Left confused after specialist visit

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Hi, I am nere here......

I have been dealing with this issue about four eyar. Initially went to my GP, she said I have uterine prolapse. 3 years later I finally got the nerve to see a concitnence specialist/surgeon. The specialist said he would not do surgery on me as it is completely unecessary and all I need is bladder retraining so he made me an appointment for that. I came home, googles bladder retraining and yes it's wonderful I will learn to only pee when I realy need to but my question is....who is going to put everything back where it was before? I have terrible pressure especially when I sit, not to mention a feeling of 'fullness' as thought the vagina is swollen but in fact it's just that it appears the walls have come down and after speaking with an elderly friend who had both uterine and bowel prolapse, she suggested I have a bowel prolapse and thi is why I have the pressure, is it possible that because I saw a continence specialist they didnt pick this up? I have what feels like pressure on my pevic area both back and front, the kind you hae when you would intentionally push or force, except for the fact that I am not and the only way I can releive this is to tense all the uscles in those regions..........please help, do I need a nother doctor? This one has been highly recommended to me by many people tge last 4 years and has been in this practice, well known and respected for years, I can't imagine it was overlooked?

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5 Replies

  • Posted

    Hi Trinity

    If you get Physio for this you can hopefully manage your prolpase and avoid surgery. That means stopping it getting worse and possibly making it better so it doesn't drag and feel painful. If your bowel has prolapsed (and if you have a bladder prolpase you have a 1:3 chance of the bowel folling too) I am sure that would have been picked up - do you have problems defacating and have to push the bowel back into position through the vagina? Pelvic floor muscle exercise will help you strengthen your pelvic floor, and is certainly the first treatment you should look at. Prolpase surgery is major surgery, and you will still have a weak pelvic floor after the surgery because nothing can strengthen the weak muscles. If you are in Scotland they have halted TVT ops because of the mesh problems, so please do all you can (self care) to help the medics help you to  manage the prolpase.

    Good luck.

    Stephanie

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    • Posted

      Hi Stephanie, he absolutely said I do not need surgery ( I wondered also that maybe I just don't need it 'yet'wink is probably what he meant.He told me he would be wasting my money......re bowel movements...no I dont need to 'move' anything when I go but I seriosuly feel like I am pooping around a bend, I don't actually have any trouble or restriction. I do have a hard area (perineum) and witout being too graphic? I feel it's hard to clean, like the bowels are open still so I have to tense muscles to wipe ( sorry) IDK who else t tell this to lol. I have the same with the vaginal area, he says the muscles there are really good, however when I sit it seems to open up? has resulted in some air intake in the last few years which is embarassing when it releases. It actually feels like vaginal walls have dropped down and are sitting closer to the vaginal opening, always give me a feeling of fullness. Since last week I have been getting discomfort, sometimes shooting pain ( not bad) when I sit, along with strange cold sensations.( again, the pressure on anal area when I sit) seems to be the cause.

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  • Posted

    It sounds like pelvic floor prolapse to me, I've just had a repair for mine. You need to ask to be referred to a urogynaecologist by your GP/primary care doc to do this. It's a very specialised surgery and should not be done by anyone else. Are you in the UK? Things seem to work differently in other countries but your own GP is the first port of cal to get the referral. As Steph says, pelvic floor exercises will strengthen your pelvic muscles but if you have prolapses of any sort exercises won't cure them. Good luck, let us know how you get on. rolleyes

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    • Posted

      Hi Pollyanna, 

      I went to a specialist who only does this type of sugery and reproductive medicine, our best continence surgeon in the region.I am not in the UK, this was the only forum I could find, sorry and thank you.

       

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    • Posted

      No need to be sorry Trinity. I asked because the UK health service seem to do things differently to other countries, we all pay into the NHS so don't have to pay unless we choose to see a private surgeon. I think you should try to get a second opinion if possible. If it means the waiting game and exercises well so be it but you need to know exactly what your problem is. Lots of people on this forum from all over the world so keep posting. Poll X smile

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