Re: UROGYNECOLOGY: Groin and back pain after cystocele, sling and rectocele surgery
From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Wed, 7 Nov 2007 18:32:27 -0600 (CST)
Message posted on Amy Rosenman, M.D. behalf by: Hope, Women’s Health
Forum Moderator
Caitcon,
It is not possible to know what is causing your problems at this time
but some areas of concern are a possible infection or inflammation
related to the mesh that could be seen on ultrasound or CT scan, There
is a possibility that there is some nerve entrapment near the sling that
is causing groin pain. This can sometimes be treated with an injection
of local anesthesia. It is called ileo-inguinal nerve entrapment and
can occur with slings. It is usually self limited and goes away after a
few months.
Other helpful treatment would be a trial of inti-inflammatory pain
medicine such as Anaprox or Ibuprofen.
--
Amy Rosenman, M.D.
Assistant Clinical Professor GYN
Geffen School of Medicine at UCLA
Santa Monica, California
http://www.obgyn.net/meet.asp?page=/all_advisors/A_Rosenman
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 Wed, 7 Nov 2007, caitcon wrote:
>Hi everybody,
>I had cystocele and bladder sling repair in May, developed a Stage III
>rectocele after the surgery and had another surgery 8 weeks ago to
>repair rectocele and enterocele. The surgeon used graft material to
>repair rectocele.
>Since then bowel issues have pretty much resolved but lower back pain
>and pelvic heaviness remains.
>I saw the surgeon about four weeks ago and he confirmed that I developed
>a new cystocele above the surgical site. After this visit we were also
>allowed to resume intercourse. It is somewhat painful. It feels to me
>as my husband is hitting the bladder sling, is that a possiblity?If he
>hits that spot(left side inside my vagina), I have terrible pain in my
>left groin area. Basically the groin pain is not going away at all
>anymore, but gets worse after intercourse or if I am very active
>physically or if I lift my kids (28 and 35 pounds) I was given the okay
>to lift at my five week post op visit also.
>My question: Is it possible that the new cystocele is causing the
>bladder sling to come lower into my vagina, hence the groin pain during
>and after sex or with physical activity?
>Or are there other reasons for the new onset of groin pain?
>Also is there any way to relief the pelvic heaviness and back pain?
>I have had lower back pain (the kind of back pain you get when you have
>your period) since my first surgery in May, was hoping for it to
>relsolve with this last surgery 8 weeks ago, but now it's still there
>and I am starting to think it will never go back to where I was prior to
>my first surgery. My only real complaint before surgery number one was
>stress incontinence, no pain or anything, just really bad leakage for
>the last three years since the birth of my daughter.
>Thanks for any input
>caitcon
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