I am happy you found the information useful

@@icbratbrattz7909 I’m glad that worked for her, but her doctor may have also reattached ligaments that pulled everything back up.

@@loisperkins2767 Glad it helped!

Glad it was helpful!

Yes, they will typically place a sling but if you have a cyst to see all that should be repaired as well so that you don’t have any complications with voiding after your sling. It sounds like that is the plan and you just need to feel comfortable and confident in your gynecologist that is suggesting this to you. Understand the experience level of your surgeon and based on that you can decide your confidence level.

@@DrJeffreyMcQueary What's the difference between a sling and mesh? I have multiple prolapse (bladder, cervix and uterus thick uterine lining and fibroids but had UFE in 2010 vagina is atrophy). I've been told need hysterectomy to fix bladder prolapse.

⁠ a sling is mesh, but there are other mesh procedures that can be done. A suspension to the tailbone is called a sacral colpopexy, and that may be what you need with the severity of your problems. Typically that is done in combination with a hysterectomy.

Certainly don’t be fearful. I have patients that surgery has tremendously changed their life. There are problems that go along with surgery including scar tissue but if you’re healthy enough, I think the benefits of surgery long-term outweigh the risks.

I am getting a hysterectomy and bladder repair with sling next month and have so many doubts about the sling. I don't have trouble with incontinence but I do have a prolapse. Did you go through with surgery? Please if you don't mind, how was your experience?

We determine this by exam and experience. Many defects and tears are not seen before the time of surgery and so your surgeon needs to have a plan to repair any defect they encounter during your surgery. Feel comfortable that your surgeon has the expertise to truly help you!

Sometimes after hysterectomy the upper vagina can fall again but it all depends upon how the surgery was performed. Not sure if mesh is available in the UK but it can help safely if done well.

😅

Same problem here. I find no success stories being reported. Nothing works. If males had bladder prolapse we would have an answer by now. This is horrible

I’m glad I was able to help. You have more questions that you could intelligently ask your doctor and get the best information to make good decisions about surgery. Hope all goes well.

I personally don’t see failure that quickly very often. Not sure what happened. But your vaginal area is very weak and could be reinforced with a skin (dermal) graft. Pessary can help as well.

@@DrJeffreyMcQueary I tried pessaries first. They would not stay in. As soon as I stood up, they fell out. I had a hysterectomy 20 years ago and have no cervix either.

Very common after a sling and it often gets better over time but medication can help.

@@DrJeffreyMcQueary thank you so much doctor

Hi, I'm having a hysterectomy and my doctor has suggested a sling even though I don't have incontinence problems. But I do have a prolapse. I'm terrified of getting the sling because of the potential side effects that I've been reading about. Can you please share your experience now that it's been a few months?

Either type of anesthesia can be used but typically general.

A pessary might help. Find a good doctor that understands how to help you!

@@DrJeffreyMcQuearypessaries don’t work. No simple answers for this women problem

@@marilufresquez8943 they can work very well for some patients. Sorry a pessary did not work for you!

I can definitely tell you there are other options and you should certainly see a urogynecologist or your regular gynecologist. Now, if you do have upper vaginal prolapse or uterine prolapse that can complicate matters, but still mesh does not have to be used.

@@DrJeffreyMcQueary thank you so much for responding! I’m glad to hear I have other choices.

Of course, I am in Bristol Tennessee

I have had many patients in their 30’s with prolapse and the positive thing is the surgery is typically strong and works. You can have pain though so just get through it and you will be better.

When you have no uterus, it is very typical for the upper vagina to fail and start falling as well. This is not always recognized well by a lot of gynecologists. So they will often offer an anterior and posterior colporrhaphy with no upper vaginal suspension. it is very important that your surgeon be skilled in vaginal suspension with either a uterosacral, or a sacrospinous ligament. These two ligaments are very strong, but typically if you have no uterus, then the sacrospinous ligament fixation is chosen. Hope that information helps. I think it is very important that you know your surgeon can do that procedure if needed. A lot of times at the time surgery other prolapse problems are seen that we’re not seen without anesthesia.

@@carolynmontgomery7815 main issues are if you have difficulty with emptying your bladder that’s when cystocele becomes a significant issue. Also, if you have start having significant urinary tract infections. As far as repair, it would be appropriate to consider it at that time. Typically intercourse is no issue and will not make the problem.

Ask if your uterus has actually prolapsed as well as the bladder. If the fibroid does not change over time and it’s not causing you bleeding issues in the uterus itself, may not be a problem. So if you’re having symptoms such as bleeding or pain from the fibroid, then hysterectomy would be appropriate. Otherwise you can just have the cystocelel repaired.

I have certainly seen prolapse as a consequence of pregnancy many times. Sometimes this is just genetic weakness of your tissues. Often you will have continued prolapse problems, but I have often seen it kind of resolve after giving birth. It should not give you any trouble with childbirth And should actually get better as your child grows, and the uterus becomes larger because it can’t prolapse as much. Good luck with your baby.

@@dinapalkowski8146 realizing that your pelvis has weakness that cannot be completely repaired, it is important to not do too much heavy lifting or straining. With that a pelvic surgery can last for many years if not the rest of your life.

I would certainly be happy to see you in my office if you could arrange that. I am at HMG Urogynecology in Bristol, Tennessee.

Prolapse of both front and back can be repaired. Seek help!

@@DrJeffreyMcQueary thanks🌸

@@robinlabranche6147 you certainly don’t have to do anything about this, and it won’t cause you any major harm. But prolapse often will give you bladder issues with difficulty with emptying your bladder. This can lead to persistent bladder infections and some bladder issues such as urinary urgency and retention. Still don’t hesitate to see an expert in, dealing with these problems as well as fixing these problems and do the right thing for you.

Retention can be an issue after surgery, but still is fairly uncommon. If you are not happy with that surgeons talk on the subject then I would probably seek another opinion.

Yes a fallen bladder called a cystocele can cause retention of urine leading to UTI’s. Some urologists can tack bladders but a gynecologist or Urogynecologist is specially trained. Always seek other opinions and feel comfortable with any surgeon who may treat your problem.

In Northeast Tennessee

Absolutely you can have reconstructive pelvic surgery without hysterectomy in fact that can be a very strong repair. Biological skin graft is a great option.

@@DrJeffreyMcQueary is that a longer surgery? Longer recovery?

@@dinapalkowski8146 actually can be a shorter procedure because it is all performed vaginally.

@@DrJeffreyMcQueary how long is the recovery?

@@dinapalkowski8146 6 weeks

Buldge

A bulge could be prolapse. Have you had surgery recently, I don’t know where the stitches would come from?

if you bear down it could be your bladder or rectal area falling. See your doctor for further exam.

I would seek another opinion because these problems are rare before children.