Failed surgery

colleen I hope your appointment goes well. Having a private appointment will give you lots of time to discuss everything you need to (write all your questions down before you go) and go through all,of your options. I don't know where you've been reading all the negative stories about the pessary rings because if they are fitted correctly by someone like a Urogynaecologist or a urogynaecology specialist nurse there's no reason why it won't help. I think that there's a good chance you may be given the option of another repair as your failed one was 2 years ago.

Ah colleen it's not nice being a woman sometimes! My gp put me off having a pessary but my surgeon suggested it. I'm in uk and saw a private consultant and will be seeing him again in oct to talk next steps. Hope you get sorted soon x

Hi Caroline. I hope it goes well for you in October, its strange that we both end up seeing someone privately, I'm also in uk, in Uxbridge actually. I will let you know how I get on Tuesday....my poor credit card.

God bless.

Hi I have reach the stage of being completely indecisive. I really do not want surgery again but can not live this way. I do not want a ring pessery as I feel it only puts of the inevitable, plus having spoken to so many patients at work have suffered bladder problems, difficulty evacuating bowel, infections & pessery falling out

Sorry sent previous message to quick.

I write letters daily regarding pessery & some consultants say they can be troublesome. I really do not know what to do, so will place my faith in this private consultation & hope for some relief.

Thank you all for the support.

Colleen I also had to be operated by private doctor cos in my health system they told me to wait until everything was outside.

The most important thing is health and we have the right to spend our money in it. Try not to think of a wasting of money, this is an investment in your and your family (husband) future happiness.

Just make sure that your private consultant is an urogyn specialized in pelvic floor and don't be shy to ask about his record of previous surgeries.

Hugs!

Hi he only used stitches, didn't believe in using mesh as he said it causes infection. X

Caroline, if he used only stitches and the op has failed maybe he should consider mesh. But I'm not a doctor, the experts are they, if he used stitches the first time he would have good reasons. My gyn always say that mesh is forever and stitches not. He used mesh with me cos I'm 47 and it would last as long as possible. It's not true that mesh causes infection. There are a lot of ladies with mesh in this forum with good results. Maybe there is a little chance of rejection but now there are 100% absorvable meshes with almost zero problems. The mesh is a very tiny piece of net made from organic materials that with the pass of time sticks to your tissues and makes your vaginal wall stronger and make generate collagen so that your wall supports much better your bladder. Please get as much info you can before going to see him and ask him all the questions, you have the right to ask for info, Matron always recommend to write a questions list previously. Let us know how it goes!

Good luck darling!!! Hugs!!

I've had mesh 10mths ago and it causing infection is not common. I haven't had a drop of trouble from my TOP mesh sling. I'm relieved prolapse is better supported by something other than fragile tissues. Anything foreign put into body has a tiny chance of causing trouble. Probably around 2%! The mesh that caused trouble good many years ago has long gone & so has that manufacturer.

robyn I'm so pleased you have said this because despite me mentioning it before I don't think I've convinced many ladies. The other thing to mention is that mesh can only be used by specially trained Urogynaecologists and it is closely monitored by the Department of Health and the Royal College of Gynaecologists. So every operation that's performed using mesh is reported on (anonymously) and any problems addressed. 

You're a Gem Matron & I have learnt such a lot from you since I joined here 10mths ago. So interesting that I still keep coming back. I'm an RGON but no Urogynae. My specialty was Childrens Orthopaedics. But I've so enjoyed learning more & more from you here as having Ant. repair with Post. prob still required, then I want to be as best informed as possible. Even prosthetic total hips were put into people back around the mesh saga, that were dodgy & badly produced, & needing replacing. I don't even know I've got mesh but pretty confident I've got a secure repair this far in. And mesh is inserted in completely sterile as can get, theatre so infection risk is as low as overall risk of any proper theatre procedure. I feel the infection excuse was a fob off because the Surgeon isn't confident using it.

Thank you robyn for your kind words. I've learnt such a lot from all of your experiences as well. 

I agree with your comments about surgeons not being confident, but many are not trained or registered to use the mesh. I have a friend who saw a Urogynaecologist at a neighbouring NHS Trust who was negative about mesh and said he would never use it or put "his patients at risk". When I did a bit of digging I discovered he wasn't registered to use it! 

Arh yes I hadn't considered the fact that Surgeon might not even be registered to use it. Christine, yes you've gotta watch out I think, particularly for constipation effect of codeine, among others. Your peeing a lot is probably generally miserable pelvic area from meddling surgery & its injured & protesting. That should settle along your journey. But remember the journey is slow & hard, & everything painstakingly settles, much slower than we all expected. Just watch for urinary infection symptoms. Quite common post-op.

Hi ,,trying post is so annoying lol,,anyway now six weeks post op,from sacrocolpoxy my surgeon said there was no way that he could repair my cystocele without using mesh, he said if he did not use mesh that within a short time I would have prolapse once again, must say I was worried about the mesh, but fingers crossed all seems ok, still having some tired days, just wondering when it's best to start to drive? Also little worried about the sexual side and when we should try, even though they say after six weeks I wonder if it's to early ?

Hi janice now you are 6 weeks post op you can drive as long as you feel comfortable. Insurance companies usually say 6 weeks as do most Urogynaecologists because that's the time when you should be able to safely do an emergency stop. If you're concerned you can always contact your insurance company. As for the mesh, it's being shown that it does make for more successful outcomes. Remember not to do too much and keep resting if you feel tired, don't push yourself. 

Most Urogynaecologists prefer it if you try sex before your post op check but 8 weeks is probably about the preferred time. If it's uncomfortable leave it for a week x