sore for a few days and now she is only
quite tired but already back at work. She
is 55 years old and ready to feel normal
again. She could not believe that more
women do not have this surgery. She was
awake a couple of hours after and talking
and making jokes. There are risks
involved, however. They told her her
bladder could be punctured, but you know
that you could be hit by a bus on your way
home from the grocery store as well.
There are always risks in life. So do
what makes you happy! Best of luck.
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lizm
New User, Becoming EHEALTHy
Joined: 21 Jul 2004 Posts: 6
Prolapse Posted: 07-21-04 08:14am
Can I ask you all what it felt like when
you experienced your uterine prolapse?
I am having a terrible time with retctal
pressure and soreness, I am having the
complete bowel workup, which so far is
normal, but I am wondering if it could be
a prolapse of some sort. I have no other
symptoms other than the ubove. Gyn appt
in sept.
In the meantime I have constant rectal
soreness, can't sit for long - it's with
me 24/7
i appreciate your comments!
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hammi04
New User, Becoming EHEALTHy
Joined: 25 Jul 2004 Posts: 5 Location: nebraska
Uterine Prolapse Posted: 07-25-04 12:17pm
I also developed prolapsed uterus, bladder
and rectum 11 yrs. Ago after the birth of
my last child. I put off surjury for all
this time but am now am really considering
it. I have talked to many women who have
had this surjury and I have not heard of
anyone having complications from it. The
only problem I have heard of is the
prolapse happening again. For this
reason I have questioned women who have
had it done to see who did their surjury.
I found one doctor who's name comes up
repeatedly as being the best and no one I
have talked to experienced another
prolapse after going to him. I also have
heard that heavy lifting can cause another
prolapse and many doctors didn't tell
their patients that.
I would be curious to know if other women
with this problem experience any similiar
symptoms as I do. I have reaccurent
infections (i do not always go to the
doctor so I am assuming it is always yeast
infections.) I experience severe vaginal
dryness and soreness which pretty much
completely elimenates sex. It is
usually after attempting sex that I get
the infections or severe soreness inside
or a burning feeling. I don't seem to
get a discharge so it has made it
difficult for the doctor to diagnose what
is wrong. I also have reaccurent
bloating in my lower abdomen and pain in
the lower ab and lower back. I have
tried everything to treat the vaginal
dryness including replens and even went
sofar as to insert vit e capsules (which
did offer release but only for a few
hours)
i would like to hear the other symptoms
women experience with this.
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jerzger
New User, Becoming EHEALTHy
Joined: 07 Aug 2004 Posts: 2
Posted: 08-07-04 01:45am
Delete :?:
Last edited by jerzger on 08-06-05 19:44pm; edited 1 time in total
i'm a 52 yr old woman with
uterine and bladder prolapse following a
viral cough that was so severe I actually
felt my uterus collapse. I'm having
difficulty in deciding the best surgical
procedure to have since i've scanned the
internet and there is divided opinion as
to hysterectomy versus preserving the
uterus and pinning it back up. I've
learned that some professionals believe
the bladder is dependent on the uterus
especially in the case of prolapse, and
that if hysterectomy is performed, at some
later date, the bladder will fall again
and cause trouble.
All this just happened about 3 weeks ago,
I have a pessary in the meantime, and now,
I am experiencing bladder infection due to
the pessary. A rock and a hard place.
The doctor I see wants to do abdominal
hysterectomy with a&p repair, but i'm
now not so sure.
I'm also living in new jersey. The
doctor I want to see has left the hmo I am
insured with, leaving me with no reliable
alternative for a second opinion.
Have you had the surgery? How has your
situation turned out?
Bmw
|
hammi04
New User, Becoming EHEALTHy
Joined: 25 Jul 2004 Posts: 5 Location: nebraska
Prolapsed Uterus Posted: 10-18-04 21:47pm
I am 39 and just had surgury in sept. To
repair a prolapsed uterus and rectum. My
understanding is they did not have to
repair the bladder as it had not fallen as
I was told earlier. I searched eleven
years for the name of a doctor that had
the best reputation for this type of
repair in my area. In my case they went
in vaginally and I had a hysterectomy
along with the rectum muscles tied back
up. I will be honest and tell you
that the pain at first was way more severe
then I expected. The first three days
were a nightmare. I am told that it is
more painful to have the rectum tied up
then it is to have the bladder. I was up
walking the first day and yes it was
painful but the pain was only severe the
first week. After that it was more of a
discomfort. After the surgery bowel
movements and urination have been easier
and more regular. I go in nexty week to
see if everything is going all right but
right now I have no regrets. I only fear
that things may fall again although it has
basically been unheard of with the doctor
I chose. But you never know. After the
first couple of weeks after my surjury it
was hard to remember to take it easy
(never sure what I should or should not
do) and I think until I see the doctor
agian I will worry about another
prolapsed. Plus everything feels so
strange I am not sure what is normal or
not. In my case there were other
underlying conditions that made us choose
to do the hysterectomy. My doctors all
advised against the use of a pessary
because they are prone to infections, as a
matter of fact I couldn't find one doctor
willing to try one on me. Anyway for now
I have no regretts and if anything changes
I will post another note.
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libbychico
New User, Becoming EHEALTHy
Joined: 09 Mar 2008 Posts: 1
passery for bladder prolapse Posted: 03-09-08 17:22pm
has anyone used a passery for bladder
prolapse or is surgery better?
|
Fairly LaLaLa
New User, Becoming EHEALTHy
Joined: 03 Mar 2008 Posts: 24
Hoping to Get that OP Posted: 03-30-08 02:43am
I also have the the Bladder' the Rectal
Wall and Uterine prolapse, while waiting
to see surgeon i was offered pessary,
I am in pain lower back area,
I hope to get it all repaired,I am 48
years old and never had any vaginal
infections, (that i know of) so i am not
going with the pessary to add any more
discomforts than already have.
I had the OP done when i was 32 back in
England due to previously having a 101b
baby, My Doc asked me about going to
pelvic floor exercises and Pessary and i
dont want none of that bother' As far as i
am concerned i would just be prolonging
the discomfort,
There is no way pelvic floor ex is going
to push that all back up, I can feel it
buldging and see it in the mirror, Doc was
surprised i had Op so young but then she
said no wonder after having 101b baby !!!
I wont forget the look on that ladys face
when i told her that my baby weighed in at
101b specially as my weight always being
140/50 1b
Anyway Girls i am going for the OP , Doc
says well if i have it done now, then in
10 years i may need it done again, But NO
in 10 years i will probably need an
Hysterectomy,
So No Doc is going to put me off, i am
already in chronic pain with neck problem
Prolapse is only adding to my pain.
So Good Luck to to the Ladys going to have
the OP, and Good Health the the Ladys that
have had the Op
NotSoScary FairySue x
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Fairly LaLaLa
New User, Becoming EHEALTHy
Joined: 03 Mar 2008 Posts: 24
Hoping to Get That Op Posted: 03-30-08 02:50am
I forgot to Mention
When i had the OP back in England when i
was 32 , I was in discomfot for about a
week, and told not to lift anything heavy
for up to 6 months or any Vigrous sex,
also warm not hot baths with some mild sea
salt
And just take it easy for a while
'specially lifting Grandchildren if you
older'
I was glad i got it done and i know i will
be glad this time too as everything gets
tightened including x vagina x
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mzmufy
New User, Becoming EHEALTHy
Joined: 17 May 2008 Posts: 1
prolapse Posted: 05-17-08 18:19pm
hello i am new and just reading the posts
on prolapse. unfortunately i am one who
has had no luck with the surgery or the
pessary. i have had it for 3 yrs now. the
first dr. had had been my gyn for 31 yrs
and delievered both my children. he put
the mesh sling and said it would last a
long time but there was a chance of
erosion. well 1 week later my bladder was
prolapsed again. he brought me to the OR
again and removed some of the eroded mesh.
i had already had 6 weeks out of work and
now was out another week. my bladder
remained prolapsed and he said another
suregery. well needless to say i decided
to see a urologist. i went to the best Dr.
in my area and he said i needed to see a
specialist. they set me up wth one in
another state in the meantime i also now
had a prolapsed uterus. (I am a nurse and
continue to work with this problem and
pain on a daily basis.) i opted for the
partial hysterectomy i could not use a
pessary i did try one. well the dr. told
me she fixed everything and did vaginal
reconstruction. when going back for my 2
week check up she said the bladder
remained prolapsed and she had not touched
the bladder figurng it would go back after
removal of the uterus. they released me
and i continues on for another year . i
now have a new gyn who recommended anther
dr for consultation. here we are in 2008
and i have yet another surgery been out of
work 2 mos and the dr. told me last week
that i now need another surgery but woulod
have to go in through the abdomen which he
did not want to do in the first place. i
know that plenty of women have had these
surgeries with great results unfortunately
for me i am stll prolapsed and now have
stress incontinece which i did not have
before, my primary dr recommends that i
have the surgery when i am healed from
this one i am not really planning any at
this time. i am going to be 53 yrs old
next week and hope things get better.
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Fairly LaLaLa
New User, Becoming EHEALTHy
Joined: 03 Mar 2008 Posts: 24
Posted: 06-18-08 20:47pm
I wish you luck with it all my love, i
just had all 3 prolapsed lifts a few days
ago, so far only minor aches' I pray to
the lord that nothing goes wrong in the
coming months, it has been a long wait to
get it done and constant discomfort' so i
hope i am done with it all.
I wish you the best of luck with it, i
sometimes wonder if its that bad, why on
earth they dont do a full Heystrectomy and
be done with it'
Good Luck
Laula
x
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HPmama
New User, Becoming EHEALTHy
Joined: 15 Jul 2008 Posts: 1
Posted: 07-15-08 16:06pm
Hi, all!
I've lived with a prolapsed bladder for
years (more than ten), but to make things
interesting my uterus decided to join the
party. It has been very uncomfortable and
starting with a Dr. visit in May have
wended my way through referrals and am
actually scheduled to have surgery soon
(within a month).
Since my uterus fell, I have been very
uncomfortable, and keep having to "adjust"
myself. I have tried a pessary, but
immediately and uncontrollably leaked
urine, so I was referred to a
urogynecologist who gave me three
options: 1- do nothing but eventually
need to be catheterized continuously 2-
use a pessary that will cling to vaginal
walls with a suction apparatus that would
lead to multiple infections due to
friction 3 - have the surgery. I have
opted for the surgery, but have opted not
to have my uterus removed. At age 56 I'm
still ovulating, and I don't want to add
hormonal changes to the mix right now. I
have a history of severe migraine
headaches which are hormonally based.
They began in earnest with my second child
and I'm on daily medication to prevent
them. The meds still let some migraines
through, but they are much more
manageable. I did have auras announcing
my migraines, but in 2002 I had a ruptured
brain aneurysym (I drove myself to the
hospital - but that's another story) and
since emergency surgery for that have not
had any auras.
I LOVE the urogynecologist I have, and
will have my surgery at a major medical
center with a doctor who teaches at a
prestigious medical school, and does this
surgery all the time. I am very
comfortable with my choice and can't wait
until it's over!
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