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Doctor insights on: Total Uterine Prolapse

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Does divinci hysterectomy total invoke mesh implant?

Does divinci hysterectomy total invoke mesh implant?

No: Hysterectomy and mesh implant are 2 different procedures. Sometimes can be combined, but as a rule does not involve the mesh application.Both procedures can be done with da vinci. ...Read more

Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more


Dr. John Kirk Dr. Kirk
3 doctors agreed:
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Is uterine prolapse painful?

Dr. John Kirk Dr. Kirk
3 doctors agreed:
Is uterine prolapse painful?

Sometimes: It is not always painful when the uterus falls down or out. In fact, it is not usually painful. It can be though when it is accompanied by the bowels in a herniation of sorts called an enterocele. Also, it can become raw and infected as it dries and remains exposed to the elements, thus causing pain. If it pinches the urethra shut it can cause significant pain and problems. ...Read more

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U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. LargestFibroids@uterine fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?

U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. LargestFibroids@uterine fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?

Fibroids: Are relatively common, and if you are not having any symptoms related to them, probably nothing needs to be done. It sounds like you had a transabdominal ultrasound and your ovaries could not be seen due to bowel gas. This happens occasionally. If your doctor wants to check your ovaries, you need to have a transvaginal ultrasound. If the ovaries are still difficult to see, MRI might be useful. ...Read more

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Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Heavy uterine bleeding 3 weeks pelvic/transvaginal  us  hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...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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Could grade 2 cystocele and rectocele grade 1-2 uterine prolapse cause frequency, slight leakage?

Could grade 2 cystocele and rectocele grade 1-2 uterine prolapse cause frequency, slight leakage?

Yes.: A cystocele alone can cause urinary urgency. Certainly with the added issue of uterine prolapse this would be a common symptom. Actually almost any pelvic organ prolapse can cause bladder symptoms. ...Read more

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Compare rectocele and rectal prolapse?

Compare rectocele and rectal prolapse?

Vaginal vs. Anal: A rectocele is bulging of the rectum towards the vagina (thus creating a "bulge" in the vagina, and possibly difficulties having a bowel movement). It is due to a weakening of the connective tissue between the rectum and vagina. Rectal prolapse is a condition in which the rectum loses its normal attachments inside the body, allowing it to telescope out through the anus, thereby turning it “inside out”. ...Read more

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U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?

U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?

Hysterectomy: Your gynecologist must discuss this with you as soon as possible. There are many ways to determine if things are OK or not and the gynecologist will help you. Please let me know what develops. ...Read more

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Cystocele, prolapsed uterus, relaxation. What are the signs?

Cystocele, prolapsed uterus, relaxation. What are the signs?

It varies.: The most common symptoms are a mass bulging into the vaginal opening, pelvic pressure or discomfort, and difficulty with bowel or bladder function. Many women can feel something bulging through the vaginal opening. To check, place fingers at the vaginal opening while seated on a toilet and bear down as if you are trying to have a bowel movement. ...Read more

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Does partial hysterectomy affect vaginal health?

Does partial hysterectomy affect vaginal health?

Not unless shortened: There is no impact on vaginal health unless the surgeon resects too much vagina in the process of doing the hysterectomy, if the cervix is removed. "Partial hysterectomy" can mean removing only the uterus and no cervix, or the uterus with retention of the tubes and ovaries. ...Read more

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Hysterectomy ,TVT,correctional bladder prolapse6wk out experience "contraction-like" pain Ct saw fecalization of smIntestine. Fam hist.rectalcancer?

Hysterectomy ,TVT,correctional bladder prolapse6wk out experience "contraction-like" pain Ct saw fecalization of smIntestine. Fam hist.rectalcancer?

Postoperative pain: I believe that the surgeon who performed your procedure is best qualified to evaluate and advise you. I don't feel that the symptoms or ct findings are necessarily a sign of rectal cancer, but the surgeon can also best address that question. ...Read more

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Uterine wall- non secretory surface endometrium over myometrium. Uterine nodule - leiomyoma of uterus without cellular atypia. Uterine cervix- chro?

Uterine wall- non secretory surface endometrium over myometrium.   Uterine nodule -  leiomyoma of uterus without cellular atypia. Uterine cervix- chro?

Path report: Is this a biopsy? Are you bleeding? Results of a hysteroscopic procedure? Go to the post procedure follow up and discuss the next step with your gyn physician. ...Read more

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What is 2.8*1.7cm anterior wall fibroid?

What is 2.8*1.7cm anterior wall fibroid?

Small growth: Anyone can get a uterine fibroid, which is an overgrowth of muscle cells in the shape of a ball. Like moles on the skin, they come in different sizes/shapes; RARELY cancerous. You only need surgery if you have symptoms like pain/pressure/incontinence/bleeding/bloating. Size/location don't matter. Lupron (leuprolide) or embolization are ways to control w/out surgery. US follow up is very important. ...Read more

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Does First degree of prolapse uterus affect fertility?

Does First degree of prolapse uterus affect fertility?

Likely not: I answered the question about third degree prolapse and infertility. Here is the case report of surgical correction of uterine prolapse, resulting in the ability to conceive. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3939225/ Normally, uterine prolapse is not a cause of infertility Here is more info on uterine prolapse: http://www.houstonfertilityspecialist.com/articles/art_uterine_prolapse. ...Read more

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43yo with a posterior intramural fibroid 5x5x4cm. Endo stripe is 3mm. Uterus 10x6.5x6.2cm. Doc advised TVH. any input about size of uterus for TVH.

43yo with a posterior intramural fibroid 5x5x4cm. Endo stripe is 3mm. Uterus 10x6.5x6.2cm.  Doc advised TVH. any input about size of uterus for TVH.

Should go well: The overall size of your uterus seems fine to try for a vaginal approach. A much larger uterus can still even be removed vaginally if other conditions are favorable, such as an adequate size of pelvis, a mobile uterus, and lack of scarring in the pelvis. ...Read more

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Does mitral valve prolapse cause low energy?

Does mitral valve prolapse cause low energy?

Usually not ...: Mitral valve prolapse occurs when the leaflets of the mitral valve, between the heart's left atrium and ventricle, bulge upward or back into the left atrium as the heart contracts. When more severe, it causes leakage of blood back into the atrium--mitral regurgitation--which can cause fatigue. But the majority of cases of mitral valve prolapse are not this severe and cause few, if any, symptoms. ...Read more