What now? 6 months post op and think it's back
Posted , 9 users are following.
So here I am, LAVH and BSO January 2016, eventually diagnosed with rectocele and cystocele, which I didn't have before this op. Repair April 2017, now am sure it's back. I'm tired of it all now. Aged 51, married my amazing husband in August when all was well. Managed full intercourse with a bit of pain to start with, finally had my life back, and now this. So what next? What's the point of a further repair and all that goes with it, for it to fail again? I am considering pessaries? You would think they would have come up with something with a higher success rate by now? One of my thoughts, crazy though it probably is? If they use silicone implants for breasts, could they not put these in place where the uterus once was? Well it would be a start wouldn't it? Lol. Trying to stay positive! Any ideas, suggestions, who to ask for a referral to etc., would be appreciated. Thanks x
1 like, 33 replies
phyl_40063 Doolou1966
Posted
It's all so frustrating; get re-referred and checked out first. Make sure it's a urogynacologyst who specialises in pelvic floor repairs.
I read on this forum that they can use bio-mesh that holds things up until repair all healed and then it disintegrates around 4 months.
I'm going to look into that if my repairs fail again. Repairs are not permanent and can last up till 10 years more so will sooner or later need to have them redone again, so would be looking for something like the bio-mesh as seemingly they do not pull the walls thinner when doing this type of repair.
Maybe by then they will have something more wonderful.
Sending healing hugs doolou,
Phyl x
Doolou1966 phyl_40063
Posted
Bless you Phyl, and thank you for your reply again, your reassuring words, and positivity. I'll definitely be asking for a referral to a urogynae this time. Even though last time I asked about urodynamics, I was told there was no point, as I wasn't incontinent. To be honest, it's been shambolic from day one! It seems that you get pushed from one waiting list to another, no information, or very inadequate to say the least. So much for a national health service eh?
Thank you so much again. Hugs right back to you x
sheila89754 Doolou1966
Posted
I'm so sorry to hear your surgery has possibly failed. Can you explain what BSO is?
Doolou1966 sheila89754
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Thank you Sheila, as Phyl has said further down its bilateral salphingo oophorectomy, removal of ovaries and tubes. The surgeon asked me just before my op whether I wanted to keep my ovaries. Maybe naive, but said she should do what she thinks is best for me. She had done my previous surgery and changed my life for the better. I don't think keeping my ovaries would have made any difference, and the endo would probably have come back with continued oestrogen in my system? x
cookienz Doolou1966
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Hi Doolou, Id recommend the pessary it helped me for quite sometime. I had repairs 12 months ago and so far so good much happier no splinting etc and no pain. Must say I was never told the operation would only last for a certain amount of time. I now know that this forum is more informative than what we ladies can be told by the fantastic medical profession that most of the time get it right with the repairs they do for us. You say "whats the point of a further repair" I guess chicky it would be really dismal if they could do no more. I would feel utterly gutted if I had to go thru all we do again so soon and I feel for you but I guess you really have no choice. God Bless stay strong and keep sharing xxxxx
sheila89754 cookienz
Posted
I'm questioning whether the anterior repair I had in May has worked, the horrible bulge is still there.
Of all the warnings, risks and complications I was advised about it never crossed my mind the surgery wouldn't work! I'm not sure I would have another repair without a 100% guarantee; no one can give me that.
Good luck to everyone out there going through problems. Xx
Doolou1966 cookienz
Posted
Hi cookienz, thank you. Did you use a pessary before your repair or afterwards? I just don't think I can face any more surgery and the long recovery again at the moment. I just want to be somewhere near normal again? I have read that these repairs can fail, so that has always been in the back of my mind, but although I haven't seen anyone yet, I would have hoped for a bit longer than 6 months post op. If it hasn't failed, I just don't know what else it could be? I'm trying to get a GP appointment, wish me luck with that then, and take it from there. Thanks again x
Doolou1966 sheila89754
Posted
Bless you Sheila. I know throughout my recovery, I kept having doubts as to whether it had worked, it changes from day to day doesn't it? And the fact you have very little support, no follow up appointment, and more than likely lack of hormones, which obviously causes it's own nightmare for some, it's very scary. I did make normality generally, although I was careful ie, didn't go back to jumping around at the gym as one idiot consultant said! I had an OT appointment through work, and that lady said recovery is 6-9 months! I have also been told a year! Oh and at one physio appointment, she said to me ' well you'll never be were' insinuating that once you've bern under the knife you'll never be anywhere near normal again! Talk about bedside manners?I sincerely hope you are ok, and sending you healing hugs. x
sheila89754 Doolou1966
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HI Doolou
It is all such a mystery isn't it?
I saw my consultant a few weeks ago, I have my vaginal hysterectomy, sacrospinous fixation and anterior and posterior repair on May 4th. She examined me internally, lying down, and said the prolapses had not returned, I questioned what the bulge was and she said my urethra! It is uncomfortable again though, how it was before. Gross as it sounds, I want to push it back up, but it doesn't stay
I think nine months to a year is possibly a realistic time for complete healing but I can't see how this bulge is going back; I'm religiously doing pelvic floor exercise (reminds me as I type!), and have returned to exercise but didn't until my consultant gave me the go ahead.
Sex is still an issue, we months I didn't even try it, then after about three months it was hard to have penetration. Now it is still very sore deep inside, possibly at the vaginal vault!
I haven't been back to my GP but am considering it. I do have a follow up appointment with my consultant in March 2018, one of the reasons I opted for surgery was slight leaking, noticeable when I exercised or bent down gardening etc. She said she cannot asses this until it is all healed and she may then have to consider further surgery. Like you, I don't think I can face that again, the surgery was the easy bit, I sailed through that and thought I would be all fine. It NEVER crossed my mind the surgery wouldn't work and no one ever told me that it might not last. I fell mine has hardly healed and I feel the bulge.
I do have some benefits, I am not constipated and can wee without leaning forward! Sorry for so much information, but I think when we've been through what we've been through we are OK to talk about such things.
I do hope you can resolve your problems.
robyn94818 Doolou1966
Posted
What's LAVH & BSO?
phyl_40063 robyn94818
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may73695 Doolou1966
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Hi, I really feel for you having gone through so much. I just thought I would comment on the use of mesh. This has been banned in the US as so many women have problems and some are in wheelchairs as skin has grown through the mesh and caused considerable problems. It can cause problems with sex as well with men getting cut from the mesh! I specifically asked for it not to be used on my anterior cystocele repair in July. When on the ward after surgery, I met a lady who had the mesh 5 yrs ago and she was on her 7th op to remove it. I am in the UK and there are groups of ladies here taking legal action too. I know it WILL work for some but just wanted you to be aware and perhaps ask the right questions, it may be suitable for you. Hope you don't mind me pointing possible problem out to you. Best wishes Mayx
phyl_40063 may73695
Posted
US that the synthetic mesh you are talking about or both synthetic and bio-mesh?
I know that lots of ladies here in Scotland had terrible problems with cheap synthetic mesh that had been imported for use, and like you say some ladies now in wheelchairs.
Matron who use to be on this site mentioned that with regard to repairs the mesh problems were sorted in England and that only specially trained urogynocologists can use it who are also trained in removal too.
They can use cadaver tissue or tissue from pigs or cows too.
Phyl x
Doolou1966 may73695
Posted
Thank you May, yes I did say last time 'no mesh', he replied they wouldn't use mesh on a first repair! That should have rang alarm bells I suppose. I'd heard so many bad reports about it previously. Can any of you lovely ladies suggest any tests I should ask for or insist on? Last time I had an internal ultrasound, apart from that it was only internal examinations, by a every Tom, Dick n Harry! Lol. I injured my coccyx in 2009, and have pointed this out to all consultants through this journey, as I feel maybe this could have some relevance to my problem? Because our pelvic floor muscles are attached to the coccyx, maybe the muscles are lax because of this? I did mention this also to my GP months ago, and suggested and xray, she thought an MRI would be better, but then because I was waiting for repair op, and prolapse was diagnosed, it got forgotten about. I've read some tests bio-something? Anyone know what that is please? Thank you all so much for your information, kind words and support. I really do appreciate it x
Rosabee may73695
Posted
The surgeon who did my repair only uses biological mesh, made from pig's bladder. He stopped using synthetic prolene mesh after only 5 ops, when he saw the damage it did. He told me he regrets it to this day. But because biomesh dissolves it is only as strong as the scar tissue left behind. He was very realistic and honest about high failure rates for post menopausal, overweight, constipated women with poor pelvic floor tone,( 1 or 2 ) and lax tissues.
Unfortunately today I am experiencing some of my old symptoms, backache, difficulty bending and emptying bowel, feeling as if something poking inside. I can't quite believe it. Feeling So low. My follow up isn't until end of November and I don't know whether to wait or see GP. Not that she can do anything.
I agree that it's unbelievable after all these advances in medicine they haven't found a better solution to this widespread health issue. A uterus replacement sounds like a great idea but not silicone, look at the problems women with breast implants have had. Wishing everyone going through this ordeal strength and positivity xxx
sheila89754 Rosabee
Posted
Do you think having a hysterectomy causes anterior and posterior prolapses?
I had an anterior and posterior repair in May, at the same time I had a vaginal hysterectomy with a sacrospinous fixation. I'm hoping the fixation will prevent a vault prolapse, something I've read about on here.
Rosabee sheila89754
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Yes. I found out after my hysterectomy that 30% of women have a prolapse after hysterectomy and that's just those who report it, are recorded and look for solutions. Again, depends on age and other factors.
sheila89754 Rosabee
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Rosabee sheila89754
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