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Is Pelvic Floor Weakness Due To The Hysterectomy?
Question: 63 yr old female with Lumbar laminectomy for spinal stenosis and disectomy L3-4, L4-5 due to rupture and obliteration 12 weeks ago,. No pain following surgery. Starting week five, started feeling pelvic pressure with BM or urination before and after. I had total hysterectomy 14 months ago and breast cancer 2008. Went to GYN this week who ruled out UTI and pelvic floor weakness. Is this a result of the surgery?
Brief Answer:
Unlikely to be due to surgery; UTI is a common cause
Detailed Answer:
Hello,
If a complication occurs due to surgery then in most cases it occurs immediately after the surgery. Its unlikely to be due to a delay of 4-5 weeks (or 14 months in case of hysterectomy). Urinary tract infection is a common cause of fullness in pelvic floor along with the symptoms you are sharing. If i were your treating doctor then i would have advised following measures:
- Drink adequate water.
- Take very good care of personal hygiene.
- Wash genital area thoroughly after using washroom.
- Avoid coffee, alcohol, and soft drinks containing citrus juices and caffeine
- Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra.
- Get an ultrasound of abdomen & pelvis done.
Hopefully you will see improvement in 2-3 days but if condition remains same or aggravates then you need to visit hospital for further workup.
Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you good health!
Unlikely to be due to surgery; UTI is a common cause
Detailed Answer:
Hello,
If a complication occurs due to surgery then in most cases it occurs immediately after the surgery. Its unlikely to be due to a delay of 4-5 weeks (or 14 months in case of hysterectomy). Urinary tract infection is a common cause of fullness in pelvic floor along with the symptoms you are sharing. If i were your treating doctor then i would have advised following measures:
- Drink adequate water.
- Take very good care of personal hygiene.
- Wash genital area thoroughly after using washroom.
- Avoid coffee, alcohol, and soft drinks containing citrus juices and caffeine
- Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra.
- Get an ultrasound of abdomen & pelvis done.
Hopefully you will see improvement in 2-3 days but if condition remains same or aggravates then you need to visit hospital for further workup.
Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you good health!
Above answer was peer-reviewed by :
Dr. Kampana
UTI and pelvic floor weakness was ruled out with a Gyn visit this week, as I included in my question. She did not feel any pelvic masses either. Any other thoughts?
Brief Answer:
Muscular Spasm could be the other cause
Detailed Answer:
Hello
Thank you for getting back with the answers. Other common cause include bowel disturbance followed by muscular spasm. Post-surgucal mannupulation (although unlikely after this period) may also be the cause as common causes have been excluded. Following mesaures will hopefully help n improving the status:
- Eat high fiber diet
- Aoid carbonates drinks
- Less carbohydrates.
- take Phloroglucinol + Trimethyl Phloroglucinol (generic name Tab Spasfon) antisposmadic medicine once a day for 2 days.
Thank You
Muscular Spasm could be the other cause
Detailed Answer:
Hello
Thank you for getting back with the answers. Other common cause include bowel disturbance followed by muscular spasm. Post-surgucal mannupulation (although unlikely after this period) may also be the cause as common causes have been excluded. Following mesaures will hopefully help n improving the status:
- Eat high fiber diet
- Aoid carbonates drinks
- Less carbohydrates.
- take Phloroglucinol + Trimethyl Phloroglucinol (generic name Tab Spasfon) antisposmadic medicine once a day for 2 days.
Thank You
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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