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questions for the doctor
My gynecologist has diagnosed a cystocele with mild prolapse of the rectum and uterus. She recommends a hysterectomy and repair. I do not want to have a hysterectomy if I can avoid it. She says if she doesn't do it then it is right behind the bladder so might cause problems later. I have done a lot of research but want to know any and all the questions I should ask before having surgery. I also want to know if a urogynecologist might be better than a gynecologist. What are the questions I should ask a surgeon? How do I know who is best to do it?
There are 5 types of POP, rectocele (rectum), cystocele (bladder), enterocele (intestines), uterine (uterus), and vaginal vault (top of vagina caves in after a hysterectomy). Grades for POP are 1-4 (in some countries its 1-3 but in general we utilize 4 stages here). I'll answer the book ?? on a PM to you; it falls into the category of self-promo and we try to keep the MedHelp site as clean as possible (others can comment, I should not).
Is there a urologist there? If so you can call that office to see if they take care of POP concerns, some do, some don't.
Sher
Is there a urologist there? If so you can call that office to see if they take care of POP concerns, some do, some don't.
Sher
By the way, there are no urogyns at the clinic where we have our HMO. I think I would have to settle for an OB-GYN doctor.
Thanks so much for your information. My doctor graded the cystocele as a 4/5. Except for the bulge I don't seem to have other symptoms - well a heaviness with the bulge I guess. On different websites they grade things differently - sometimes 1-3, 1-4. I just ordered your book. Will it talk about the 5 types of POP?
Please seek the advise of a urogynecologist, POP procedures are extremely intricate and best addressed by a specialist. Often a urogyn can save the uterus. Please read several other posts in this forum, it will give you a much more full bodied view of the backdrop of POP, then send your specific questions in. (It would be difficult to give you info w/o knowing your specifics because there are 5 types of POP, 4 grades of severity, and multiple symptoms that can display-every woman is unique. I'll send you a PM as well. There is a way to check the credentials of the urogyns in your area, will give you that info in the PM as well. I am gong to have administration transfer your post to POP forum FYI.
Sher
Sher
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