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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Go For The Pessere Or Be Surgically Sewn Up If I Am Diagnosed Of Having Enterocele?

After two babies I had a vaginal hyst with A&P repair. at the the age of 27. At age 31 I underwent another A&P repair for the recurring a&p and then 9-10 months later the 3rd A&P was performed. After many years when I was about 55 I noticed the familiar bulge. It was something Gyn watched for quite awhile.however, I am now 67 and the bulge is very prominent. I do not have any leakage (never have) but it becomes very difficult to walk or sit at times-feels as though I sitting on a water balloon or tennis ball. He diagnosed this as an Enterocele. My bladder is still intact however I do wear a thin panty liner as it seems after I void there is a little residual that seems to leak.A few years years ago I was told I was pre-diabetic. The reason I mention this is because the last 5 or 6 yrs I have to get up during the night to urinate but I never to seem to empty my bladder. As a result some nights I am up every 1-2hrs with bladder spasms. My urologist that I was seeing when I was much younger actually helped me to train my bladder to go at the slightest urge. t that time I would go into urinary retention thus was taught how to straigh cath myself. I ve had some very care-pfree yrs but the last year or two my bladder habits have cut deeply into my sleep time. Now that I ve discussed this I really would like an outside opinion-should I do The Pessere or be surgically sewn up. My Doc won t give me a definitive answer ( He states it s my choice) but wanted me to be sure I would not want to have sexual relations again if I chose the latter of surgery. By the way, I don t have the desire any more, as my husband has prostate problems and TURP. Sorry this is so long. Just thought I would like to hear someone else s opinion,
Mon, 21 Apr 2014
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OBGYN 's  Response
Hi. You got your hysterectomy done at a very early age and surgery done for pelvic floor repair thrice. I don't think pessary will be right for you as it may be difficult to insert and maintain at this age . it is better to go in for surgery as you have symptoms also and difficulty in walking and this is affecting your daily routine. I think your dr. has planned colpocleisis ( occlusion of vagina) for you, which is the surgery with minimal morbidity and anaesthesia and that is why she asked you about your sexual relations. So consult her again regarding surgery. Thanks.
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Should I Go For The Pessere Or Be Surgically Sewn Up If I Am Diagnosed Of Having Enterocele?

Hi. You got your hysterectomy done at a very early age and surgery done for pelvic floor repair thrice. I don t think pessary will be right for you as it may be difficult to insert and maintain at this age . it is better to go in for surgery as you have symptoms also and difficulty in walking and this is affecting your daily routine. I think your dr. has planned colpocleisis ( occlusion of vagina) for you, which is the surgery with minimal morbidity and anaesthesia and that is why she asked you about your sexual relations. So consult her again regarding surgery. Thanks.