Re: UROGYNECOLOGY: Weight Traing & Exercise After Small Anterior/Posterior Repairs
From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Tue, 19 Aug 2008 18:58:03 -0500 (CDT)
Message posted on Amy Rosenman, M.D. behalf by: Hope Waltman, Women’s
Health Forum Moderator
Prolapse is affected by multiple issues, the strength of the tissues,
the damage from prior childbirth, hormones, gravity, activity. Since
you are young to have a prolapse and surgery, you are at risk for
recurrence later in life. Afterall, even a face lift is an antigravity
procedure and does not stop aging or last forever. That said, I usually
recommend reduced activity for 8 weeks after prolapse surgery, no
lifting over 10 pounds. There is very little science here, no good
studies comparing different regimens for recovery. As for long term
exercise, it is important to your overall health and should be possible.
I do, however, recommend that high impact exercise is not best for most
women from the point of view of the pelvic floor, breast support, and
joints. Rather than jumping rope, an elliptical trainer, cycle or
inclined treadmill are all better. You should be able to return to all
sports you enjoyed before. Quality of life needs to be balanced with
the longevity of the repair.
--
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.
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At Tue, 19 Aug 2008, anonymous@obgyn.net wrote:
>
>I am a very active 37 yr.old. I am a staple at my gym and weight train
>daily as well as do cardio daily. My urogyn has informed me I have
>between a grade 1 and 2 rectocele and cystocele. I have experienced
>stress incontinence while engaging in extreme exercise (ie. jump roping
>as fast as I for a set amount of time w/ my trainer). The incontinence
>is not a daily problem. It is more like an every few months type of
>issue. I held my urine during all of urodynamic tests. My doctor has
>recommended at TOT sling w/ concomitant a/p repairs and revision
>perineoplasty. I will NOT be getting the sling as I am not convinced I
>am a good candidate for it. Also, I am not confident in the mesh
>material. I do, however, feel the cystocele and rectocele repairs are
>in order, especially the rectocele because I get constipated quite often
>and can feel hard feces when I insert a finger in my vagina and
>literally have to move it along to have a bowel movement. My main
>concern is that this surgery will impact my exercise routine. My weekly
>routine involves many squats, lunges, etc.. I also lift weights
>regularly, sometimes more than 20 lbs.. Is this surgery going to
>forever alter my exercising? Am I going to be limited to a certain
>weight I can lift? Will I still be able to do squats or do I risk
>another prolapse? My doctor claims I cannot exercise while I'm healing.
>After I am healed, he said I won't be limited. But I read otherwise
>online.
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