WOMENS-HEALTH Messages for August, 2007: Re: UROGYNECOLOGY: HELP significant discomfort from cystocele???

Re: UROGYNECOLOGY: HELP significant discomfort from cystocele???

From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Sun, 19 Aug 2007 10:54:45 -0500 (CDT)

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Message posted on Amy Rosenman, M.D. behalf by: Hope, Women’s Health Forum Moderator

With a large cystocele, often immediate relief can be obtained with a pessary, a diaphragm like ring that goes in the vagina and holds things in. Some women use them for years. A tampon if it will stay in can give some temporary relief as well. The discomfort of a cystocele does not routinely require pain medicine of any sort so I am suspicious that you have a pelvic pain condition or a bladder pain condition that is not being treated. Rarely is surgery for a cystocele anything but elective in nature.

Make sure your doctors are aware that you have severe pain and that they work it up completely. Many women live for years with mildy annoying symptoms of cystocele, your symptoms do not fit the mold for cystocele.

-- Amy Rosenman, M.D. Assistant Clinical Professor GYN UCLA - Santa Monica, California

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. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Mon, 30 Jul 2007, Alison Flowers wrote: > >I was diagnosed with a grade two cystocele and grade one rectocele after >a fourth degree laceration from a forceps delivery with my second >daughter. I have, since her birth, had problems with urine and fecal >retention. Over the past month, my cystocele had begun to protrude out >of my vagina. Since this has happened, I have had been VERY >uncomfortable. I have had low back pain, cramping, and vaginal >pressure. I have seen a urogynecologist, and he seems to be taking the >situation lackadasically. I was wondering if almost debilatating >discomfort is possible with a second degree cystocele and should this be >handled as elective surgery. I have two small children and can only >function normally if taking Vicodin or Darvocet. I have been waiting >since the end of June to determine when or if I will have surgery. Is >this the norm? I appreciate any information anyone can provide!

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