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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Risky Is A Second Prolapse Surgery? Have Rectocele

How risky is a second prolapse surgery. My doc said I could have shortened vag or incontinant problems - or even a fistula!! It is stage 2 rectocele and 1 plus bladder . My doc that did the original surgery was a Mayo Specialist, and refused to do a second surg at this point. I do have a date booked, however, at another clinic. I was fitted for a pessary today, but I m afraid of the big bill with the insurance change in a few months. That is why I am rushing. The doc said I was too young for the 2nd surgery (52) and should save my last surg in case I need it down the road. What do you think? YYYY@YYYY (please don t publish my full name)
Mon, 30 Sep 2013
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General & Family Physician 's  Response
Hi and thank you so much for this query.

I am so sorry to hear about this recurrent pelvic prolapse.

The truth is surgery is only indicated when medical treatment fails. in this case, a repeat surgery would carry greater chances of failure and recurrence even higher. This is why I would suggest that you only get to do a second surgery when all non surgical interventions like the pesaries fail to provide you with an acceptable quality f life. Otherwise, please don't rush into surgery just yet because of a possible change in insurance policy. Please, this is your life and way more important than any future bills.

I don't want to suggest so but hope your doctor is accepting this procedure purely backed by medical findings and no motivation as to the payment. Please, strongly consider and maybe get a third opinion after examination about this.

I hope you find this helpful and guides you on the way forward. I wish you well.
Dr. Ditah, MD
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How Risky Is A Second Prolapse Surgery? Have Rectocele

Hi and thank you so much for this query. I am so sorry to hear about this recurrent pelvic prolapse. The truth is surgery is only indicated when medical treatment fails. in this case, a repeat surgery would carry greater chances of failure and recurrence even higher. This is why I would suggest that you only get to do a second surgery when all non surgical interventions like the pesaries fail to provide you with an acceptable quality f life. Otherwise, please don t rush into surgery just yet because of a possible change in insurance policy. Please, this is your life and way more important than any future bills. I don t want to suggest so but hope your doctor is accepting this procedure purely backed by medical findings and no motivation as to the payment. Please, strongly consider and maybe get a third opinion after examination about this. I hope you find this helpful and guides you on the way forward. I wish you well. Dr. Ditah, MD