I am on the door step of surgery. I have had bladder prolapse and slight rectocele for over 10 years. The round pessary couldn't work. Every time I had a bowel movement it pushed out. I did phsycial therapy and it did help a lot and it was tolerable. I got lazy about my exercises and gained weight because I was afraid it might make things worse. Now, the bladder seems a bit less willing to empty fully and sometimes affects my bowel movement. Normaly, bowel movements are just fine.

I was told my uterus has dropped and pushing on things. I just dont' know if a different type of pessary could help. The one uro/gyn I saw said I would need a hysterectomy but didn't know if I needed a sling? I thought you had to have one to prevent vaginal vault prolapse after a hysterectomy? Does anybody know if that's true?

Also, I would like a second opinion. I live in Northern California and would love a referral. Anyone have successful results from surgeon(s) near me?