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I have finally received a report concerning the problems I have been experiencing with prolapse, and it seems I have a grade III cystocele, a grade II rectocele and a grade II uterine descent. Although I have tried vaginal pessaries, both the ring ones and shelf pessary ones, they don't seem to work for very long. Either they are too uncomfortable and have to be removed, or they actually fall out. The doctor has indicated that he feels they are pretty much at the upper limit on what size pessary can be safely inserted through the introitus without causing trauma.
At the moment I don't have a pessary fitted as the last one fell out after a few days and I thought it might be wiser to give it a rest for a week or so before returning to the clinic to discuss other options. The option obviously will be surgery, but I am unsure what questions I need to ask to ensure I get a full picture of what will be involved. Will the surgeon actual repair all problems at once, for example. What actually is involved at the time of the surgery. And of course, what is the recovery likely to be. And what do i need to do or not do to ensure a complete and full recovery.
Having been following various discussion threads over the last weeks and months, it appears that many people have serious problems with recovering from these repairs. I live alone and it might be difficult for me to care for myself following such surgery.
Any advice, help, etc would be most welcome. Especially on what sort of questions I should ask the surgeon at my next visit. I want to be as fully informed as possible.
To be honest, I would still rather keep to the pessary route, but from the report from the doctor, it appears he feels that there is little more that can be done conservatively and I would need to go for the option of prolapse surgery.
Many thanks in advance for your help and guidance.
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