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Hello. Haven't posted for some time. Moved house and no internet so using my phone here so expect typos!
So last Friday went to joint gynae and colorectal clinic. Not the urogynae I have seen but another one plus colorectal surgeon.
Having seen missy physio who said that on examination she felt i didn't have this paradoxical muscle contraction the colorectal man says I do but it's not too bad. Gynae man agreed (I' m not entirely convinced he is a urogynae as he seems to do a lot of gynae work - but i dont know) He asked if it bothered me.
Well yes it does I entered into the rectocele surgery expecting to get better and I now have another problem. I know its not life threatening but.....
So their plan is to send me to physio - i already have an appt booked for the 17th march- for biometric feedback work. Then see how that works and regroup - their words!
Off to the urogynae appt today with the consultant who did the previous op. She went through what was said last friday. She also said they had booked me in for a proctogram i said i had had one she said no that was an mri proctogram. I said no it wasnt so she is going to query this and maybe i will have an mri one.
I asked if it was a prolapse. She said not as such as "the rather large rectocele"had been repaired. What i now have is a loose perineum. I asked if i managed to get the paradoxical muscle thing under control would the descent of waste onto the perineum at a bm be eliminated. She said no and then i could have the perineum tightened and it would be worth doing.
Interestingly she said that surgery does not always solve all ladies bowel and blader issues which is why they run this joint clinic plus pelvic physio to get better outcomes.
I said this was not said to me originally - it was that the surgery would be a cure. She said the originalsurgeon- now just retired- was a bit old fashioned. I think a new reign has begun!!
Actually feeling a bit happier . Although time is going on with no real resolve maybe i am on the right track. I did say that i hadnt had the problem at the perineum pre surgery. She felt the paradoxical muscle problem could be a side effect of the surgery - the muscles going into spasm - and they need to be retrained. I get all that. I cant really see that my perineum will tighten back up even if i solve this problem so part of me thinks why not surgery now or at least put on the list. But i will wait - if not patiently - but i will see. She agreed that we would regroup both with her and the junt cl7nic and physio.
Sorry really long post
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