Vaginal Sling (TVT) Complications

Posted by trisha85 @trisha85, Jan 22 6:00pm

Vaginal Sling (TVT) Complications

In April of 2024, I underwent TVT urethral sling with permanent mesh surgery due to severe bladder incontinence issues (resolved). Two weeks post op, I started experiencing mobility and pain issues (burning, dull, radiating and muscle spasms) on the left side of the groin and inner thigh. Walking was painful, range of motion limited and sitting needed to be at a reclined position (to present). It was determined the obturator, obturator internus and genitofemoral nerves were impacted and the left arm of the sling needed to be removed. Following removal, the pain resumed 8 days post op. I was then seen by another urologist who determined tenderness around the left hip area with pain was coming from the left psoas muscle on palpitation. He advised the delay in pain following both surgeries was a function of the anesthesia taking longer to wear off and referral made to a pain specialist. The pain specialist confirmed left groin pain extending to the left side of the vagina, left anterior and medial aspect of the thigh. He completed botox injections into the psoas, obturator internus and numerous nerve block injections into the genitofemoral and obturator nerves. These blocks either backfired causing unbearable pain or if relief was experienced, it did not last beyond 13 days. The pain specialist verbally sited trauma was likely caused during the initial surgery resulting in the pain and mobility issues.

From late July 2024 – to present the following tests have been completed;

December 2024 - MRI of left hip showed a diminutive and blunted appearance of the anterosuperior, superolateral and posterosuperior acetabular labrum. This may be secondary to a remote healed labral tear on the left hip.

February 2025 - EMG by the Trauma Rehab Institute SPARC Program indicated there was L3/L4 root involvement.

August 2025 - MRI of lumbar spine showed disc bulge with superimposed left subarticular disc protrusion at L4­L5 contacting the traversing left L5 nerve root with no significant foraminal or spinal canal narrowing.

October 2025 – Ultrasound of Hip – Showed severe bursitis and a cortisone injection into the hip and SI joint was completed. Ultrasound to be repeated in February 2026.

December 2025 - MRI of pelvis showed no intrapelvic compressive mass along the track of the obturator nerves. Left-sided 3.9 x 3.6 x 2.7 cm simple ovarian cyst with trace amount of free pelvic fluid and small hemorrhagic/proteinaceous content Bartholin cyst. No focal edema or focal enlargement of the portion visualized of the obturator nerves. Slight increased signal and thickened appearance of the pudendal nerve on the left side at the level of the sciatic notch this appearance appears to be explained by an adjacent small vessel adjacent to the nerve in this location without signaling abnormality of the nerve itself.

Proactive measures I have taken to date looking for answers;

- From late July 2024 – to present – Seen by an Osteopath, Physiotherapist (including pelvic floor), Chiropractor, Massage Therapist, complete acupuncture and use a TENS and Red-Light Therapy Belt. To date, all treatments are continued apart from the Osteopath where zero relief occurred. Physio and Chiro have identified issues stemming from the following areas; Glut Med/Max, Piriformis, Adductor, Abductor, Obturator Externus, Pubovaginalis, Iliopsoas, Gracilis, Sartorius and Medius. Assessments/Weekly Treatments have shown; pain with internal rotation left hip, pain with adduction left hip, pain with hip flexion, continued pain to left psoas on palpitation, decreased movement left SI joint, coccyx pain, increased tone left glut med/max piriformis, Increased edema left lateral aspect and increased edema/pain upon palpitation within the pubovaginalis with spasms occurring to surrounding areas.

- Consulted a specialist out of the USA who upon reviewing my file, agreed something must have occurred during the initial surgery to create the post surgical complications. He in addition suggested an EMG be completed and an Orthopedic Surgeon be seen to rule out anything from an Orthopedic perspective (completed).

- The Orthopedic Team at Women College Hospital reported there was a multifactorial cause of the left sided hip and back pain with no tenderness to the right. The left hip was quite irritable with logroll, flexion abduction, internal rotation and flexion abduction external rotation. The site of irritation also moved around the hip on these maneuvers completed on the left side. Requested a left hip intra-articular steroid injection for diagnostic purposes be completed and pain was only decreased for 12 days.

- Part of Women’s College Hospitals TAPMI program whose assessment showed the pain is likely an injury which occurred to the genitofemoral nerve given the distribution, and/or obturator nerve entrapment. It could also be a result of extreme positioning of the left leg during the initial surgery. The myofascial pain is likely secondary to posterior and dynamic changes from the primary injury. Pudenial Neuralgia highly likely.

- A large variety of medications have been prescribed and attempted since last April 2024 with the following being the most recent; Pregabalin, Duloxetine, Tramadol, CBD and THC. Supplements include; Magnesium to regulate bowels/reduce pelvic pressure, Turmeric/Curcumin and Omega-3 for inflammation as muscle relaxants were not helping.

I am hoping someone sees this post and can provide some kind of guidance. The last 20 months have been extremely difficult physically, mentally and emotionally. What was supposed to be a straight-forward TVT procedure with a 4–6-week recovery has been life altering. The version of me that use to be very active and always on the go with my two girls and husband now can’t handle a 20-minute walk around the neighborhood without having a flare-up or needing to take a break/cane. A simple task like making meals, cleaning the house, running errands or being an uber driver to my kids proves challenging. Every decision needs to be thought through based on my situation, how I’m feeling or if I can handle it. As a result of these complications, I have not been able to work and the path I imagined for myself at 41 years old, now revolves around mobility issues and daily chronic pain.

Interested in more discussions like this? Go to the Women's Health Support Group.

I am so so sorry. Unfortunately, I can relate - I have been experiencing chronic pelvic pain for 10 years. I too am with TAPMI. They have yet to figure out what is causing my pain. I also have extreme urinary urgency - sometimes having to go every 15 minutes because it's just too painful to hold.
I wish I had a suggestion for you but it sounds like you've done everything I've done. Have you seen an osteopath? some people swear by them.
I'm feeling that there us some connection with exterior colon scarring from Ulcerative Colitis flares touching my bladder and urethra.
My life too has been drastically impacted - from having a very public career in the city to now having a very small life in the country.

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Profile picture for shauna18 @shauna18

I am so so sorry. Unfortunately, I can relate - I have been experiencing chronic pelvic pain for 10 years. I too am with TAPMI. They have yet to figure out what is causing my pain. I also have extreme urinary urgency - sometimes having to go every 15 minutes because it's just too painful to hold.
I wish I had a suggestion for you but it sounds like you've done everything I've done. Have you seen an osteopath? some people swear by them.
I'm feeling that there us some connection with exterior colon scarring from Ulcerative Colitis flares touching my bladder and urethra.
My life too has been drastically impacted - from having a very public career in the city to now having a very small life in the country.

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@shauna18 I am very sorry to hear that you too are dealing with chronic pelvic pain and especially for so long with no answers. I too went from a career of working for a brokerage firm where I was an executive team member to now honestly feeling useless because I want to work and physically can’t. It’s not even the money, it’s for my mental health and I enjoyed what I did and the confidence it brought me because I was good at it.

I don’t feel like I get any answers from TAPMI other than being told this is something I need to accept will be my life or take more meds to manage the pain. I’m not willing to accept there’s nothing that can be done. I was put in this situation because I listened to my doctors and specialists tell me I needed to do this, I proceeded and now I’m left to feel like I’m standing in a desert alone fighting with no light in sight. This surgery was to change my life for the better not be life altering for the worse. I rather have had incontinence issues and be pissing myself all the time then not be able to walk or be physically active with my kids like I used to be. Not to mention the emotional impact that comes with it when my kids want to do something and mom stays home while they all go because I don’t want to hold them back.

I find I am constantly researching or looking for new treatment methods. I also was never a pill popper and only ever took Advil for migraines and I’d tell you the meds they prescribe don’t even help. The CBD oil I now take, takes the edge off more. I tried Osteo and truthfully it did nothing. The combo of physio and chiro multiple times weekly helps more but the out of pocket expenses that comes with this doesn’t. Thank you for reaching out and sharing your journey.

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We are sisters in pain.
Has anyone had all the mesh removed.
I found a doctor in Surrey, Canada that is specially trained to do it.
Before my Rheumatologist put me on a low dose of methotrexate ( a cancer drug) I could barely walk to the kitchen or the bathroom after I went back to work. The mesh in the TVT was sold as being hypoallergenic but when the glycol melts and the sharp edges of the mesh start perpetrating surrounding organs. There are 3 components that they use to make TVT, I got tested by my allergist and Im allergic to 2 of them. I also had pain in my coycx. It's gone since I had the mesh removed. I used to get pain blocks from our pain clinic . They used radio waves and continuous exrays to kill the nerves. The nerves grow back in aprox 1 year. I used st sit on ice packs.
Hun keep fighting and considering other option than what you doctors suggest.
They don't live in your body, you do!
Luv
Maggie

REPLY
Profile picture for trisha85 @trisha85

@shauna18 I am very sorry to hear that you too are dealing with chronic pelvic pain and especially for so long with no answers. I too went from a career of working for a brokerage firm where I was an executive team member to now honestly feeling useless because I want to work and physically can’t. It’s not even the money, it’s for my mental health and I enjoyed what I did and the confidence it brought me because I was good at it.

I don’t feel like I get any answers from TAPMI other than being told this is something I need to accept will be my life or take more meds to manage the pain. I’m not willing to accept there’s nothing that can be done. I was put in this situation because I listened to my doctors and specialists tell me I needed to do this, I proceeded and now I’m left to feel like I’m standing in a desert alone fighting with no light in sight. This surgery was to change my life for the better not be life altering for the worse. I rather have had incontinence issues and be pissing myself all the time then not be able to walk or be physically active with my kids like I used to be. Not to mention the emotional impact that comes with it when my kids want to do something and mom stays home while they all go because I don’t want to hold them back.

I find I am constantly researching or looking for new treatment methods. I also was never a pill popper and only ever took Advil for migraines and I’d tell you the meds they prescribe don’t even help. The CBD oil I now take, takes the edge off more. I tried Osteo and truthfully it did nothing. The combo of physio and chiro multiple times weekly helps more but the out of pocket expenses that comes with this doesn’t. Thank you for reaching out and sharing your journey.

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@trisha85, you have been through a lot and I imagine every new thing you try is exhausting. I am so impressed by your ability to go through this and manage all that goes along with it. Kuddos!

I am a patient at Mayo Clinic. I was told when I got there in 2022 they knew what was happening but weren’t sure what to do about it. They have taken an integrative approach effective for my systemic symptoms. It would be about protecting my heart then taking one symptom at a time, and that is exactly what we have been doing. I was it would be a marathon. Like you, I have been going through a marathon. Everything my care team has done has incrementally helped my quality of life, also handle with extreme compassion. I do not want to think of where I would be with them.

It has been difficult to turn into a person I do not recognize. Like you the physical part is not all that is affected. Mind, body and spirit all deal with the same experience. My approach has been to only focus on the next best decision then work that direction. It is the only way I know of to make progress. I say this to encourage you to keep going. You can do this!

Not sure if you are open to yet another try, but I will provide a link to contact Mayo Clinic for an appointment. I imagine they may be able to tell you with pretty good certainty if they think they could help you without you making the trip, rather by reviewing your testing that has been done already.

What is your biggest daily challenge? Have you found anything that provides relief, or you think helps you?

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Profile picture for Janell, Volunteer Mentor @jlharsh

@trisha85, you have been through a lot and I imagine every new thing you try is exhausting. I am so impressed by your ability to go through this and manage all that goes along with it. Kuddos!

I am a patient at Mayo Clinic. I was told when I got there in 2022 they knew what was happening but weren’t sure what to do about it. They have taken an integrative approach effective for my systemic symptoms. It would be about protecting my heart then taking one symptom at a time, and that is exactly what we have been doing. I was it would be a marathon. Like you, I have been going through a marathon. Everything my care team has done has incrementally helped my quality of life, also handle with extreme compassion. I do not want to think of where I would be with them.

It has been difficult to turn into a person I do not recognize. Like you the physical part is not all that is affected. Mind, body and spirit all deal with the same experience. My approach has been to only focus on the next best decision then work that direction. It is the only way I know of to make progress. I say this to encourage you to keep going. You can do this!

Not sure if you are open to yet another try, but I will provide a link to contact Mayo Clinic for an appointment. I imagine they may be able to tell you with pretty good certainty if they think they could help you without you making the trip, rather by reviewing your testing that has been done already.

What is your biggest daily challenge? Have you found anything that provides relief, or you think helps you?

Jump to this post

@jlharsh Thank you so much for the encouragement, understanding and support. I am happy to hear that the team at the Mayo clinic has been able to help you. I often wondered if this is the next thing I need to explore. It’s great that they have you on a path with a focus, approach and next steps. I feel like I have never had this from my medical team. They have just constantly told me I need to accept things as they are. Only my physiotherapist and chiropractor have been able to give me any type of a path which has been frequent treatments help but don’t solve or a provide long term solution. They just make it more tolerable which I can accept short term but I’m not ready to stop looking for answers or trying new things. Even though some days are harder than others I keep going and keep trying. I have found that although I was always a planner I now take everyday as it comes and listen to my body. If it’s a bad day, I now treat it as that and if it means not accomplishing what I wanted to, so be it. That’s probably been the hardest in addition to admitting I physically can’t do what I use to be able to do. I moved out on my own at 19 and have always been independent and quite stubborn wanting to do everything on my own and rely on no one so having to change that and accept help has been hard. I’d say the biggest challenge physically is my mobility and range of motion being limited. Some days I just don’t feel steady on my feet. Aside from that it’s missing my kids sports or if I have to drive them it’s when I have to sit in the car because I can’t handle anything else can’t be fully present as I use to be. It’s the “mom guilt”. Aside from that, I’d say it’s being frustrated because every test, image or doctors appointment shows nothing or accomplishes nothing. Sometimes I feel like am I just creating this because they find nothing and thankful my physio and Chiro always tell me “this is real don’t feel otherwise”. It’s just frustrating. Thank you again for reaching out. It means a lot!

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Profile picture for trisha85 @trisha85

@jlharsh Thank you so much for the encouragement, understanding and support. I am happy to hear that the team at the Mayo clinic has been able to help you. I often wondered if this is the next thing I need to explore. It’s great that they have you on a path with a focus, approach and next steps. I feel like I have never had this from my medical team. They have just constantly told me I need to accept things as they are. Only my physiotherapist and chiropractor have been able to give me any type of a path which has been frequent treatments help but don’t solve or a provide long term solution. They just make it more tolerable which I can accept short term but I’m not ready to stop looking for answers or trying new things. Even though some days are harder than others I keep going and keep trying. I have found that although I was always a planner I now take everyday as it comes and listen to my body. If it’s a bad day, I now treat it as that and if it means not accomplishing what I wanted to, so be it. That’s probably been the hardest in addition to admitting I physically can’t do what I use to be able to do. I moved out on my own at 19 and have always been independent and quite stubborn wanting to do everything on my own and rely on no one so having to change that and accept help has been hard. I’d say the biggest challenge physically is my mobility and range of motion being limited. Some days I just don’t feel steady on my feet. Aside from that it’s missing my kids sports or if I have to drive them it’s when I have to sit in the car because I can’t handle anything else can’t be fully present as I use to be. It’s the “mom guilt”. Aside from that, I’d say it’s being frustrated because every test, image or doctors appointment shows nothing or accomplishes nothing. Sometimes I feel like am I just creating this because they find nothing and thankful my physio and Chiro always tell me “this is real don’t feel otherwise”. It’s just frustrating. Thank you again for reaching out. It means a lot!

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@trisha85 You already have good input from sisters-in-pain, @mackaymouse and @shauna18 with similar challenges. Quite a bit of what you comment feels familiar to me, as well. I admire your ability to understand what is happening with you as well as your drive and commitment to live the best life you can today and every day. You’ve got this.

I realize I did not include the link to Mayo Clinic appointments. Here it is: http://mayocl.in/1mtmR63

Like you, I was not able to get the care I needed locally. Not making progress is what led me to Mayo Clinic. It sounds like you have a wonderful physiotherapist and chiropractor helping you. This makes me think of Physical Medicine and Rehabilitation at Mayo Cinic in Rochester. They work with other departments as needed for individual patients. You may want to review more about them or even share the information with your Physio and Chiro. I guess, more heads are better than one!
-Mayo Clinic Physical Medicine and Rehabilitation: https://www.mayoclinic.org/departments-centers/physical-medicine-rehabilitation-mayo-clinic/sections/overview/ovc-20467039

You mention independence, productivity and guilt. At least that what stands out to me that I relate to. I have been trying to look at a positive side of not having resources to do all I want to do. It is an opportunity to regroup and decide what is most important. I realize I do not want to be the person that does it all. I want to be intentional and feel good about what I do decide to do.

I would like to stay connected with you and stay up to date on your progress. Will you come back and comment as you have thoughts/takes steps forward?

You stated your biggest challenge right now is minute and range of motion. Do you think they could be improved, do you want to pursue that? Have you considered adding someone to talk to, maybe a relationship, or life coach to help you figure out what the new you will look like?

REPLY
Profile picture for mackaymouse @mackaymouse

We are sisters in pain.
Has anyone had all the mesh removed.
I found a doctor in Surrey, Canada that is specially trained to do it.
Before my Rheumatologist put me on a low dose of methotrexate ( a cancer drug) I could barely walk to the kitchen or the bathroom after I went back to work. The mesh in the TVT was sold as being hypoallergenic but when the glycol melts and the sharp edges of the mesh start perpetrating surrounding organs. There are 3 components that they use to make TVT, I got tested by my allergist and Im allergic to 2 of them. I also had pain in my coycx. It's gone since I had the mesh removed. I used to get pain blocks from our pain clinic . They used radio waves and continuous exrays to kill the nerves. The nerves grow back in aprox 1 year. I used st sit on ice packs.
Hun keep fighting and considering other option than what you doctors suggest.
They don't live in your body, you do!
Luv
Maggie

Jump to this post

@mackaymouse - Never did I even think it could have been an allergy nor has this ever surfaced in any conversations I have had with any of the specialists. When I questioned removal of the sling, I was told that because the pain is only one sided on the left and not the right there was no reason to remove it especially since the incontinence issues resolved. In fact, the one urologist I saw after the left arm was removed suggested it shouldn’t have been completed after two others said that it had to be. He suggested that the issue stemmed from the psoas muscle issue yet since that consultation in July 2024, the psoas muscle has never been mentioned as a problem. I have been told that the issues with the hip bursa, coccyx, and SI joint disfunction is all secondary based on the primary source which to date no one can tell me what that is. The coccyx provides me with a lot of pain on a daily basis, especially during pelvic floor treatments where I experience extreme spasms down the leg. Funny enough, today, I was at the chiropractor, and she pushed down on one section between the groin and inner thigh, and I jumped and screamed. I went into my car after the appointment and literally cried out of frustration because I can’t understand how none of the imaging or scans show anything wrong when I know my body and I know there’s a problem. I don’t even feel anger or stress about it if that makes any sense, I just feel pure frustration. Thank you for the suggestion regarding the radio waves as TAPMI suggested that this was not a route we could go because since the blocks performed have not lasted more than three months, completing the radio waves would not help. My chiropractor has suggested recently that laser might be an option and is consulting with her colleague on this, based on my situation to see if this is something we can try. Do you mind sharing the name of the doctor in Surrey? Really appreciate you reaching out.

REPLY
Profile picture for Janell, Volunteer Mentor @jlharsh

@trisha85 You already have good input from sisters-in-pain, @mackaymouse and @shauna18 with similar challenges. Quite a bit of what you comment feels familiar to me, as well. I admire your ability to understand what is happening with you as well as your drive and commitment to live the best life you can today and every day. You’ve got this.

I realize I did not include the link to Mayo Clinic appointments. Here it is: http://mayocl.in/1mtmR63

Like you, I was not able to get the care I needed locally. Not making progress is what led me to Mayo Clinic. It sounds like you have a wonderful physiotherapist and chiropractor helping you. This makes me think of Physical Medicine and Rehabilitation at Mayo Cinic in Rochester. They work with other departments as needed for individual patients. You may want to review more about them or even share the information with your Physio and Chiro. I guess, more heads are better than one!
-Mayo Clinic Physical Medicine and Rehabilitation: https://www.mayoclinic.org/departments-centers/physical-medicine-rehabilitation-mayo-clinic/sections/overview/ovc-20467039

You mention independence, productivity and guilt. At least that what stands out to me that I relate to. I have been trying to look at a positive side of not having resources to do all I want to do. It is an opportunity to regroup and decide what is most important. I realize I do not want to be the person that does it all. I want to be intentional and feel good about what I do decide to do.

I would like to stay connected with you and stay up to date on your progress. Will you come back and comment as you have thoughts/takes steps forward?

You stated your biggest challenge right now is minute and range of motion. Do you think they could be improved, do you want to pursue that? Have you considered adding someone to talk to, maybe a relationship, or life coach to help you figure out what the new you will look like?

Jump to this post

@jlharsh - absolutely, I am happy to keep you updated on my next steps and appreciate you sending the link. In fact today, I submitted a request to the Mayo Clinic to see if they will review my case. I was impressed with how quickly the process was started and all the emails I was receiving. I am hoping that after the team reviews, the reports I provided with all findings and imaging they are able to shed some light. I have been told that the mobility issues and decreased range in motion is not something anybody can guarantee me will change. With the exception of my physiotherapist and chiropractor who tell me to stay optimistic everyone else has just suggested I have been proactive and done everything I could and just need to accept that. The situation is what it is. I am currently in a frame of mind where I would like to explore what the new normal will look like and incorporate a couple of hours of work in a week to start which my employer is happy to work towards with me while understanding my limitations. I cannot complain from that stance as my work has been very understanding during this time. Well, I am trying to plan what that might look like and what I want my life to look like going forward, I still do not want to give up on finding answers. You said something that really stood out to me “It is an opportunity to regroup and decide what is most important. I realize I do not want to be the person that does it all. I want to be intentional and feel good about what I do decide to”. I can relate to this as I recently sent to my husband “I’m tired of being the people pleaser and trying to do it all and make everybody happy yet I’m not making myself happy. I want to live my life going forward to do what I want not what I think is expected of me by everybody else”. This has been a hard one to learn and I can tell you I’m still learning it, but I now do say no more so than ever before. Appreciate you @jlharsh.

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Profile picture for trisha85 @trisha85

@mackaymouse - Never did I even think it could have been an allergy nor has this ever surfaced in any conversations I have had with any of the specialists. When I questioned removal of the sling, I was told that because the pain is only one sided on the left and not the right there was no reason to remove it especially since the incontinence issues resolved. In fact, the one urologist I saw after the left arm was removed suggested it shouldn’t have been completed after two others said that it had to be. He suggested that the issue stemmed from the psoas muscle issue yet since that consultation in July 2024, the psoas muscle has never been mentioned as a problem. I have been told that the issues with the hip bursa, coccyx, and SI joint disfunction is all secondary based on the primary source which to date no one can tell me what that is. The coccyx provides me with a lot of pain on a daily basis, especially during pelvic floor treatments where I experience extreme spasms down the leg. Funny enough, today, I was at the chiropractor, and she pushed down on one section between the groin and inner thigh, and I jumped and screamed. I went into my car after the appointment and literally cried out of frustration because I can’t understand how none of the imaging or scans show anything wrong when I know my body and I know there’s a problem. I don’t even feel anger or stress about it if that makes any sense, I just feel pure frustration. Thank you for the suggestion regarding the radio waves as TAPMI suggested that this was not a route we could go because since the blocks performed have not lasted more than three months, completing the radio waves would not help. My chiropractor has suggested recently that laser might be an option and is consulting with her colleague on this, based on my situation to see if this is something we can try. Do you mind sharing the name of the doctor in Surrey? Really appreciate you reaching out.

Jump to this post

@trisha85
Dr. Darren Lazare in Surrey, B.C..
My surgery was done at the Jim Pattison Hospital in Surrey. He brought in a gynecologist, his top resident and there must have been 10 people and multiple computer screens in the operating theatre. He preformed 2 laparoscopies, 1 cystoscopy, 1 urethral dilation and removed all the remaining infected mesh. The pain clinic at the hospital is fabulous.
If you decide to come here, I have a spare room and can take you for your appts. Us sistas in pain need to stick together.

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I myself had a hysterectomy in my late 40’s, and the last two years I’ve had two vaginal surgeries. One for anterior , the second for posterior prolapse.
I also have a disc bulge pressing on traversing right S1 nerve root.
Also pain which may be pudendal neuropathy. I’ve been to two urogynaecologists , a pain doctor, two neurologists and have yet to find any relief.
I’m not to bad in the mornings, but by afternoons I’m in quite a bit of pain. I’m hoping to find someone or something that can help me soon. I’m sending hugs your way as well. I did not expect my life at 63 to be this way either 😢.

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