Question: I have waited too long to see a doctor about my bladder and rectal prolapse. It's gotten to the point where it's hard for me to empty my bladder and bowel. Sometimes I have when having a bowel movement, I have to put a finger in to my vagina to push out my feces, because it's too hard to push it out on my own. They are now starting to push outside of my vagina, and seem to have closed off my vagina all together. It's been a year since I have had intercourse, but when I did, it was very painful. I have done Kegel exercises daily before this, but it didn't prevent this from happening. I know there is a plastic device that can be inserted in to the vagina to relieve the symptoms to some degree. I think I waited too long for this option. I'm tired of the discomfort from not being able to empty my bowel and bladder properly, and if I decide I want to have a sexual relationship, I don't think it would be physically possible. When I see my gyno on Friday, is it realistic for me to ask for the surgical alternative right away? I know it's my fault that it's progressed this far, but it's become too uncomfortable to let it continue any longer. Also, with having both prolapses, it seems like my vagina is closed. Is that the real case, or does it just seem that way to me? I had my uterus and cervix removed 13 yrs ago, so there isn't any chance that my uterus is doing this also. After doing a thorough self exam, it seems as if my vagina has moved in to a strange position, and that it's much shorter. Is that a symptom. Also, last question. When I was examining myself after urinating, it seems that my urethra has changed also. The bulge is extremely large, but the "pee hole" seemed extremely large and almost flat. Is that why it's so hard to get urine out, or has the prolapse affected that too, and will that also have to be fixed? I don't like the idea of having surgery, but I am very tired of the complications, and want to get it completely fixed as soon as possible. Will that be a reasonable request? One last thing. I have had to take opiate pain medication for my post herpatic neuralgia , and I am afraid that since I am taking pain medication for that, will I have problems with post op pain control?