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Pelvic Organ Prolapse (POP) Community
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Avatar universal

How will recoup be after DaVinci robotic sx for sacrocolpopexy w/sling and rectocele?

I am 56, married and have had 5 vaginal births and had a hysterectomy w/bladder tuck 11 years ago. I have rheumatoid arthritis and take a considerable amount of medication for this condition. I now have surgery scheduled for February 4th for sacrocolpopexy w/sling and rectocele repair via Da Vinci robotic by a urogynocoligist. I have a grade 3 prolapse.  What can I expect post surgery? Very Painful? Will sex be better (alot of discomfort now)? I know I need to have this surgery (I have alot of constipation problems, and urinary incontinence), alot of abdominal and low back pain. I have been doing PT for a few weeks now. It has helped somewhat.
96 Responses
1128665 tn?1269277071
Although the heal curve takes a bit of time, once you get past the 12 week point (for some women it is less, for me it was the full 12, depends on degree of severity of individual POP issues) you should be able to resume sexual relations without any pain and will slowly regain sensation (as nerve endings heal up) to the point you will find sex enjoyable again. I found the location of key sensation areas were a bit different  but the sensation was more intense-I'm guessing because pressure that probably had been placed on nerve areas was gone. The first week is a bit difficult but you will have narcotics to ease pain. It is very important that you eat fruit for fiber (works better than grain) and use a stool softner to ease constipation related to narcotics. Once you are off of narcs constipation related to POP s/b gone. Icing is key to comfort post surgery as well, I iced 24/7 the first week-I can give you more info on this if you are interested in this path. (Out of town on wifi so just giving the condensced version right now).
I also recommend you continue to do maintenance post surgery, I look at maint for POP like I look at maint for my teeth and other body balance. (Kegels or other techniques you learned from PT.)

Go into surgery knowing that things should improve for you radically after post-surgical heal curve. I'm so glad a urogyn is doing the surgery, they can guide the best with these procedures.

Good luck! Keep us posted how things go for you!
Sher
1 Comments
What is the name of your book
Avatar universal
Thanks so much for the info. I welcome any and all advice, gladly. I do intend to resume PT post sx. I had never heard or thought of icing post sx, please tell me more about that - when you can. I will keep you posted as things progress. I am sched for urodynamics January 12th. I am having the sx at UMMC - Baltimore, Md- Dr Leslie Rickey. If you know anything about her, let me know. I feel comfortable w/her, and am confident she knows what she is doing. Please keep in touch. Mel
1128665 tn?1269277071
If I haven't gotten back to you in a few days, please send me a PM to remind me, I'll dig on dr and want to send the icing info. I'm out of town and the wifi here is iffy so will answer this in detail when I get home-the poke is in case I overlook in!

Hang in there Mel, I'll get back to you soon!
Sher
1128665 tn?1269277071
Having a comfort zone with your dr is so vital, especially with a procedure as complex as pelvic floor procedures. A urogyn is always the best bet and  you want to know your physician is available to answer questions post-surgery as well as prior to. I'll send you a PM on dr insights (+).
On the icing, it can  have a HUGE impact to swelling (which rolls to pain level) post surgery. I bought baby preemie diapers, ripped one end open, filled them with ice, and used them both in my crotch and across my abdomen. I used them round the clock for first several days, as first week went on I continued to use them but not 24 hours a day. I made a few up b/4 I went to bed so in the middle of the night I could swap them out easily. The soft inner lining is comfortable on your skin (put them on top of your undies or tshirt) and the absorbant diapers retain the water from the melted ice. The curve of the small diapers makes them fit well in the crotch area and stay on top of abdomen well.

I had to go off of narcotics on the third day post surgery (my body hates narcs) and was comfortable with ibuporfen because the ice worked so well.

Hope this helps!
S
Avatar universal
Sorry I did not see your msg earlier.  We are in similar situations.  I'm 60 and just had a stage III POP surgery.  My procedure was a laparoscopic sacral colpopexy, rectocele  repair  and mid-urethral sling procedures.  I'm "pasting" a copy of what I sent to SherrieP following my 2 week follow-up.  She has been a Godsend to me because she calmed my serious anxieties about POP.  Here is what I sent on the main Urogynecolgy Community Blog:  

I had my 2 week checkup on Feb 7th.  My urogynecologist said everything seems to be healing very well. I had posted this earlier, but I guess I did not submit it correctly because I did not see my comment when I returned to this site today.  I had a stage III cystocele, rectocele and mid-urethral sling POP repair.  The day of surgery was painful, but durable because they had me on a morphine drip.  I went home with a catheter the day after surgery, but it was removed a couple of days later, thankfully.  I was a "lounge lizard" except for bathroom breaks and walks up and down my hallway every couple of hours for the first week.  I was amazed at how well I felt.  My pain was very manageable with the meds I had. Thanks to your book (which I've read at least 3 times), I was well prepared for the "before" and "after" surgery.  I had everything I needed in place when I returned home.  I used a walker/chair with wheels that locked in placed that had a basket under the seat. I used it to carry all of my "necessities" including my cell phone and reading materials wherever I roamed in my house.  It, also came in handy to move stuff I could not/should not lift.  This week (my third week) I'm up and about without my walker/chair but I still use it to move stuff that I could/should not lift yet.  I have my 8  week follow-up mid-march and will let you know how that goes.  I'm, also, participating in a clinical trial with the Washington Hospital Center using vaginal dilator massage which may help prevent scar tissue bands from forming in the vagina.  Hopefully, it will be beneficial to help decrease the risk of pain with sexual intercourse after surgery.   God bless and keep up the good work keeping us ladies informed and bringing POP to the forefront.  I hope Dr. Oz does a follow-up on his earlier show addressing the surgical aspects of POP.
1 Comments
what is the name of the book you mentioned
1128665 tn?1269277071
Thanks for posting your info here too to assist Meldoy, women helping other women is what it's all about!
:)
Avatar universal
You are absolutely right!  We did it with breast cancer and heart disease and we MUST do it with POP.  I always ask myself, "How can it be such a COMMON thing that most women never heard of it?"  
1128665 tn?1269277071
I say that every single day; it still blows me away that this has been on medical record since Hippocrates and is still so in the closet-makes me crazy! I'll  keep shouting from the rooftops, things are now starting to shift. If every woman who becomes aware of POP shares what she learns with at least 2 other women, the movement shifts forward!
Avatar universal
I had a reaction to the silver nitrate my urogynecologist swab my vagina with on my 2 week post op visit.  Broke out in a rash a couple days after that treatment.  Every time I urinated the outer area of my vagina would itch.  I took benadryl and used vagisil cream which soothed the area and stopped the itching.  I used the vagisil cream every time I urinated after I cleaned the area with a moist wipe. I had a followup with my urogynecologist a couple of days later and she agreed that silver nitrate and I should never meet again!  She said I was healing exceptionally well and she would see me for my 8 week post op.  I'm driving, doing laundry, cooking and VERY LIGHT housekeeping (no vacuuming or mopping floors yet).  I use my handy walker/chair to move things that I'm not suppose to lift, i.e. laundry basket.  My husband and I went grocery shopping TOGETHER so he could carry/lift the grocery bags.  I grocery shop once a month and pickup staples like milk, bread and juice in between if we run out.  So I'm trying to be a good girl and not do stuff that might send me back to the hospital because I do feel that I am capable of doing all the stuff I use to do.  But, I've read too many horror stories of women doing stuff to early and having bad results.  I'm very independent and have difficulty seeing something that needs to be done and not do it.  So, I'm catching up on my reading to keep me occupied and out of trouble.  (I'm posting this to the main Urogynecology Community blog as well.)
1128665 tn?1269277071
I'm really glad you recognized that the combo of benadryl/vagisil would help get those tissues back in balance!
Avatar universal
Hi!!! I just wanted to let you know... My surgery took place on 2/4, I was actually in sx for 8 1/2 hours. All repairs were done. Dr says I had ALOT of scar tissue to work through (that was alot of reason sx took so long). She had to patch/repair a place on my lower bowel, as well as two cuts on my bladder. I also have a urethra sling in place. I have to say thank you for all the pre & post sx advice. I followed and believe me it all helped. The first week was rough, but I kept telling myself to rest and made myself get up and walk, every few hours, to prevent any other problems. I went to see my dr last friday (1 week post sx), she removed the Foley cath, did a void trial, and examined me. ALL WENT WELL, she said I am healing very well, that she was impressed that I am doing so well, with all that was done. I was very happy to hear that!!! Tomorrow will be 2 wk post sx. I am doing much better. Somewhat painful still (lower R abdominal, mostly), tired easily- when this happens- I rest, Which is sometimes hard for me to do, I am also one who sees things to be done and I want to do it. I have had alot of help/support from hubby and family, so I know I need to let them do it, and how important it is to listen. All in all. I am satified. Glad it is over, glad I had it done, I can so feel a difference already. I am extremely impressed w/my doctor and the UMMC- awesome. And SherrieP your support, advice- EVERYTHING is right on! Thank You so so much!
1128665 tn?1269277071
Holy moley, that's a long procedure, must have been a mess in there. I'm so happy when you ladies get back to me with positive feedback on your situations and how you did and do all the right stuff to help yourselves. I have a project I am working on that I would like to get feedback from both of you on; am swamped today but will be sending each of you a PM to touch base soon.
Thanks for all your input!! You ladies make my road much easier!
Sher
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