Urogynecology Expert Forum
A & P repair/bladder suspension
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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A & P repair/bladder suspension

I had a suspension of my bladder where they made two incisions on each side of my groin area to suspend my bladder. When they did the A & P repair they had to attach ligiments and do a lot of repair to the retrocycle I was told. The upper repair I have no problems with and void well. My question is why am I have pain near my sactrum/tail bone area? If I stand very long and try to sit down it spasms. If I try to lie on my stomach after standing the spasms are worse. I can not sit straight on one side of my hip or the other. This does not happen all the time. I have iced the area several times a day, It has been not quite 2 weeks since the surgery. I can not take anything for pain but tylenol, asprin, or Motrin. I get very nausiated with pain meds. Is this normal to have this pain around the tail bone from this type of surgery? I did have quite a bit of bruising that surfaced and some stitches on the outside of the vaginal opening. Has anyone complained of this from this type of surgery?
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You probably had a sacrospinous ligament suspension. In this procedure, the vagina is tacked up to the ligament which runs across from the tailbone to the iscium (another bone under the buttocks). This can result in soreness in the buttock area for some weeks. This can be relieved with motrin 400 - 600 mg.. As long as there is no "pins and needles" feeling along the cack of the leg, or numbness on the inner labia, these usually resolve with time.

Dr. Hoyte
4 Comments
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Avatar_f_tn
I had the exact same type of surgery done Feb 06.  It takes a LONG time to heal from this, a very long time (at least it did me).  Two weeks is nothing - I would wait until about 4-6 months and if you still have the pain, then see your Dr.  about it.  But honestly, my uro/gynecologist told me I would feel pain from this surgery for at least 2-4 months, sometimes longer.  And honestly, my incisional pain did not go away until almost 1 full year.   I "think" we had the same thing done anyway, I had the Burch Retropubic Urethropexy (bladder suspension) along with A/P Vaginal repairs, repair of rectocele and enterocele.  I got those two lovely 'pokes' in my hinder too so they could run the thread or whatever to tack it up.  Interesting surgery, I must say ;)  Let me know if you have any other questions, I'll keep a watch on the board.  
GOOD LUCK
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Avatar_n_tn
I had an A&P repair Surgery in Oct. 05.  I was married at the time and everything seemed okay
when we had intercourse.  I've since divorced and hadn't been with anyone for a year.  My boyfriend and I had intercourse for the first time yesterday, and he coulldn't penetrate me the whole way and it was extremely painful!  He could  tell that I was too shallow for him to fully penetrate.  I also had a tiny pink bloody discharge for a few hours.  My question is...  Can this condition be reversed??
Thank you so much!
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Avatar_n_tn
I had an hysterecomty in 2005, had a bad infaction green  foul smelling pus. this year I had shingels and it was ver painful now for the last passed two or maybe three months I have been having this dull pain in my back and on the left side like if well it feel like the same pain I was having before the hysterecomty as if I am having cramps. Very painful with a full blader and BM its really hurts.
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Avatar_n_tn
A related discussion, intercourse after a & p repair was started.
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J. Kyle Mathews, MD, DVMBlank
Plano Urogynecology Associates
Plano, TX
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