WOMENS-HEALTH Messages for March, 1998: Re: Post Operative Back, Upper Vaginal and Bladder Discmfort

Re: Post Operative Back, Upper Vaginal and Bladder Discmfort

From: Garry E. Siegel, M.D. (anonymous@obgyn.net)
Sun, 8 Mar 1998 21:37:37 -0600 (CST)

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Reply: Judy: "Re: Post Operative Back, Upper Vaginal and Bladder Discmfort"

At Sun, 8 Mar 1998, Judy wrote: >
>I had a partial hysterectomy in 1996 for a rapidly growing fibroid. This
>was done vaginally. Since, I have experienced chronic lower back
>pain(sacral region), a tightness and pulling sensation at the top of the
>vaginal vault(more noticeable when the rectum is full) and marked
>bladder discomfort and urinary urgency. A laproscope has revealed
>marked adhesions at the top of the vaginal vault including an abnormal
>fold. The vagina is also tethered to surrounding tissue. The right
>ovary was imbedded in scar tissue.During the laparoscpy the adhesions at
>the top of the vaginal vault were separated and the ovary was freed from
>some of the scar tissue.These procedures have not fixed the pain. I
>have sort 3 gynaecological opinions and all agree that more surgery may
>not necessarily fix the problem but realise as a former elite athlete
>who still wants to compete at Masters level that my quality of life is
>being compromised.
>
>Question 1. Could the sacro uteral ligament be tied up with adhesions
>in the vaginal vault area and hence be trapping nerve fibres?

Probably not. I bet the adhesions are on the top of the vagina, and the uterosacrals are below it (educated guess only).

>
>Question 2. If so what surgical procedure/s may be followed to resolve
>this?

You didn't say how old you are, but if one of your ovaries is embedded in scar tissue, and it couldn't be cleared up with the scope, then you may been to have more surgery to remove one or both tube and/or ovaries. It would be up to your doctor to decide whether it could be done with a scope versus an abdominal incision. Sometimes, it just isn't possible to do this safely with a scope, and you have to have the larger incision, which is more major, longer recovery, etc.

Many doctors will recommend removing all that is left if you're having pain, have adhesions, and are having another surgery. This is so it will be (hopefully) your last surgery.

What type of surgery did your 3 opinion docs recommend?

Garry

Due to time constraints, I cannot respond to private emails.

My opinion is for educational purposes only, and should not replace contact with your own doctor. It does not constitute a physician-patient relationship.

Thank you for your understanding.

-- Garry E. Siegel, M.D. Private Practice, Ob-Gyn Roswell, Ga.

--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.

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