Confused after my post op appointment..

Posted , 11 users are following.

Hi, I saw my consultant yesterday for my post op check, five months after my anterior and posterior repair. Now I'm a bit confused as I was convinced my prolapse was back. I've had that feeling of something coming down for a while and when I looked in a mirror there was quite a bulge. I saw my GP who said it was a stage 2 prolapse!  The consultant however said it all looks fine, just a little sagging down of the vagina. If she tightened it up anymore I wouldn't have a vagina left! So no prolapse after all but it certainly feels like it.  She prescribed vagifem pessaries to help strengthen the tissues inside for a few months and pelvic exercises which I'm doing anyway. 

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  • Posted

    Hi Jane, I am 7 months postop and often get the feeling that the prolapse is bac k - it isn't! I use Ovestin cream to strengthen the tissue and have been told definitely not to lift more than 5kg ever. Hard to adhere to sometimes. Guess you have to take the consultants word for it no matter how it feels. smile
    • Posted

      I've noticed that just lifting a full kettle feels too heavy still so will continue to be careful. It's easy to forget sometimes though. Thanks for your reply, reassuring to know this is fairly normal. 
  • Posted

    Hi Jane, I had an anterior and posterior repair eighteen months ago - with excellent results - even at the age of 70.  I am wondering if both of your anterior and posterior prolapses have also been repaired with good results, but you now have yet another prolapse. This time a prolapse of the uterus. I have a slight one, but at the moment it's not causing me a problem. It does sound like you need to see another gynaecologist and see what they think. Vagifem pessaries do have a risk as they are oestrogen based and are used among things to tone up the vagina as we get older - although I haven't ever needed to use them. To be honest  Jane, if you can see the bulge then I can't see these pessaries helping very much. Maybe you should ask your GP to refer you to another gynaecologist. Hope you get it sorted soon. Best wishes, LadyPink
    • Posted

      Hi LadyPink. I had an anterior repair and hysterectomy in 2003. It lasted 3-4 months but couldn't face having it done again due to problems immediately following the op. I had the latest op in January this year as it became too uncomfortable and this time had anterior and posterior repair. I've had problems with heavy bleeding, the day after the op when the pack was removed and twice more in the following weeks all from the posterior repair. I thought the anterior prolapse was back again but the consultant said it was very slight and mostly the looseness inside that I could see as a bulge. She also said another op wasn't a good idea. She's not the easiest person to talk to and I was left rather speechless when she said all looked ok! 

      Having read all the possible side effects of  Vagifem I'm a bit worried about using it! I'm 66 by the way..

  • Posted

    I'm not surprised you are confused but you can only trust the 'experts'.  Hope all goes well for you Jane.  neutral xx
  • Posted

    Never blindly trust the experts. Question them and question them often. Also, don't be afraid to do some online research for yourself.  It sure sounds like the bulge that you are seeing and feeling is another prolapse. Maybe one of the repairs failed or it could be a prolapse of the uterus as suggested by Lady Pink. Be persisstant with your doctors about getting this sorted out. 

    Lisa

  • Posted

    Hi Jane, yes I'm confused too. These operations tend to tighten you up, not leave you loose inside! I agree with LMHO, go back to your GP and ask for a referral, preferably to a different consultant. Good luck, and let us know how you are.
  • Posted

    Thanks for your replies, appreciated. I'm cross with myself for being so unprepared, even though I've researched this over the last few months. When she said everything looked fine she looked at me as if I was making a fuss over nothing.. I simply didn't know what to say or ask. I will go back to the GP and ask for a second opinion, although online I haven't seen any other urogynaecologists. 
    • Posted

      Hi Jane my sympathies are with you.  In October 2014 (so i'm now nearly 7months on from my op for anterior/posterior and perineum repairs.  I waited years and years, saw different consultants with varying recommendations.  Took the plunge to have op as i felt uncomfortable and not at all feminine.  I was told i had a stage 2 anterior prolapse and a 2-3 stage posterior.  I didn't need a hysterectomy.  Well agony post op is an understatement and it took all of 7 plus weeks to ease up on the pain relieve.  I did all that was recommended and at my 7 1/2 weeks follow up appointment was told  (a Professor performed my op) that i was healed and 'good to go (even though i still had internal stitches) i.e. hoovering, sex and basically my usual daily life).  The week after was Christmas and yes i probably did my most for ages.  I did stand for longer than usual preparing and cooking a large meal.  The day after Boxing day i felt things were'nt right and had a look, and there it was a bulge.  I waited 2 weeks to see the female GP who sent me away for a further 6 weeks as she said the consultant wouldn't see me at such an early stage post op.  I've now after many weeks got an appointment to see a consultant next Monday.  It has taken over my life in every which way.  When i'm out walking, which i love it feels as though i have a tampax that needs removing, it can feel quite tight there and sometimes still pain.  I try to not get constipated, although strangely after a motion sometimes i feel things drop more.  Sometimes i wish i could go backwards, then i think of the reasons i agreed to op.  Right now i'm not sure if i would repeat having any more prolapse correction surgery and perhaps just live with it.  The risk of re-prolapse is high (however didn't think it would be in weeks).  I'm getting on with my life the best way i can and have taken positive steps in losing weight.  Still taking care with lifting heavy objects.  Resting when i'm able if i need to etc etc.  I use Vagifem and yes the side effects on the patient leaflet are scarey, took me ages to use.  However i can be very dry and it really eases this.  I was told that as far as it being HRT it is localised and does not get in to your system the way other types of HRT does.  I'm so sorry for you Jane, but like you felt like i was fussing and it's too soon after surgery to know if it has failed.  By the way i'm 62.  Take care Maureen 

       

    • Posted

      Hi Maureen, so sorry to hear you that you've had problems post op too. The tampon effect describes it perfectly. Walking upstairs seems to feel worse strangely!  You're so right about it taking over your life, I'm like that too. On Saturday I went to watch my son at a running event so was standing/ walking around for several hours and I'm still paying for it with pelvic and back pain. Having now 'talked' to other ladies on other forums too it seem it can take six months or more to fully recover and heavy lifting is a no-no for good! When I had my first op there was little information and advice,  except to take three months off work. That's when the prolapse came back due to the type of work, lifting and carrying heavy items. Regarding the Vagifem pessaries, I made the mistake of 'googling' it and saw a detailed list of possible side- effects which surprised me as I thought a pessary would be fairly safe..

      I hope your appointment goes well Maureen.

       

    • Posted

      Hello Maureen

             I feel so sorry for you and others like me who have a prolapse bladder. I opted not to ever have surgery because I got use to the prolapse being there and it didn't cause me any pain or interrupt my bathroom movements. The only thing I didn't like is that feeling of it starting to protrude out of my private area. So I started doing pelvic floor exercises and that helps a lot. I think if you start exercises you might feel better instead of putting yourself through anymore surgery which is just a quick fix that really doesn't in many cases fix it at all.

      Blessings to you and hope you don't have anymore operations.

                                                                      Lynn

  • Posted

    Hi Ladies, what all this says to me is that a lot of good work in repairing prolapses is being undone by false information. There is too much conflicting advice. Of course 7 and a half weeks is too soon to get back to anything like normal, especially doing Christmas! I was told at 3 months that it was fine to be lifting a toddler, buggy etc. It's not. I'm lucky in that my repair has only dropped slightly (still feel it though, and now going to try a pessary for support while looking after adorable, but heavy 2 year old). If I'd known at the start what I know now, I would have just made my mind up that the recovery takes ages, and more care than anyone realises has to be taken. Perhaps those under 60 recover faster, but I would say it was 8 months before I felt 'normal'.

    So Jane and Maureen, keep being careful, and ask to see a gynae physio. They can give advice on the pelvic floor exs, check that you're doing them correctly, and assess if they're helping reduce the prolapse. You also get a decent length of appointment and a chance to talk over all these worries.

    • Posted

      Thanks Moira,  seeing a gynae physio is a good idea, I'll ask my GP about it and see what she says about a second opinion. You're right about the misinformation, so much of it. Nurses and doctors all have there own opinions about how many weeks before you can go back to work or. lift anything. These forums are a godsend! Must be difficult dealing with young children when you're not supposed to be lifting etc. I've not been able to lift my grandchildren since they were tiny babies, when I had the first prolapse diagnosed. 
  • Posted

    Just read your post when the website's weekly roundup pinged onto my ipad. I couldn't believe it because just today - 12 weeks post op - I am beginning to think my prolapse is back! I was so disappointed! I have been so careful too. The trouble is I'm not sure what it should be like 'down there' any more but it just doesn't feel right. All your replies seem to suggest lots of other ladies get a similar problem. Guess I should wait a while and see what happens before rushing off to GP. I certainly couldn't go through op again - it's not the surgery itself its the after healing - so painful. I think I'll try more exercises first.  Anyway good luck.

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