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Suggest Treatment For Uterus Prolapse

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Posted on Wed, 24 Dec 2014
Question: Hi, I am 60 years old and had an outpatient cystocele/rectocele repair 3 weeks ago and am having the same symptoms I had prior to surgery. In fact, I had these symptoms at my 1-week post-op appt. and told my Dr. about it. He said that when he repaired the rectocele, my uterus prolapsed. He said that I would need it removed in 5-10 years. But now my symptoms are worse at 3 weeks. The bulge I'm feeling is much worse and I don't feel a cervix. Does this sound feasible? I'd also like to explain that when the Dr. examined me before surgery, he told me I had no other prolapses other than my bladder. I didn't know I had a rectocele until I was given my copy of the physician orders at my pre-op appt. I read this when I got home and was very puzzled and even had to look it up to find out what it was. He did no testing to find out if I had any other prolapses nor even had me bear down while having the speculum in. I should have done my research prior to surgery but had faith in my doctor. The way I'm feeling, there's no way I can wait 5 years if it is my uterus, and I'm not sure I trust this Dr. to continue treating me at this point. Please, what is your opinion?

I'd like to add that it's getting harder to completely empty my bladder also. Prior to surgery I was able to after waiting a minute or so, but now I can't. I'm afraid this will lead to infection. I see my doctor again for an exam on Dec. 23rd.
doctor
Answered by Dr. Manisha Jain (44 minutes later)
Brief Answer:
traction enterocele

Detailed Answer:
Hello, I understand your problem.
In my opinion you have developed traction enterocele after the repair of rectocele due to scar formation and contraction.
It is an uncommon but known complication of vaginal repair procedures.
You can read a lot of data easily available on web to understand its technical reasons and diagrammatic representation.
You visit your doctor at the scheduled appointment and discuss your problem in detail.
As far as difficulty in passage of urine is concerned drink a lot of water, tea and coffee so that you void frequently and while trying to pass urine insert a finger in your vagina and reposit the prolapsed cystocele and then pass urine but keep vagina supported by your gloved finger.
I know this is a little bothersome but once you completely empty the cystocele like this there are chances that you pass urine spontaneously next time.
All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (14 minutes later)
Are you saying that I may have another cystocele? And I would be bothered with scar formation less than 1 week after surgery?
doctor
Answered by Dr. Manisha Jain (10 minutes later)
Brief Answer:
another surgery may be required

Detailed Answer:
Yes you are having all these symptoms due to the stitch line or the plane of attachment putting traction on the adjacent fascia which starts even at 3rd or 4th day of surgery.
This problem can be as big as requiring another surgery to correct the same or that your gynecologist might like to offer you mesh placement after removing your uterus.
I hope I have explained you the whole picture but in case you have any questions I will be happy to discuss them with you.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (11 minutes later)
I'm sorry but I just want to make sure that I have this right. You're saying that you believe I now need an enterocele repair and a cystocele rerepair possibly using mesh this time. And go ahead and remove the uterus. Can all this be done without any problem since I already have had this previous surgery?
doctor
Answered by Dr. Manisha Jain (13 minutes later)
Brief Answer:
proper evaluation

Detailed Answer:
Yes mam, you are getting it right.
This is exactly what I meant this is the most probable course of action to relieve the symptoms.
But a thorough evaluation before that is obviously a must.
You are a very learned lady as I can see the understanding of your medical scenario in every discussion so I would like you to read the topic of traction enterocele in web so that you can discuss everything with your gynecologist.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (13 minutes later)
Thank you very much. You've been a big help!
doctor
Answered by Dr. Manisha Jain (10 hours later)
Brief Answer:
welcome

Detailed Answer:
Most welcome.
In case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (18 hours later)
Thank you so much! I just may need to do that.
doctor
Answered by Dr. Manisha Jain (5 hours later)
Brief Answer:
welcome

Detailed Answer:
Welcome mam, I will be glad to answer you.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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Suggest Treatment For Uterus Prolapse

Brief Answer: traction enterocele Detailed Answer: Hello, I understand your problem. In my opinion you have developed traction enterocele after the repair of rectocele due to scar formation and contraction. It is an uncommon but known complication of vaginal repair procedures. You can read a lot of data easily available on web to understand its technical reasons and diagrammatic representation. You visit your doctor at the scheduled appointment and discuss your problem in detail. As far as difficulty in passage of urine is concerned drink a lot of water, tea and coffee so that you void frequently and while trying to pass urine insert a finger in your vagina and reposit the prolapsed cystocele and then pass urine but keep vagina supported by your gloved finger. I know this is a little bothersome but once you completely empty the cystocele like this there are chances that you pass urine spontaneously next time. All the best.