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This is Dr. David
I am sorry you are having pain down in your pelvis.
yes, this pain could very well be due to your double prolapsed bladder and bowel
you should be doing kegel exercises to help strengthen your pelvic floor muscles.
do you know what kegel exercises are?
here is good information about them
let me know if you have questions.
I have seen a physiotherapist who said my pelvic floor muscles are very good and that no exercises would strengthen them more than they are. I am considering surgery to fix the prolapse, although I am not sure whether to just have the bladder prolapse fixed and leave the bowel prolapse as I believe a double surgery is quite a bit operation?
I also have diverticulosis and the doctors were unsure whether my pain was coming from that or the prolapse. I have three lots of different antibiotics for the diverticulosis, but the pain didnt really go.
I would fix both the bladder and rectal prolapse both.
you should be able to handle both repairs if your pelvic muscle are good and you are young as well.
sometimes if bad diverticulosis is causing pain, you might need that part of the bowel cut out as well
have you changed your diet to help your diverticulosis?
Is that quite a big operation which would require a lot of time off work to recover? Also, I believe the surgery can cause pain with sex afterwards? Could you pls advise?
I havent been advised to change my diet for the diverticulosis
you have to keep your diet so it doesn't constipate you.
constipation is bad for diverticulosis.
you need lots of fiber in your diet, cooked fruits and vegetables.
you can eat corn and nuts, but you have to chew them really really really well.
diverticulosis bowel surgery is a big surgery
repair of bladder and rectal prolapse would be easier than diverticulosis surgery.
the vaginal canal can become shortened after repair of bladder and rectal prolapse.
and after menopause, you can have vaginal atrophy and dryness.
so there can be discomfort with sex afterwards.
sometimes using a vaginal estrogen cream and extra lubrication can help.
I am taking hrt medication now but do not currently have vaginal dryness
would surgery just to fix the bladder prolapse not be less invasive and less painful?
What is the recovery time for prolapse surgery, whether bladder or bladder/bowel?
the recovery time can vary from patient to patient.
some can recover in a few weeks.
some patients take longer than that and can be a few months.
it is very variable.
It is difficult to know whether the pain is from the prolapse or the diverticulosis
I'd rather not have surgery at all, but if it will help the pain and stop the stress incontinence
stress incontinence is most likely coming from the bladder prolapse.
diverticulosis pain can be more colicy and come in waves as your bowels contract and then relax.
best of luck to you
I cannot afford to be off work too long!
let me know if you have other questions.
but you can afford to continue to have your bladder prolapse as well.
That is why I am wondering whether just having surgery to fix the bladder prolapse would be sufficient at the moment
try doing the kegel exercises, there is no harm in doing them and strenghtening your pelvic muscles.
that is fine to fix just that first and see how it goes
I may try that first
Thankyou for your help.
you are welcome
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would the recovery time be shorter for just the bladder prolapse?
yes, recovery should be faster if you just have bladder prolapse repair
Hello Dr David, I wonder could you answer a further question for me?
I have seen my consultant today who says I have a mild prolapse, no 1 on a scale of 0-5. He says he is going to do a TVT surgery, inserting a mesh sling to fix my stress incontinence, but isnt going to perform surgery to fix the prolapse. Can you explain what the difference is?
I didnt mention the kegal exercises. When I saw a physiotherapist she said my pelvic floor muscles were very strong, as I have always done pelvic floor exercises - she felt surgery was the only option for the stress incontinence. Hopefully the tvt will help. My consultant said today the prolapse wont be causing the pelvic pain, and that he would have suggested irritable bowel syndrome, but that as I have Diverticular disease it is most probably that.
Hello, I emailed you a few times last week before my tvt sling surgery. I had my surgery last thursday at hospital - since I have been home I have quite a bit of discomfort in my abdomen, and I have been having problems with my right hip - it is difficult to put weight on it, feels like a trapped nerve. I have rung the hospital and they say it is probably due to the position the surgeon had me in for the surgery, and that it should go in a couple of wks. I am concerned about the abdominal pain I am now having, and that I am having to lie on the settee a lot. Also I have just sneezed and leaked, which I dont think is good! I am wondering if it has worked at all, and whether I should not have had it done?
I hope so. I didnt expect that I would still leak when I sneezed - is this normal? Is it right that I have soreness and abdominal discomfort four days after the tvt surgery?
I hope you're right. I had some discomfort in that area before the surgery, which I wasn't sure was down to my bladder, prolapse or my diverticular disease. I just hope this surgery hasn't made this worse. I also have mild prolapse of bladder and bowel, which the surgeon didn't feel needed surgery. Does tvt surgery do nothing for the prolapse? I thought it was a sling underneath the bladder and round the urethra?