Can prolapse bladder surgery be done through the vagina so cutting is not necessary?

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I have heard about a gynaecologist in the Plymouth area who did prolapse operations via the vagina so cutting was not nessary.  However apparently this was a few a years ago.  Is this method done by other UK specialsts?  Also for those who have had the surgery did they have the full anaestetic or an epidural?  Thank you.  

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  • Posted

    Hi tricia.

    I finally had my surgery on Saturday and mine was done vaginally. I had rectocele and cytocele repairs aas well as sacroscopinous fixation and my perineum was also reconstructed. As i said all done vaginally no cuts.

    I had a general anaesthetic and was offered an epidural whilst i was under to make me more comfy when i came round. I declined the epidural for personal reasons.

    Brie x

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    • Posted

      Thanks very much for that Brie.  Were you given an indication of recovery time and the possibility of farther prolapse in 2-3 years time.  (That's what I have been told by a gyny in Spain).  I am 65 was  told just to use oestrogen cream for the rest of my life and to have no operation which I am not happy about. 

      Good luck with your recovery Brie.  xx

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    • Posted

      I'm 60 hafd done in july, said ill never again prolapse used a new improved mesh, and also use the estrogem cream feel fabulous

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  • Posted

    It's usually done via the vagina. They cut through the front wall (anterior repair). There is lots of info available. I think most women have a GA.

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    • Posted

      Thanks for your reply, very helpful.  The info I was given about surgery was not clear although it's not always easy for my translator to understand and sometimes different specialists in Spain give conflicting information.  T x

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    • Posted

      I had my AR nearly 3 years ago. I had 4 weeks off work but wish I'd taken longer. I have a sit down, part-time job but I need to have it done again. This may be due to the posterior wall failing too (rectocele) so I need both doing really. At the moment I'm putting if off as I don't want further surgery but I may have to have it done in time. Being menopausal doesn't help!

      My advice to you if you have the surgery done is to find out as much as possible before and rest as much as possible afterwards. I wish I'd known about this site before my operation. I'm sure lots of women have very successful outcomes we just don't hear about them because they just get on with their lives. Good luck. X

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  • Posted

    I had a bladder and bowel repair just over 3 weeks ago and it was done via the vagina. I had the op down with only a spinal block as well as I have a major fear of general anaesthetics. The op was just over an hour long for both repairs so one repair should be quicker. Recovery time I have been told anything between 6-12 weeks, the stitches take 12 weeks to fully disolve and I've not been adviced to try and avoid heavy lifting indefinitely . I was told there is every possibility I would need the op redone in the future but I do think it all depends on what activities you do. I am only 39 and my job requires a lot of lifting but I am going to do my best to limit the lifting as I really don't want to have to have this down again . Good luck xx

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    • Posted

      Sorry some mistakes in the post, it should say I have been advised not to lift anything heavy xx
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    • Posted

      Thanks and good luck with your recovery.  I hope your job can give you some sitting down work for a few months to avoid the lifting. xx
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    • Posted

      Unfortunately its a shop I work and my main job is the stock room but even if they put me on light duties I would be standing for 4 hours which the physio told me can be just as bad as lifting . They had been really good before I went off with making sure the boxes were not stacked too high for me so lifting was very minimum and if just shouted one of the boys to help if I needed . I think they will be just as good when I go back but I'm taking as long as possible off for my own peace of mind in case I do lift, thanks for replying xx

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  • Posted

    Hi Tricia. It's almost always done vaginally I believe. I had hysterectomy/anterior prolapse repair done when I was 40. Had rectocele repair at 59. I'm currently waiting to go in for another posterior/ rectocele repair and am now 73. Sooooo, it can happen again but depends on your job or activities if you're still working. I've always done quite heavy work with lifting plus gardening and decorating. I think all these are out the window now especially as I also have arthritis too. As you're now 65 it will probably last you the rest of your life if you are careful what you do, you must have fairly strong tissues to go this long. If you can get it done in UK, I think you will be much better to that as we're really up to date with these procedures now. Look at the top of this page, 'Genitourinary Prolapse' and follow the links for more help and acvice on this subject. Best wishes Pollyanna. x smile

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    Hi Tricia. I too have recently had front and back repair and sacrospinous fixation done vaginally no visible cuts to see. I had a general anaesthetic and the anethesist recommended a spinal block as well which I took. The spinal was a bit uncomfortable getting it but well worth it at the other side as I felt no pain whatsoever the first few days. For me the worse part of it was getting the pack removed the day after surgery along with the catheter. It wasn't painful but was very uncomfortable. You must make sure you take the prescribed laxatives and drink loads of cold water to make you go to the bathroom because that and heavy lifting are the two things that will damage the repair. I'm overweight and doc also advised me it was imperative I didn't gain any more weight as it would put pressure on the site. I did put on a stone in the 6 weeks post surgery due to lack of mobility and the op does take a lot out of you physically for at least 3 months then you start to turn the corner. I'm now 6 months post op, lost the extra stone and almost 100% back to normal physically and intimately but with the added bonus of not suffering incintibence issues. Good luck with your op you will never regret getting it done and wish you had done it years ago. I had a posterior repair only when I was 38 and it lasted 5 years but I gained weight and humfed furniture about willy nilly and ruined it myself I won't make that mistake again x

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  • Posted

    I had all my surgeries vaginally . Bladder repair done 11 years ago and didn't realise it could be done any other way. I had general but some do op for epidural x

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  • Posted

    Thanks so much to everyone for all your helpful information and encouragement.  It will all be so useful when the time comes for me. As I mentioned I live in Spain.  I don't have a partner at the moment (maybe just as well - lol) but have lots of friends around who have suggested we arrange a rota so that I get plenty of help.  Provided I feel happy with the prospective surgery I will have it done here.  The UK would be more difficult as I would be staying with family and have 2 young grandchildren so I know for sure I would be tempted to help and even lift them without thinking!

    I am so grateful for this forum and all the kind advice.  Muchas gracias and perfect healing to all.  xxx

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    • Posted

      Hi Tricia. Hope all goes well and you get the op in Spain then. I understand what you mean about grandchildren, I have 5, older now but young when I had previous surgery's. Keep posting on here and let us know how you get on. Best wishes, Poll. x smile 

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