Hernia between bladder and vaginal wall (not a cystocele)

Posted by konniehoover @konniehoover, Dec 27, 2018

I had a vaginal vault suspension and cystocele repair (bladder sling) about 10 years ago. All seemed to be going well except I developed a rectocele that made bowel movements difficult. This has been manageable until a couple weeks ago.

I had been constipated for about a week when I noticed the feeling I had when I had the a cystocele, (a feeling like a ball bulging out) except I also had a sensation of severe pressure in my pelvis. Wondering if my cystocele repair had failed or my rectocele had gotten worse I had my partner check by inserting a finger in my vagina. He felt what appears to have been a loop of bowel with hard stool between my vaginal wall and bladder.

It has since resolved when the constipation went away and the feeling of prolapse problems has gone. I have an appointment with a urogynecologist in a couple of weeks to check things out but I'm wondering if anyone else has experienced with anything like this and what was done about it.

My main concerns are that there doesn't appear to be any way to reduce this manually (if it is a hernia), if the loop doesn't resolve on its own is it possible it could cause bowel obstruction and should I be seen in the er if it happens again before my appointment?

Any information or ideas or information would be greatly appreciated.

Konnie

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@contentandwell

@konniehoover Thanks Konnie. Regarding my PCP, I just figure, what's the point? He's not going to do anything so why bother. I used to go women PCPs, I had three in a row, but the first was a little wacky, the second quit to become a hospitalist so she could have a more regular schedule since she had young children, and the last was a complete dodo. She should have been a Physician's Assistant, she did not have what she needed to be the doctor, plus her heart and mind were with her young children more than with a patient (me) with a complex issue. She is the doctor who told me after one HE episode that she thought I had Alzheimer's and also basically ignored my complaints of hoarseness, which turned out to be from Barrett's Esophagus.
JK

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@contentandwell

Are we sharing the same body? Jk. My situation is complicated as well. I expect my primary care provider to keep a bird's eye view of my overall care. That means knowing and referring me to all specialists and keeping track of what I'm being treated for. In the case of my Parkinson's dx, she had to know my Neuro, gi and pt symptoms to know the overall symptoms together were related to Parkinson's and refer me to a Neuro who had a specialty in Movement Disorders. I didn't discuss my gi symptoms with the Neuro, or what was going on with physical therapy. See?

Keeping good communication with her is a part of keeping me functioning as much as possible. I'm in a wheelchair and knowing everything made it possible for her to get me a better electric chair that meets all my needs, helps with my circulation issues and helps manage my chronic pain. It takes a little more work on both our parts but finding her has made a huge difference in my overall health. I had to kiss a few frogs myself to find the right provider.

Hope you're having a good day!

Konnie Hoover

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@konniehoover

@contentandwell

Are we sharing the same body? Jk. My situation is complicated as well. I expect my primary care provider to keep a bird's eye view of my overall care. That means knowing and referring me to all specialists and keeping track of what I'm being treated for. In the case of my Parkinson's dx, she had to know my Neuro, gi and pt symptoms to know the overall symptoms together were related to Parkinson's and refer me to a Neuro who had a specialty in Movement Disorders. I didn't discuss my gi symptoms with the Neuro, or what was going on with physical therapy. See?

Keeping good communication with her is a part of keeping me functioning as much as possible. I'm in a wheelchair and knowing everything made it possible for her to get me a better electric chair that meets all my needs, helps with my circulation issues and helps manage my chronic pain. It takes a little more work on both our parts but finding her has made a huge difference in my overall health. I had to kiss a few frogs myself to find the right provider.

Hope you're having a good day!

Konnie Hoover

Jump to this post

@konniehoover I know my PCP keeps track of me, sometimes too much, but he also knows when I am being tended to by a specialist that he does not need to add anything to my care. I think if he saw something wrong he would comment, particularly when I am dealing with physicians at a different hospital - I doubt he would ever say anything contrary about any physician at the same hospital that he is at.

I do feel it is up to him to be at the hub of my care, as I indicated he gets reports from every doctor I go to. If he felt my care needed coordination then I hope he would step forward.

How long have you been in a wheel chair? Can you get around at all without it? I presume it is not temporary. It sounds as if you do manage to be fairly independent and don’t let that hold you back. I commend you for that.
JK

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