TVT, Posterior Colporrhaphy, Perineum rebuilt, now Hematoma

Posted , 9 users are following.

I've benefited so much from lurking on these boards before and since my surgery, so I wanted to share my story. Plus I'm so tired of laying around already! I'm 5 days post-op today. I'm 42, generally healthy, with 3 kids. After my 3rd, I started having stress incontinence that was pretty troublesome. Having to leave work to completely change clothes or wear a maxipad to walk the dog type of troublesome. I also had the uncomfortable bulge and difficulties with bowel movements getting redirected into the wrong place that I now know mean a rectocele. As several of you experienced, my regular ob/gyn didn't think anything was wrong that some Kegels couldn't fix. I researched pelvic floor stuff online and started working with a pelvic floor physical therapist. I had to quit after about a month, though, because it was hard to carve out the time with a new baby and work. Plus, I kept falling asleep during my appointments, hahaha. She would tell me what exercises to work on, set a timer, and walk off, leaving poor ole exhausted me LYING DOWN with nobody screaming for my attention, and BOOM fast asleep every time. The issues became more and more problematic and I finally researched the problems online until I figured out what was wrong and how it gets fixed and contacted a urogynecology specialist. Apparently I had a large repair, the entire perineum was reconstructed and I ended up stitched from the vaginal entrance all the way up to my cervix.

I'm in the US, so I was home two hours after the surgery. When the good drugs wore off that evening I was in agony. Called the after hours number sobbing and the poor resident was very concerned but didn't think my pain level was normal...suggested I go to the ER. Of course that's wildly expensive here and it was the middle of the night and I couldn't face getting the entire family up and dressed and having them all sitting in an ER for hours, so I took some more painkillers and did ice packs all night and finally fell asleep for a couple of hours the next morning. When I woke up, the pain was reduced and controllable with the opiate every 3-4 hours and alternating ibuprofen/acetaminophen. Ran out of the opiate yesterday and left a message at the office asking for more. THAT set off a storm--according to the surgeons, it is not normal to need narcotics 4 days after this surgery. Meanwhile, any time I'm upright for more than a few minutes, the pain becomes unmanageable for at least an hour after. Not much bleeding, just this deep ache that isn't relieved by changing positions, combined with a raw feeling on the outside and some burning pains that are obviously an inflamed nerve. And of course the famous pressure everyone else talks about on here and the swelling. It all sounded pretty much like what I've read here, and I didn't think there was likely to be anything wrong with me, but I was definitely hurting. They insisted that if I thought I needed more pain meds, I needed to come in for an exam, and on my side I started talking myself down and got really embarrassed for being such a wimp, and almost didn't go in. But I went on in, mainly to get the doc to check out some hanging stitches and make sure I didn't tear anything up sneezing yesterday (pollen season in the south).

So it turns out, I have a hematoma! That's when you keep bleeding after the surgery internally and the blood builds up in a pocket where it doesn't belong. This causes more swelling and inflammation and pressure and pain. Apparently they're a common complication with gyno surgeries and can cause dangerous infections if not treated. And there was absolutely no way I could have worked that one out myself. It was way up inside of me near the top of my stitches. They had to open up the stitches near the top to let this thing drain, and I've been promised that in a couple of days I'll feel brand new. I still don't believe those tricky you-know-whats, because everyone knows you can't trust anyone who says , "you're going to feel a little pressure" or "just a little pinch." I have to admit the exam was very scary and uncomfortable, for obvious reasons right after surgery. They tried to be very gentle and kind, though. It did hurt when they took out the stitches, but it didn't take long. Anyway, the moral of the story is just go in and see somebody, because there's only so much detective work we can do on our own.

In other news, I have no unintended peeing and I pooped completely hands-free for the first time in a very long time. So the surgery worked, even though I have spent the past several days questioning whether it really would have been that bad to spend the rest of my life pooping with my hand in my hoo-haw...

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  • Posted

    Omg!! Home within 2 hours???

    That sounds barbaric!!

    You had general anaesthetic and you were home two hours later, that’s insane!

    Glad you’re hopefully on the mend, take it easy! Xxx

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  • Posted

    Nice way to put it, good luck on the rest of your recovery, it is a long road, and im hopping worth it!!

    Good luck!! And yes this site has told me more about the recovery than anyone else has!!!

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  • Posted

    Wow you have had such a bad run.

    I had extensive surgery too but was in hospital 4 days and on double meds. More morphine to travel home. I could not imagine what that would have been like leaving same day as surgery. During the first 24 hours I had calf muscle stimulators, internal pack, IV fluid line and catheter which is standard. Your bladder and bowel would not have even settled down.

    I really hope you can give yourself all the rest you need and don't fall Into the trap of doing too much too soon as you so deserve the best recovery and ...... summon all the help out there as it is a slow journey. Be the tortoise not the hare!!

    Time to take care of your self girl.

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  • Posted

    I can relate to your pain. Here in Sweden your sent home in 2 to 3 hours after surgery too. I had a rectocele, cystocele and perinium repair. I ended up with a massive hematoma that swelled so much it burst my perinium stitches. now 12 weeks after the first surgery i had to go back in to re do the perinium repair. once again out after 2 hours and yet again another hematoma. i'd be lying to say it's not been awful but i'm finally seeing light at the end of the tunnel. I found Lavender oil rubbed on the hematoma made it slowly go down and would recommend it  to anyone for the swelling.good luck with your recovery!

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    • Posted

      Sorry if I wasn’t clear . I meant on the hematoma not the stitches. They used lavender oil in world war 1 for loads of stuff. It was someone on this website not this thread though that used it and I gave it a try and it worked.
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    • Posted

      If you google Lavender oil for this purpose there’s loads and loads of info on it. 

      Lavender essential oil can be added either to a full bath, or if you prefer, a sitz bath. A sitz bath is basically a bath just big enough to sit in; it’s also called a hip bath. Lavender is probably one of the most well-known essential oils and healing agents and for good reason. It’s antibacterial, anti-fungal and anti-inflammatory to name but a few of its many, many properties. Research has shown that it aids relaxation, sleep and skin regeneration. Add 10 drops to a full bath or 3-4 to a sitz bath.

      Just one article i found but there’s loads. 

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    • Posted

      Yes im a big fan of lavandar oil in particular but i personally wouldnt want to use it around or near wounds.

      I have a friend who is a herbalist and even though it has wonderful qualities i wouldnt use near a newly healing wound.

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    • Posted

      I also use it on my pillow too.i love it . Im very cautious about using oils in sitz bsth after surgery. I personsally have ben told by my professor not to sitz bsth as it makes stitches soggy . Each person has there own tske on there healing and must only listen to there surgeon. I hope we all heal fast and get back to bring us very soonx
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    • Posted

      Wow, lavender oil? I've heard that can be very irritating to tender skin. Then again, my husband was shocked when I told him I was using diluted witch hazel down there. Bursting the stitches sounds awful. I guess I'm lucky they snipped the stitches for me. This thing is still draining very dark blood 4 days later....I wonder how big it was? My surgeon told me today that hematomas are more likely with this surgery in pre-menopausal women because the estrogen causes increased blood flow in the area. She told me too that if she'd known I might be prone to this, she would have placed packing in the vagina to put pressure on the incision and prevent the bleeding. It sounds like this is standard procedure in EU and AU. Wonder why they're not doing this in the US? Did

      they do this for you?

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  • Posted

    Good God hun 2 hours,it wouldn't be allowed over in uk. Is get back in touch with hospital if your have any other issues,sounds very laxed if you ask me.

    Thank goodness that they do keep having for at least 2 nights here.I hope you heal well.xx

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  • Posted

    Hi x i’m With you on the relief of hands free BMs 🙌🏼🤣 Or looking like there is an extra something hanging down , and not having to ‘tuck’ myself back in after a long day on my feet 😬

    Also with the boredom, 2 weeks 2 days post op and I’m so bored. 

    Shouldn’t moan probably won’t get this much time off until I retire in about 25 years 😯

    Toddler as well makes it almost impossible to do completely nothing 🙄

    Xx

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    • Posted

      Be patient, don't overdo!!! And don't hold your pee!! Go every 2 hours!! Im 9 weeks today feel pretty good today,did have a scare felt a bulge and thought it failed, dr said no!! It did not move...yippee!!! So just relax,

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    • Posted

      Have you ever felt inside and felt a weird piece of flesh that feels almost like it’s trying to separate? It noticed this in the shower because things have gotten very dry and swollen since my exam. 
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