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What is the best & safest procedure for uterine prolapse?

Women's Health | Last Active: Jan 2 7:55am | Replies (26)
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@prolapser

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?

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Replies to "I am on the door step of surgery. I have had bladder prolapse and slight rectocele..."
imallears | @imallears | Jan 2 7:55am

@prolapser

I can only address the pessary. I also went to 2 uro/gyn providers many years ago with a stage 4 uterine prolapse and slight rectocele. I had no intention of surgery or a sling.
The uro/gyn nurse practitioner tried a few pessaries until we got the perfect fit. None of the rings would stay put but the one that had the handle was perfect. It’s easy to insert and remove which is what a do twice a week when using an estrogen cream.

Wearing a pessary does make it easier to empty the bladder.
Bowel movements are never a problem. May I suggest you get with a oby/ gyn nurse practitioner ( or PA ). They will have more time and patience to work with you than the physician. I think you will get the same options of a sling or pessary from another physician. I don’t understand the need for a hysterectomy and the fact he was clueless about a sling.

Exercise is very important and there are vaginal exercises you can do at home or maybe some PT training. There are PTs that specialize in this.

But my thought is first to get ahold of your health lifestyle…lose the weight, get with the exercises and keep trying different style pessaries. If the provider doesn’t have the patience..try another one. You might specify that is your main objective when making an appointment. It’s the best thing I did. I also had an amazing young mother who was my oby/GYN nurse practitioner with incredible patience and understanding.

I hope this helps. Happy New Healthy Year.

FL Mary

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