Doctor insights on:
Cystocele Surgery Recovery Time
My family dr. Said I have a hernia and"cystocele with prolapse". I am a 51 year old female. What needs to be done? What type of dr do I need to see, and what needs to be done. How many surgeries will it take to fix the problem? How long would my recovery
You: You should be evaluated by a urogynecologic surgeon who has experience with repairing these type of hernias which can be quite complicated. If you are over weight, then losing weight is perhaps the most important thing that you can do. In addition, avoid constipation and straining when you urinate. ...Read more
Supposing I have surgery to correct my cystocele (mild prolapse), will this be a sure fix and correct it?
No.: I would only recommend surgery to repair a cystocele if it is causing you significant problems. There really is no such thing as a sure fix. All procedures used to repair cystocele have a failure rate. If your problem happens to worsen over time it can be repaired later. Their is no danger in waiting. ...Read more
What happens if I have surgery to correct my cystocele (mild prolapse), will this be a sure fix and correct it?
20 % relapse: There is no sure fix for a cystocele and recurrence rates of as high as 20 % after two years have been reported in the medical literature. The rate increase as time progresses. ...Read more
I'm having a surgery where the dr told me I'm having my rectocele and cystocele fixed, they didn't tell me what the op is called? Is it a vaginoplasty?
Probably not...: The medical term for this surgery is "Anterior and Posterior Colporrhaphy". You might also hear it called an "Anterior and Posterior Repair", or "A&P Repair". Vaginoplasty usually refers to cosmetic vaginal surgery, sex reassignment surgery or fixing birth defects of the vagina. Best wishes! ...Read more
I have a grade 3 cystocele & rectocele I'm having repaired on the 27/11/15, how long after my surgery can I lift up my 15mth old, 12kilo daughter again?
Gyn confirmed cystocele & rectocele w/ symptoms. Estrogen cream prescribed for 1 month then recheck. How likely is surgery?
It depends on stage: If the two "celes" are second or third degree then surgery is likely. Additional surgical intervention causes are repeated urinary tract infections from incomplete bladder emptying, fecal retention/constipation with need for manual removal, extrusion to the outside of the body or intercourse "blocking". ...Read more
I'm supposed to have cystocele surgery and my dr. Also wants to remove my uterus. Is this necessary? I'm 52 and have not had a period in 15 months.
No: Not necessary, but may be in your best interest. If you will not be using uterus any longer for procreation, there is no benefit to keeping it. Risk of taking it out is low. Downside of keeping it is that you could develop disease or cancer of uterus. Risk and benefit ratio is different for everyone. Have this frank discussion with surgeon. ...Read more
Which surgery should I have done 1st and why? Surgery in spine to replace disk at l5-s1 (bone on bone now) or surgery to correct cystocele & rectocele.
Cystocele repair surgery 2 years ago and urinary rention ever since. What is the best treatment for underactive detrusor muscle other than catheters?
Two weeks post-surgery rectocele/cystocele/manchester repairs. Strong anal pressure, sense of constipation (normal stools), painful flatulence. Norm?
It's still early on - your anorectal region is adapting.
Speak with the surgeon that did your operation. ...Read more
Scheduled to see a urogyn. In a month about possible mild cystocele (just looks odd with a mirror), would horseback riding be ok in the mean time?
Here are some. ..: Horseback riding will not affect what does already exist; so enjoy horseback riding. But, what you saw in the introitus as described could have no clinical significance. To make the upcoming urogyn visit more sense, collect the info on the onset, degree, duration, Hx of pregnancy & childbirth if any, current voiding, etc. Over time, and bring those to her/him for analysis + physical exam + tests? ...Read more
Does estrogen cream stop or slow the progression of cystocele or is it just a matter of time before it falls out completely?
Not usually.: Although these procedures can be done at the same time, it would be unusual for a general surgeon to perform cystocele or rectocele repair. More commonly these procedures would be performed by a gynecologist, urogynecologist or a urologist. Just be sure that whoever does your surgery has a lot of experience performing these types of procedures. Never hesitate to get a second opinion. ...Read more
It happens that a general surgeon remove my gallbladder and fix my rectocele/cystocele at the same time?
Usually not: A general surgeon does gall bladder surgery on a regular basis. Rectocele and cystocele surgery is usually performed by a gynecologic surgeon. At some hospitals the two surgeons can coordinate their schedule so that they can both do their respective procedures during the same anesthesia. ...Read more
Will estrogen cream stop/slow progression of moderate cystocele or is it just a matter of time before it totally falls out now that I am post menopause?
Is it normal to get a cystocele on first pregnancy at 27w? Not overweight. Stand and sit for long periods of time. Is there harm to baby?
No harm...: Cystocele rarely occurs in your described scenario, but not impossible. If it's, it would be very minimal or marginal. Clinically, it bears no harm to baby during pregnancy, but be aware that more vaginal deliveries may worsen the degree of existing cystocele over time. This is life and that is what we know about it. More? Ask doc timely. Best wish... ...Read more
Any surgery has risk: Risks of cystocele repair include but are not limited to: bleeding, infection, injury to surrounding tissue, organs, nerves, urinary incontinence, inability to empty bladder, constipation, erosion or exposure of sutures or implanted graft materials, sexual dysfunction, extended hospitalization, anesthesia or medicine reactions, recurrence of prolapse, diasbility and death..... ...Read more
Bladder tack.: Commonly referred to as a "bladder tack " a cystocele repair is a variety of procedures that are used to fix a prolapsed or dropping bladder. Typically sutures are used to repair the damaged supportive tissue between the bladder and the vagina. Sometimes a graft is used to reinforce this repair. The surgery can be performed through a vaginal or laparoscopic approach. ...Read more
May be: In my 42 years of obgyn practice I surprised by few cases that they were completely reduced after 5+ years and no surgery was necessary As you age the tissue lost its blood supply and turn fibrotic If your genetics is on your side and not to bare down for few years, it may improve Hate to say I can't recall any patient improved much with the kegels! High HRT worsen it ...Read more
Most repairs can use: Your own tissue and stitches. Mesh is still appropriate in some cases. When used by an experienced gyn surgeon or urogynecologist it has reasonable risks. ...Read more
Stage 2 cystocele when bearing down. Does that mean I am stage 0-1 until I bear down or am I stage 2 all day long?
Cystocele: Their is some subjective interpretation of degrees of pelvic organ prolapse. The doctor doing your exam or an experience Urogynecologist can give you a POP-Q score. This a more precise system for delineating degrees of pelvic organ prolapse. It applies more objective criteria for prolapse description. ...Read more
Pessary or surgery.: A pessary is a device that is inserted into the vagina to support the pelvic organs. It is often used to treat cystocele. Another alternative would be to have surgery. For a simple cystocele the mist common procedure is called an anterior repair. Sutures are used to repair the damaged tissue that is allowing the bladder to drop. ...Read more
Dropped Bladder: A cystocele is one category of pelvic organ prolapse. Childbirth, obesity & smoking are risk factors but it can happen to anyone. As we age our connective tissue weakens and various body parts begin to dropp and sag. A cystocele is when the tissue holding up the bladder weakens allowing the bladder to dip into the vagina. Some will notice a bulge or increased pressure feeling requiring surgery. ...Read more
A cystocele occurs when there is a weakness of the support tissue between the bladder and vagina. Some patients don't ever know this is happening until they have an exam. Others will feel pressure and actually see or feel something hanging out of vagina.
A good resource is: www. Voicesforpfd. Org ...Read more
Varied: A lot of the symptoms are related to the bladder....Frequency, recurrent uti, pressure, urgency, and incomplete emptying. Additionally, you might feel pelvic pressure and pain with intercourse. You might struggle with tampon placement or the feeling of something against your clothes. ...Read more
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