9/21/11

Please can someone answer this about vaginal prolapse ?


Please can someone answer this about vaginal prolapse ?
Best answer:
I'm not certain about the cystocele. However, I know someone who had a rectocele and the surgery improved her life significantly. It was an extremely painful recovery as cadaver muscle was grafted into place after her faulty muscle/tissues were removed. She had to lay around for weeks to keep the graft safe from irritation.

This should not prevent you from carrying a baby. However, a vaginal delivery may put you at risk for further prolapsing. Since the graft becomes part of you over time, it will improve your quality of life. I know what my friend went through with the rectocele and my goodness, It was dehumanizing at times, some of the awkward moments it caused. I'd say if you have a chance to get the surgery, I'd go for it!

Good luck and sorry I couldn't help with the cystoceleThe sucess rate for surgical repairs of the rectocele, cystocele, and prolapse are all pretty good, nearly 100% in most cases. What it will be like after surgery depends on how they do the repairs and if they do all of them at once. Most of the time you will be in the hospital about a week afterward, and then need about six weeks of recovery time to heal. You will still be restricted to lifting no more than 10 pounds for an additional six weeks, and you won't be doing any aerobics or many exercises for months to follow. As far as having children afterwards, it is possible. The major risks are that you will strain the stitches that anchor everything and may end up with another prolapse. There is also the risk of premature delivery, and you would most likely end up on complete bed rest for the last trimester. That takes pressure off the suspensory ligaments and repair, and increases the chance of carrying the pregnancy to term. As far as having a vaginal delivery, that's a call made when labor starts. It just depends a lot on how big the baby is, and how well the repairs are holding up at the time, and if there are any other complications. Your uterus could prolapse, and compromise your ability to pass urine. Sometimes they can do a sort of "push up" manuever to put the uterus back into position, sometimes they will use a pessary to do it, and sometimes there isn't anything but to deliver the baby. Most of the time the uterine prolapse problem isn't one after about 18 weeks, when it grows out of the pelvis, and the risk is just for preterm labor. It's really hard to give you good answers because a great deal of it depends on your particular situation. I know we have had ladies with those conditions deliver vaginally, and by c-section, both on time and early. If you want to have more children, you will want to have the surgery and recover from that completely first. Then after you've recovered, you can discuss it with the OB/GYN again, and reassess your situation, to make the best choice for you. Pregnancy is possible, and a healthy baby is possible. Delivery may be different, and you could also have a reoccurence of the prolapse, rectocele and cystocele. Of course, if you want more children, those risks may well seem an acceptable price to pay and risk to take. That call is yours. Just keep talking with the doctor, and make it plan you want more children. Most decent doctors will be willing to help you in that as much as they can. Good luck.

A sorry and a thank you ahead of time...gross, but I need help, if you please?
Best answer:
Neighbor, I really wish that I could help you. But, at least, I can pray for you to heal soon.

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