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Urogynecology (Expert Forum)
TAH, BSO & VVF repair x 2
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.
TAH, BSO & VVF repair x 2
by Blondie2727, Oct 13, 2007 02:21PM
Had hyst Oct last year and uterus and bladder were adhered to each other. Suffered severe pain and gross blood in catheter but still discharge from hospital 3 days after hyst with catheter in. Readmitted a day later for another 5 days but they still did not diagnose the bladder injury. Have had 2 VVF repairs first vaginal second abdo (on 9th August) where they used the apron of fat that covers the intestines. I am still on medication for bladder spasms but still suffer them when I start to urinate and when I finish urinating...also get them sometimes out of the blue. I still leak occasionally uretherally and have urgency. Will the spasms get less? Or is this my new normal as far as my bladder goes.
Doctor's Answer
by Lennox Hoyte, M.D., Oct 15, 2007 07:44PM
, Oct 15, 2007 07:44PM
Sorry to hear about the fistula. Depending on how the repair was done, your bladder may have been opened up in order to get to the fistula and sew it closed. This can cause bladder irritability, which you feel as the spasms. These should improve over time. I think by 3-6 months, you should be considerably better. The occasional urine leakage may be due to these spasms (Urge incontinence), and should also improve as the spasms improve.
Not sure if you are being tried on an anticholinergic (like Vesicare of Detrol LA). You should ask your doctor about that. If you are not retaining urine, you may be able to go up on the dose.
Dr. Hoyte
Not sure if you are being tried on an anticholinergic (like Vesicare of Detrol LA). You should ask your doctor about that. If you are not retaining urine, you may be able to go up on the dose.
Dr. Hoyte
