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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bladder Prolapse And Fibroids On Uterus

I am facing the decision to remove or keep my cervix. Uro/gyno says I have bladder prolapse and fbroids on uterus. My uro/gyno is recommending laporscopic with uterus and cervix being removed vaginally, leaving ovaries if healthy.Also, a mesh bladder sling and stitches for rectocele,urethrocole and cytoscele. My 2nd recommends removal of uterus due to fibroids, using abdominal hysterectomy and leaving cervix and ovaries. He advises to wait to do sling and see if removing my uterus with fibroids corrects my stress incontinence. He does not recommend mesh.I am 52 and still have my period every month. I am totally confused and worried about making a decision that will negatively affect my sex life. Question leave cervix or not, mesh or tissue for urethra sling?
Thu, 23 Mar 2023
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Anesthesiologist,  's  Response
Hello,

Usually in our settings, in a female almost close to menopause, coming with similar complaints, we advise vaginal hysterectomy with conservation of ovaries and correction of bladder prolapse by mesh bladder sling and suturing for rectocele, urethrocele and cystocele. You can go with your first surgeon's opinion. That will help you regain your bladder strength and pelvic muscle strength.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Suggest Treatment For Bladder Prolapse And Fibroids On Uterus

Hello, Usually in our settings, in a female almost close to menopause, coming with similar complaints, we advise vaginal hysterectomy with conservation of ovaries and correction of bladder prolapse by mesh bladder sling and suturing for rectocele, urethrocele and cystocele. You can go with your first surgeon s opinion. That will help you regain your bladder strength and pelvic muscle strength. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist