Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urogynecology (Expert Forum)
What can I expect?
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. 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.
What can I expect?
by sevenfunkymonkeys, Apr 20, 2007 12:00AM
I was diagnosed today with a Cystocele. I have several more tests that need to be run to determine extent and how to proceed. I am having a VCUG, Cystoscopy and urodynamic study done in the next 2 weeks. Dr. is pretty sure I will need surgery..most likely TVT. What can I expect at the surgery? I am a 29 yr old mother of 7(which is the reason of the Cystocele) How long of a recovery am I looking at? What is the success rate? Does age at time of surgery affect outcome? Any other info would be helpful as well.
Background info- 29 yr old, 8 pregnancies 7 vaginal deliveries in 10 years, i am overweight, used to do heavy lifting/labor
Background info- 29 yr old, 8 pregnancies 7 vaginal deliveries in 10 years, i am overweight, used to do heavy lifting/labor
Doctor's Answer
by Lennox Hoyte, M.D., Apr 21, 2007 12:00AM
, Apr 21, 2007 12:00AM
Is this a cystocele (falling down of the vagina and pladder?), or is it urinary incontinence (Urine leakage with coughing or laughing?). The treatment for cystocele (also known as prolapse) is either an anterior repair/vault suspension (e.g sacrospinous fixation or uterosacral suspension), or an abdominal procedure to lift the vagina and tack it to the sacrum. THis can be done with a large incision, or with the laparoscope. Either can be accomplished with or without a hysterectomy.
On the other hand, if this is urinary incontinence, this is usually repaired with some type of sling procedure, which lifts up the bladder tube (urethra) and holds it in place to help prevent leaking with coughing/laughing/sneezing.
Both incontinence and prolapse are conditions which YOU should be aware of, not things that your doctor tells you that you have. If you do not feel or see a vaginal bulge, and you are not leaking urine, you should not be having surgery.
On the other hand, if this is urinary incontinence, this is usually repaired with some type of sling procedure, which lifts up the bladder tube (urethra) and holds it in place to help prevent leaking with coughing/laughing/sneezing.
Both incontinence and prolapse are conditions which YOU should be aware of, not things that your doctor tells you that you have. If you do not feel or see a vaginal bulge, and you are not leaking urine, you should not be having surgery.
