Q
: 1
02/16/2009 |
What is your opinion on anterior posterior repair?
This is a repair for cystocele and rectocele. It is one of several repairs that may be performed for anterior and posterior wall prolapse. The repair that is chosen depends on where the defects are located,severity,prior surgery,age,health of patient,etc. All of these factors are important in choosing your surgical approach.
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Q
: 2
01/28/2009 |
If you are diagnosed with cystocele and the bladder is extending into the vagina, is it dangerous to have intercourse? I have no leakage only maybe a dash to the bathroom in the middle of the night periodically.
It is no problem. The only issue is if it bothers you for some reason. You can do no harm. I generally recommend repair when it bothers you in some way.
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Q
: 3
03/04/2008 |
After giving birth to my son 10 weeks ago, I suffered severe urinary incontinence. I've gone from absolutely no control or feeling, to the ability to hold for a bit under little to no stress and regained feeling. Although I've seen some improvement in the last 10 weeks with Kiegal exercises, my activities are still limited by the problem and I'm nowhere near where I was pre-pregnancy . Jogging is out of the question, walks must be carefully planned and fluid intake is tentative. My question is, how long post-partum should a woman wait before seeking more aggressive treatments?
It generally takes 3 to 4 months to see results from physical therapy. You may want to get a referral from your OBGYN for a good pelvic floor physical therapist to maximize your result.
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Q
: 4
02/21/2008 |
What is the best treatment for a prolapsed uterus?
I was told my uterus is just slightly torn. When I walk, I really feel the part that has dropped. Also, my back begins to ache.
It depends on age, severity, and desire for child bearing. If you have completed childbearing you may consider hysterectomy and vaginal repair. Generally uterine suspension fails over time.
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Q
: 5
02/15/2008 |
I have severe stress incontinece leading to leaking multiple times every day with only minor stresses (stepping off a curve or walking quickly, sexual intercourse, standing from sitting position or even cough while lying flat). I have no urinary retention or urge incontinece.
I am 40 ears old, healthy, and previously very active - mogul skiing, mountain biking, running, etc. I have two very small children - under the age of 15 months.
What procedure would you recommend with the least risk and yet the best chance of me being able to return to my old life and activities?
You should seek complete evaluation prior to choosing a procedure. The best least invasive procedures are TVT and TVT-O suburethral sling.
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Q
: 6
12/06/2006 |
I was told I need to get a cystocele with rectocele and a partial hysterectomy. Is it absolutely necessary to get the partial hysterectomy? I am concerned about hot flashes, etc. after surgery.
You will be in menopause after the surgery only if you have your ovaries removed. Otherwise you should not get hot flashes.
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Q
: 7
12/01/2006 |
Does urinary and fecal incontinence go hand in hand? Will correcting the urinary incontinence correct the other?
They are two different problems but are often seen together. Correcting one will not usually help the other.
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Q
: 8
06/05/2006 |
What is the surgical procedure for vaginal vault prolapse due to enterocele?
There are several depending on how bad the prolapse is and where the defects are. The abdominal approach is called Abdominal sacral colpopexy. There are also vaginal repairs that may be done. A careful exam by your doctor should help you pick the best approach.
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Q
: 9
06/01/2006 |
During the delivery of my daughter the physician used forceps and I received a lateral wall tear. One week later I developed a Grade 2 cystocele. My OBGYN told me to do Kegel exercises and give it time to heal. It is now three months later and nothing has changed. Can fallen bladder go back in place without surgical help? Do I need to be evaluated for vaginal wall reconstruction? I am a critical care nurse who has gotten several very different opinions from her physician co-workers. I'm only 32 years old and this is interfering with my life. What should I do?
You should be seen by a pelvic floor physical therapist and probably a uro gynecologist.
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Q
: 10
05/25/2006 |
Is surgery the only answer for a cystocele?
No you can use a pessary for support. You only have to treat this if it is bothersome to you.
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Q
: 11
05/22/2006 |
My mother is 74 years old. She was diagnosed with cystocele, and they said there's no chance for her to recover. I wonder if surgery will help to alleviate her pain and if the surgery would be a major procedure for her?
There are simple procedures to do to help her. Age is not a contraindication. She would have to be evaluated to see what she would need.
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Q
: 12
03/18/2006 |
What is the worst that can happen if a cystocele and rectocele are left untreated, and they are already at the worst phase?
The vagina can turn inside out. It may result in urethral or ureteral obstruction which may damage the kidney. You may also have trouble with bowel movements.
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