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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Prolapse Repair Surgery. Taking Estrogen. How Successful Is Robotic Surgery?

In 2007, I had prolapse repair surgery through the vagina using mesh and bladder sling. It lasted 6 months. In addition, the surgeon cut my ureter and fortunately a urosurgeon was called in and it was successfully repaired. For several years I was able to manage the prolapse with exercise and estrogen , but last year I signed up for a yoga class and the prolapse .returned. I talked to a urosurgeon at Mayo s in Scottsdale, and he recommended robotic surgery and using mesh more extensively. My original experience was very unpleasant and it was a year before I was close to normal. I have also read about the negative side effects of mesh, and I am very nervous about surgery using mesh and the robotic surgery. John Hopkins recently had a report out on robotic surgery and it was not very supportive of it s use. Is there some where I can get the full report on how successful these robotic surgeries are?: What are my alternatives? Thank you.
Thu, 19 Sep 2013
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General & Family Physician 's  Response
Hi, as it is a recurance, of prolapse, and there will be stitches, and adhesions with the bladder and surrounding structures, it may not be prefered to have a surgery.
I advise you to consult a gynecologist for diagnosis and treatment. Here you may have options to correct it temporarily by stitches, in the vagina, or fixing a ring around cervix. Wishing for the best. Thank you.
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Homeopath Dr. C. J. Varghese's  Response
Hello friend,
Any surgery has its own risk. A repeat surgery is going to be more risky.
You know that robots do a surgery as programmed and instructed.
Treatment has to be individualistic.
Unfortunately you started on a track that is against nature and met with its consequences. You have to come back to the natural and safe method of treating your problems.
I can recommend Homoeopathy for you. Homoeopathy can offer relatively safe, simple, scientific and effective treatment for you. If you are interested, you can get back to me.
It can prevent further surgeries on you and can offer many more years of healthy life.
Dr C. J. Varghese, Homoeopath
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Ayurveda Specialist Dr. Munish Sood's  Response
**
1. prolapse itself means that your surrounding tissues were weak resulting in repair of the pelvic organ.
2. although FDA has approved use of "mesh" as transvaginal placement, but it is not a good material BUT at the same time the only material available with Pharma and Doctors.
3. In most cases mesh is not required (as recent studies indicates) but if it is necessary you should get a second opinion.
4. In any Robotic surgeries chances of success ranges between 70-80%.
5. you can scroll "Zipper Urogynecology " site for the same.
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History Of Prolapse Repair Surgery. Taking Estrogen. How Successful Is Robotic Surgery?

Hi, as it is a recurance, of prolapse, and there will be stitches, and adhesions with the bladder and surrounding structures, it may not be prefered to have a surgery. I advise you to consult a gynecologist for diagnosis and treatment. Here you may have options to correct it temporarily by stitches, in the vagina, or fixing a ring around cervix. Wishing for the best. Thank you.