Re: abdominal sacrocolpopexy
From: jwang, M.D. (anonymous@obgyn.net)
Tue, 18 Jul 2000 19:05:11 -0500 (CDT)
Enteroceles are simply hernias of the bowels into the tissue behind the
vagina. The abdominal sacropexy involves attaching the top of the
vagina to the cartilage on the bony part of the sacrum, or lowest
portion of the spine. The enterocele must be removed bofore the pexy
can be performed, and by attaching the vagina as mentioned, this should
prevent further enterocele formation because the back wall of the vagina
will be resting on the sacral area.
Ther isn't anything in your instestines causing the drop, it has to do
with the strength of the vaginal support tissues. If you have urinary
symptoms, it is unlikely that the surgery will do anything to improve
them, though.
At Tue, 18 Jul 2000, Mary wrote:
>
>I have an abdominal sacrocolpopexy scheduled August 10, 2000. I can't
>find information on the web about it. Last June,1999 I had a laposcopic
>hysterectomy
>by the same Doctor. The purpose was bladder repair done by a separate
>Urologist
>where I got a sling. Then my gyn. did the hysterectomy including
>rectocele and
>cystocele. I am 54, I have 2 children now 23 & 24.They were 8'10" and
>9'2" babies
>I had by Lamanze natural childbirth with only an apeseonomy and maybe a
>couple locals. I had a vaginal tack by a different Doctor for
>incontinence within 5 years of birth of second child. It was
>unsuccessful. I have had stress incontinence since my first pregnancy
>until I got the sling last year. Sometimes mornings, I have urge
>incontinence now, I may have had it all along and just didn't realize
>till after I quit wearing pads. ( I notice it depends on how much I
>have to drink in the evening before bedtime. ) I am asking for a cat
>scan of my abdomin before surgery because my abdomin looks as if I am 9
>months pregnant today and has been that way since the birth of my last
>child. I have weak stomach muscles and diet has not helped. ( it hurts
>to do sit-ups ) My posture is not as straight as it should be, my Mother
>has always told me to stand up straight.
>Since the Doctor says that my vaginal prolapse is almost always
>accompanied by
>enteroccle, now more than ever I wonder if there is something in my
>abdomin area causing all the problem? (Since Enteroccle is when
>intestine bulges into the upper vagina, it seems to me it is pushing
>from up there- the abdomin area- and if it does turn out to be just fat
>given my history; doesn't it need to be checked & verified before I
>start a program at the gym to try to loose it?) I am worried that this
>operation will only go to another because we haven't determined what is
>the cause of my insides all falling. ( I remember the Doctor would
>always say my cervix was midway
>in office exams.) Thank you for your answer.
>PS I assume abdominal sacrocolpopexy means operation repairing vaginal
>prolapse and enterocele, since that's what is to be done.
--
J Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.>
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