But he refused to send me for a scan but has sent me to see a physiotherapist. I explained my medical history to her and my concerns about only doing pelvic floor safe exercise.
She examined me for an hour on 2 occasions and concluded that there was no problem with my hips and that I might be correct that the pain is related to my pelvis. Some of the more cements I was asked to do during the examination were not pelvic safe and I had a lot of pain in my coccyx, back and public area afterwards. For the last 4 weeks I have done the exercises she gave me which are quite gentle and she assures me are safe.
But 5 days ago, when walking, I felt a very uncomfortable bulge in my vagina and when I got home I could see a bulge of tissue about 2cm protruding outside my vagina. I suspect uterine prolapse as my bladder and bowel seem ok. But I am seriously panicking.
After 3 lots of traumatic surgery, the last thing I want is more surgery. I saw a doctor on Monday and am waiting for a referral to a gynaecologist. As I am 59 and postmenopausal, they will maybe suggest a hysterectomy but I am worried this could also lead to failure of the up to now successful bladder and bowel surgery. But I worry that the uterine prolapse itself may do this also? I am desperate to at least not become incontinent again.
I have already lost normal sexual function but loss of continence is my biggest fear. I am hoping they might attempt fitting a pessary instead of surgery. Also do you think there is any point in trying to get specialist help with pelvic floor exercises even though my last surgeon said it was a waste of time as the muscles are damaged too badly and the nerve damage. Any advice would be really appreciated. I feel that my worst nightmare is happening again.
So if anyone knows a good gynaecologist in Sweden that would be good. I had prolapse surgery in For the last few months I have been having Vaginitis with burning. I have been to the doctor and she put me on a antibiotics but when I done with it.
The burning comes back. Could something be wrong with the prolapse surgery? Bending make it hurt. Burning can have quite a number of different causes ranging from irritation, infection through to menopause. Your condition needs to be assessed and treated by a gynaecologist. Meanwhile avoid using soap to wash or any other potential bladder irritants such as bubble baths or sprays. All the best. Hi Michelle, I had an anterior and posterior prolapse repair almost 5 weeks ago.
My consultant was off sick on the day so his registrar did the operation. Unfortunately I have had complications since and due to this all being over the Christmas period I feel I have been treated unfairly and it has not been communicated to me what the issues have been. The day after surgery I could not urinate at all so was sent home with a catheter and told this can sometimes happen temporarily. To cut a long story short this did not improve and I ended up having the anterior repair redone 3 weeks ago by another random consultant that happened to be on call that day.
I think they had stitched too close to my urethra in the first surgery or this is what I am assuming as the nurses kept saying there was a lot of restriction when inserting the catheter. Unfortunately since the second surgery I have that awful heavy feeling and I can feel a bulge but luckily I can now urinate again.
It does disappear when lying down And can I commence pelvic floor exercises in the hope that the bulge will go or relieve the symptoms? I reside in England. Thank you. This must be a very stressful and upsetting time for you and your whole family. I think the best things to do are as follows: 1. Allow your body time to heal — rest up where you can with your feet up some of the time and enlist help where you can to help you manage your little ones while your body heals next 3 months 2.
Start your pelvic floor exercises — have you been given a date when you can start? This is usually weeks post op but can vary according to recovery and surgeon guidelines 3. You will still have internal swelling for the next weeks which will weigh down on your pelvic floor 4. Can you access an appointment with an experienced Pelvic Floor Physiotherapist who may be able to assess and help you manage during your immediate recovery 6.
There are many very caring and highly experienced gynaes 8. I just want to say a huge thank you for taking the time to respond to me. So it really does mean a lot. All I was told the day after the operation was that I could commence pelvic floor exercises as soon as the catheter was out and to slowly increase general exercise from 6 weeks. I have started doing some pelvic floor exercises, but I am still in a bit of pain so just trying to listen to my body.
So I am on the waiting list to be contacted as soon as someone takes up the post. Again not ideal! But guess in the early stages of recovery I know the exercises that can help.
I tried various pessaries after my first daughter she was 10lbs4!!! I will certainly be researching approaching someone else for a second opinion hopefully before waiting 6 months to see my own consultant. Purely for peace of mind to see what my next steps may be.
I am concerned about scar tissue etc if I end up needing a 3rd operation in the future and at only aged 31 I worry about the long term consequences as I used to play netball and enjoy running. It feels like this may never be possible now. Hi Sara I agree, 6 months is way too long to wait.
I think the reassurance would help you and it would also be good to have some added support. Can you find out where your physio went? Perhaps if you can track her down, she may be able to give you a recommendation for another Physio to see? Sara are you confident in knowing how to move forward at this stage? Hi, I have recently had a repeat anterior repair and sling mesh removed due to complications. I am returning to work, part of my job is attending lower limb care, is it safe to attend to this, whilst sitting in a chair or will these make my prolapse reoccur, many thanks.
Hi Frances sitting while attending to lower limb care should not be a major issue. Try to keep work at waist height or above and avoid heavy lifting too, all the best. One in March for uterine vaginal prolapse, a vaginal surgery using my own tissues for suspension. Unfortunately had Vaginal Vault Prolapse 10 weeks after 1st surgery. Second surgery in June to fix VVP, with abdominal sacroplexy. All seemed well until 11 weeks after 2nd surgery when a Rectocele popped out.
Surgeon said no lifting more than 5 lbs forever and no bending over to pick anything up off the floor forever, whether I have another surgery or not. In fact I have back pain and knee pain as a secondary outcome from the physical limitations per my surgeon for the last 8 months since surgery 1. Seeing a pelvic floor therapist now. Is there any surgeon anywhere that could fix me so things done keep collapsing and successfully strap things up?
My life is terribly impacted by the prolapses and the limitations. Repeated straining from constipation or even a single episode of intense straining can damage your pelvic floor muscles.
Talk to your doctor if you have persistent constipation. When you cough your abdominal muscles press down against your pelvis. A chronic cough can weaken your pelvic floor muscles and lead to prolapse. Talk to your doctor about how to manage chronic coughing. If you smoke, get help quitting. A fiber-filled diet rich in fruits and vegetables, whole grains, nuts, and healthy proteins can help you manage your weight and stay regular.
Avoid foods that cause abdominal bloating, constipation, or diarrhea, which can lead to straining on the toilet and make it difficult to pass wind; chronic straining can cause an organ to prolapse. Carrying extra weight puts extra strain on your pelvic floor muscles. It also puts pressure on your bladder, which can cause or worsen stress urinary incontinence UI symptoms.
UI is common— one in three women will deal with it at some point. Losing weight can help you prevent bladder leaks or improve UI symptoms. Having good strength and muscle tone reduce your risk of straining your muscles from everyday activities lifting, pulling, pushing, etc.
This in turn reduces your risk of prolapse and UI. Just be sure to avoid exercises that put too much pressure on your pelvic floor—activities like intense core exercises, extreme strength training, high-impact aerobics, and running, especially if you already have weak pelvic floor muscles.
Doing Kegel exercises after hysterectomy is one of the most important ways you can protect your pelvic floor, the hammock-like system of muscles that stretch across your pelvis. These muscles are part of your core and are vital for posture, intra-abdominal pressure, and pelvic organ support.
Doing Kegels regularly will help you keep these muscles strong to prevent UI and prolapse. Hysterectomies happen. Whether for fibroids or cancer or other concerns, about a third of American women will have a hysterectomy by age So we talked with our DPTs Dr.
Meagan Peeters-Gebler and Dr. Brianna Droessler-Aschliman about what to do in the weeks after a hysterectomy to protect our bodies as they heal. According to Meagan and Bri, the time to start thinking about recovery is before your surgery. In the weeks prior, get a recommendation from your surgeon to see a physical therapist. We can teach you diaphragmatic breathing, which is really good for healing. Also, do what you need to do to be sure your bowels are working properly: add fiber to your diet , hydrate better.
Get your body into a nice, natural rhythm of elimination. And stock up on stool softeners, as pain meds and anesthesia can both be hard on the digestion.
Finally, engage your support network. Have friends and family on call to help with things, even small things like cooking or feeding the dog. Use what your PTs taught you! The steps to getting back on your feet are similar to those for achieving good health 5 :. It can take weeks after a vaginal hysterectomy to resume normal activities; and longer, up to 8 weeks, after an abdominal procedure. While many women are back at work in two weeks, for others, it takes longer.
It can take several months to feel like your old self. Many women state that walking is the best exercise for the healing process and helps your body resume normal function. Remember that if your cervix remains, your doctor may still recommend regular pap smears. There is an emotional component to healing as well. After a hysterectomy, you will no longer be able to get pregnant. If your ovaries are also removed, you will be suddenly forced into surgical menopause.
Hormones in flux or suddenly shut off can cause hot flashes, night sweats, and sudden mood swings. As you heal, try to have patience; it is normal to take time to adjust to these new feelings. According to some patients, you may also feel happier that you are no longer suffering from the symptoms that led you to have a hysterectomy. For some, you may become pain-free and have increased sensation during sex. Check with your medical team if you have questions, or experience complications such as uncontrolled bleeding, infection, or severe pain.
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