WOMENS-HEALTH Messages for June, 2002: Re: how can this happen again?

Re: how can this happen again?

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 30 Jun 2002 19:49:48 -0500 (CDT)

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In reply to: colleen: "how can this happen again?"

At Sun, 30 Jun 2002, colleen wrote: >
>i am 30 yrs old, have 3 kids age 4,5 and 7. all natural births,. all
>8lbs and up. last yr i was operated for a stage 3 uterus prolapse,after
>the op i went to physical therapy, did my excerises, watched what i ate
>and totally cut down on my smoking . i have done or i thought i have
>done everything possible of never having to have other experiance like
>last years. i had to wear a pessary for months, and it didnt work, the
>op he did was the bladder, the rectum and the uterus reconstruction. i
>have no control of holding my urine and there is no talking to me when i
>have to go. i have just finished taking a urodynamic test on frida and
>in 2wks i go for the results. now i have another mass coming down, i
>cant see it,but i can very well feel it and it is the same ol' thing as
>the last. is it possible that this has fallen again? what can i do to
>fix this besides going back to my dr? what can i do to fix this once and
>for all? isnt the vaginal canal supposed to be clear? what can this be,
>what is the mass from, why is it falling again, it hasnt even been a
>year since the operation. does anyone have any answers, i would like to
>know what is the next step. as of last yr, i never heard of a prolapse,
>and all drs i talk to about this tell me how young i am to have this
>condition. that it is supposed to be happening to women aged 40 and up.
>why is it the women that have 6,7,0r 8 kids, nothing happens to them.
Colleen

Some peoples tissues are better than others. This is probably the case with you. You were so stretched from the 3 large kids, and then with the poor tissue tone, nothing is holding. That said, you need a real expert to proceed from here. someone that is knowledgeable and very aggressive in the urogynecology field. Tell your doc you are not interested in leaving him as a patient, but would like someone that handles more difficult cases to do this next surgery.

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

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In reply to: colleen: "how can this happen again?"

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