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Doctor insights on: Colporrhaphy Repair Of Vaginal Wall

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What is advantage of laporascopic repair of inguinal hernia?

What is advantage of laporascopic repair of inguinal hernia?

Laparoscopic hernia: I perform both open and laparoscopic hernias, but would have it done laparoscopically if I had a hernia. The lap hernia has a smaller scar, less pain, quicker recovery time, allows you to look at the opposite side for a hernia (and repair it if found) and the same recurrence rate as open inguinal hernia repairs. ...Read more

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Will the combination of retroverted uterine, resection of 7cm proximal rectum & thinning of rectalvaginal septum cause trouble for pregnancy/delivery?

Will the combination of retroverted uterine, resection of 7cm proximal rectum & thinning of rectalvaginal septum cause trouble for pregnancy/delivery?

Possibly: You are at risk for trauma to the perineum such as tears and thinning. This mainly applies to the delivery, otherwise there should be no problems from this. ...Read more

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Is sagging vaginal walls the same as a bladder prolapse?

Is sagging vaginal walls the same as a bladder prolapse?

Prolapse: The problem that causes urinary bladder prolapse is a weakness of the musculature of the pelvic floor usually caused by trauma from vaginal deliveries and in the worst case the bladder protrudes outside of the vagina. Technically the vaginal walls aren't the main problem in bladder prolapse. Urologists and gynecologists can better advise you. ...Read more

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What is abnormal bleeding post-op from hysterectomy and anterior and posterior repair?

What is abnormal bleeding post-op from hysterectomy and anterior and posterior repair?

Please call your GY: If u are worried enough to ask that here , u need t call the doc who did the surgery to discuss with that doc, anything more than minor spotting I do not consider normal. ...Read more

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Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vag Vault Prolapse: Generally performed by a urogynecologist. Make sure you find out in advance whether or not your doctor performs these with or without mesh, the route of surgery (vaginal vs. abdominal), and how often the doctor performs this type of procedure. ...Read more

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What causes an infection and breakdown of vaginal / perennial repair following a vaginal delivery?

What causes an infection and breakdown of vaginal / perennial repair following a vaginal delivery?

Several: The most common culprit of this type of infection is skin bacteria already present on the vulva. Vaginal bacteria can also play a role. Blood flow from resolution of the placental site contribute "food" to bacteria. Bacteria from the rectum may also contribute. There is one serious infection that can occur in this situation so vigilance & close monitoring by you & your doctor is important. ...Read more

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After hernia surgery what are the chances of the mesh tearing?

After hernia surgery what are the chances of the mesh tearing?

Mesh tear: Unlikely, more likely to move out of position or have a securing stitch brake or scar tissue causing pain or recurrence of hernia. ...Read more

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Is the loss of vaginal elasticity the same as sagging of vaginal walls?

Is the loss of vaginal elasticity  the same as sagging of vaginal walls?

Similar concept: Loss of elasticity happens after menopause -- due to loss of collagen support from estrogen. It can lead to thinning and weakening of the vaginal walls, causing sagging and prolapse of the bladder and rectum. ...Read more

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Explain the surgery to repair vaginal rectal fistula?

Explain the surgery  to repair vaginal rectal fistula?

Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more

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Possibility of having pid+ douglas fluid accumulation post total hysterectomy?How the bacterias spread in the pelvis?Is it through the vaginal stitch?

Possibility of having pid+ douglas fluid accumulation post total hysterectomy?How the bacterias spread in the pelvis?Is it through the vaginal stitch?

Can't happen : You can not have pid because there is no pathway for a sexually-transmitted infection from the penis to travel up into the pelvic cavity after hysterectomy. You could have a pelvic abscess or an infection from another source but not pid. ...Read more

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Why does the abdomen feel hard after the repair of diastasis recti with mesh?

Why does the abdomen feel hard after the repair of diastasis recti with mesh?

Tighter: Repair of the diastasis tightens the abdominal wall and would lead to a flatter firmer stomach. Mesh allows for ingrowth of tissue which would give rise to firmer area. ...Read more

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What size baby leads to prolapse of the organs years after vaginal delivery?

What size baby leads to prolapse of the organs years after vaginal delivery?

No particular size: Number of vaginal deliveries is a risk factor for pelvic organ prolapse. For example, a woman with 6 natural births will be more at risk for prolapse than a woman without any children. The relationship between baby weight and prolapse is still controversial. ...Read more

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Abdominal hysterectomy or vaginal. Which heals better?

Abdominal hysterectomy or vaginal. Which heals better?

Both: Both will heal well. The abdominal mode requires an incision through the abdominal wall and there is usually more pain, but even then the pain is almost always well controlled with the current pain medications. In the long run they are the same, in the short term the recovery is easier after a vaginal hysterectomy for most women. ...Read more

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I havehad a nissen and hiatal hernia surgery then an abdominal wall reconstruction with surgical mesh then an abdominal wall reconstruction with pig?

I  havehad a nissen and hiatal hernia surgery then an abdominal wall reconstruction with surgical mesh then an abdominal  wall reconstruction with pig?

Pig - yes: I can't tell from your description the exact mesh or where it was placed. But generally speaking, there are biologic mesh products, some of which are derived from pigs (porcine mesh). Porcine mesh products are processed such that all the cells are washed away, and only the underlying matrix remains. Thus, the risk of adverse reactions from the mesh are very low and the products are very safe. ...Read more

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Had a/p colporrhaphy vaginal repair last year and came out of surgery unable to pee. 1yr on and I still have lazy bladder syndrome. Howdid this happen?

Had a/p colporrhaphy vaginal repair last year and came out of surgery unable to pee. 1yr on and I still have lazy bladder syndrome. Howdid this happen?

Ask the surgeon: Ask the surgeon who performed the procedure, or acquire your medical records from him/her and take them to another GYN MD who specializes in Urogynecology and ask for a 2nd opinion Consultation after he/she reads the operative report and all records. ...Read more

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I had a vaginal colporrhaphy on Nov 28 2015 and now have hardly any sensation during orgasm and it is getting worse. Is the Surgery the cause? Fix?

I had a vaginal colporrhaphy on Nov 28 2015 and now have hardly any sensation during orgasm and it is getting worse. Is the Surgery the cause? Fix?

Could be related...: By the sequence of events of the symptoms, what you reported could be related with the surgery, which might happen and will persist if improvement or return of sensation fails to return > 6 months after procedures. In managing such, one has to attest the fact that life is a constantly changing, adjusting dynamic process of struggle to cope with reality, certainty, & uncertainly of daily living. ...Read more

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I had an a/p vaginal wall repair 3 days ago. I want to masturbate using clitoral stimulation, is this ok to orgasm so soon or will it split my stiches?

I had an a/p vaginal wall repair 3 days ago. I want to masturbate using clitoral stimulation, is this ok to orgasm so soon or will it split my stiches?

Surgical technique: It is unlikely to cause harm but your surgeon will know exactly what was done and what techniques were used. It is likely they will want you to refrain at least for a brief period of time. Since we do not know exactly what was done surgically it is best we do not give a recommendation only 3 days after. I am glad your surgical recovery is going so well though. ...Read more

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Had a leep cone biopsy doctor billed for vaginal wall repair, is that right?

Need more info: A cone biopsy isn't a vaginal wall repair, but perhaps your physician did both. Ask, or get a copy of the operative note and see what is described. Billing for a procedure not done would be fraud and most physicians are honest, so it may have been done or could be a coding error. ...Read more

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Does doing kegels make the vaginal wall tighter?

Does doing kegels make the vaginal wall tighter?

They can: Ding a kegel is contracting the muscles that surround your vagina some if you work these muscles on a routine basis for 3 months in succession, you will likely improve vaginal tone and tightness. ...Read more

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Is it normal to feel feces through the vaginal wall?

Is it normal to feel feces through the vaginal wall?

Usually normal: The rectum is just below the vagina. After childbearing, the tissue between the rectum and the vagina can be quite thin. If the rectum is full of stool, it can be felt through the vaginal wall. It would not be normal if the stool formed a huge uncomfortable bulge in the vagina. This is called a rectocele. Sometimes surgery is required to repair it if it is large. Best wishes. ...Read more

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What does herpes feel like on a vaginal wall ? Is it intense pain?

What does herpes feel like on a vaginal wall ? Is it intense pain?

Can be...: Some outbreaks are intensely painful. Pain tends to be worse with the very first outbreak. Clusters of painful ulcerations on the vaginal wall and lips are frequently Herpes Simplex. Best wishes! ...Read more

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Swelling urethral opening and whitush stuff around my vaginal wall?

Swelling urethral opening and whitush stuff around my vaginal wall?

Likely infection: See your doctor for an examination. This is important to determine cause and treatment ...Read more

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Will you see rugae or smoothness of the vaginal wall with a cystocele?

Will you see rugae or smoothness of the vaginal wall with a cystocele?

Both: Vaginal rugae(folds) can be seen intra-vaginally of the upper vaginal wall where the cystocele(under the fallen bladder) is located if the problem is mild to moderate.(1st or 2nd degree) If it is a 3 degree problem the vaginal wall will be "stretched out" and smooth as rugae will no longer be seen at that point. ...Read more

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Can a normal sized vibrator perforate your vaginal wall? How do you know if this has happened?

Can a normal sized vibrator perforate your vaginal wall? How do you know if this has happened?

Possible, unlikely: You would have to be very vigorous and traumatic to do this. If you have heavy bleeding, persistent severe pain or other unusual symptoms, go and get examined by a gynecologist. ...Read more

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Is there really a difference between saggy vaginal wall and prolapse? Can you have sagging WITHOUT prolapse?

Is there really a difference between saggy vaginal wall and prolapse? Can you have sagging WITHOUT prolapse?

Degrees: Saggy is a slang term. Prolapse is a medical term. Likely both are describing the same thing. Certainly different degrees of prolapse exist. An obgyn can do an exam to determine the degree of prelate present. That along with your symptoms would guide whether or not treatment was indicated. ...Read more

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How long will stitches on the vaginal wall last?

How long will stitches on the vaginal wall last?

Depends on the type: Different suture degrade differently. So physician can tell you what type he or she used and how long it take to dissolve. ...Read more

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What is a skin culture of the exterior vaginal wall?

What is a skin culture of the exterior vaginal wall?

Semantics: I can't give you an answer, unless i knew exactly where the culture was taken from. Labs have a variety of names for things, and they are not "standardized". ...Read more

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36 yr old female found 2 tiny hard lumps in vaginal wall ca?

36 yr old female found 2 tiny hard lumps in vaginal wall ca?

Get it checked !: At your age, primary vaginal cancer is not likely. More commonly these are plugged glands or hair follicles or infections of the vaginal wall(HPV for example). Occasionally cancers (such as cervix or melanoma) can cause cancerous lumps in the vaginal wall. See a gynecologist or family doctor soon. ...Read more

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Would I be able to feel herpes on vaginal wall? What would it feel like? And if so would it go away in 4 days?

Would I be able to feel herpes on vaginal wall? What would it feel like? And if so would it go away in 4 days?

Not always: If the lesion is deep in the inside of the vagina you may not be able to fell the out break. Some have symptoms of fatigue and not feeling well at the to time of an out break. If you think you have a lesion and can't confirm it, I suggest you take medicine for it every day to suppress a possible out break. This is called daily suppressive therapy. ...Read more

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