Required viewing for anyone who has been told they have prolapse. 1) what it is 2) why women get it 3) non-surgical options 4) surgical options 5) post op expectations 6) risks of surgery
I can't tell you how many videos I watched before this one. I felt so annoyed and frustrated because NONE of them answered the questions I had. YOU ARE ABSOLUTELY AMAZING! Thank you so much. I am certain you are helping more women than you could possibly know, even just by posting this video, and in your practice, you are an angel. :). I might move to Washington state just so I can come to Pacific Northwest Urology Specialists! :)
Thank you so much for explaining everything about it.i feel like come to see u for my problem but I live in Canada. I feel so comfortable treating from you:)can u suggest me treatment for feeling prolapse towards urinary track I feel so heaviness.can u suggest which treatment is best for me. Thanks With lots of gratitude 🙏
What an amazing video!!! Very engaging, thorough, and informative. 38 minutes well spent. I am 63 y/o and 1 week post pelvic floor prolapse repair surgery. I have learned so much from this video than the few minutes I spent with my surgeon. Now, when l go for my follow-up visit, I will be equipped with a million educated questions. I will also be requesting pelvic floor PT and possibly estrogen cream. Thank you so much for sharing your knowledge!!❤
I’m a med/surg/orth nurse and float to OB occasionally, this doctor is a gem and rare !!! Wow, well presented….to the point, articulate and in understandable language ! Gods bless you and keep doing what your doing !!!!!
Yes she is a gem for sure. I hope to find a female doctor where I live in Charlotte NC and get seen and I will be listening to this posting over and over , making notes and will go with facts and knowledge to the next doctor I try out.
You are so special. Women need more doctors like you who really explain things so thoroughly. I wish you lived in my town. I would pick up the phone and get an appointment just to talk to you. God bless you for sharing your knowledge and expertise with everyone. Thank you so very much. 😊🙏❤️
This is absolutely the best video on this subject I have seen. I feel like I just had the most comprehensive education on POP and I am deeply grateful. It takes a woman to explain to other women about this common occurrence in approximately 30% of us.
You are right this is a blessing on desguise, so now you are having time of sharing your knowledge with everybody in this world that needs this kind od help or to share it to who might need it. THANK YOU and Blessings Dr.
37 minutes and I listened to every single one, because I just went to the urologist I was referred to by an absolutely NON EXAMINING nurse practitioner, a urologist that specializes in prostates. The staff didn’t even know what to do with me. I literally thought that I’m irreparably broken with no hope of ever being able to be healthy again. Now to find an amazing doctor like you.
That's about 36 more minutes than my Doctor discussed with me prior to my recent hysterectomy with a cystocele bladder fix tossed in for good measure. I was only told why the mesh could not be used due to insurance regulations and risk factors. Here I am, almost 6 months after surgery, dealing with my bladder again. I think it must like living in the basement! I wish women had been given better educations regarding this phase of our lives when we were given our sex ed courses in school and college! THANK YOU for this very educational video!
My surgery failed after two months. I’ve made a couple of changes that are helping. Find me on Facebook, friend me, and private message me and I’ll tell you what I am currently doing. I don’t ever want to have that surgery again.
THANK YOU!! So...Having babies causes this crapola. I had 5 children. Been having mild/mod prolapse for years! (More that women have to endure in our lives. 😩). Thank you soooo very much! You’ve given me all I need to know! Stay strong, ladies!!!💪
Bless you. Forever grateful. I’m 78, just had vaginal/uterine prolapse surgery. Just had two week check up. No one mentioned the estrogen cream. I will be getting that on Monday. This information was so helpful. This video ought to be in every doctors office.
@@llamarama111 Hello, well my surgery failed after two months. This drs information was the best I have heard. So I still have the problem. I have made a couple of changes that make it easier to live with. If you can find me on Facebook and friend me and private message me I’ll tell you what I have been doing. I don’t ever want to have that surgery again if I can avoid it.
Thank you very much for sharing your wisdom and educating us. It's amazing how many women are affected by POP but are embarrassed to talk about it. Even worse, it's a shame how many doctors won't address it when needed. So, THANK YOU for taking the time to empower us to make good decisions regarding our medical care!
Excellent talk.. thank you so much.. I’m 50 and have been wondering about the changes I’m experiencing especially with the menopause and no one talks about it.. Ty for sharing your knowledge with us and in such a clear and easily Understood manner, I’m sure there are a lot of women out there like me who very much appreciate you taking the time to inform us on this subject.. 😊
Thank you Doctor! Women, please keep talking about what is going on with your body. Sharing helps all of us! I'm scheduling my surgery for stage 4. I can't believe it has taken this long for me to figure this out, talk about it, and deal with it.
I absolutely loved your video. Thank you for being straight up and explaining what doctors dont seem to have time to do. Please continue to educate us. Thank you so very, very, much.
Thank you. You explained everything in simple layman terms. You answered all my questions without me asking any. I was so upset, my anxiety is now gone!!!
Paraneoplasty deserves more airtime, IMHO. The lack of sensation a woman can feel because of vaginal muscles stretching from childbirth is incredibly depressing. And some doctors do not take it seriously at all. I had one female doctor practically scoff in my face about it, insinuating that it is for the male partner's enjoyment only. Not so. I left the doctor's office feeling disheartened. And so your mention of it is appreciated, doctor.
This was a great explanation. The Doctor I had did not help me understand anything he said. Its too bad there aren't more women Doctors like you. After seeing him I was petrified. I am now seeing a female doctor for a pessary and she has been great. Thank you so much!!!!
Thank you for 37 minutes of prolapse talk! I am the mom of eight children, all vaginal deliveries. I’m in my early 60’s, not on an Estrogen cream, had a sudden weight gain of fifty (50) pounds six years ago due to a three year treatment with steroids, (I’ve since lost twenty pounds, yay!), and currently I have a bulging bladder and uterus. Thanks to this video, I now have a better idea of what decisions I want to make when I visit my GYN next week. I definitely feel more empowered. Thanks. (Even so, the Foley still scares the heck out of me!🤣) Peace out. ✌🏽
I’m wondering what you decided to do, and how are you now? I had a full repair after my last baby and it was the best thing I ever did. That was 25 years ago now, and I’m still going great, and very active. All the best to you.
Great HELP FOR MYSELF .... I AM 81 years with Fractured Spine 😢 I developed Prolapse during stones in kidney 😢 HAD STENT OUT IN , BECAUSE STONE TOO BIG , AND UNUSUAL SHAPE 😢😢😢😢😢 YOUR INFORMATION VERY HELPFUL. BLESSINGS FROM AUSTRALIA 🇦🇺 🙏 ❤❤❤❤❤❤❤❤
Thank you 🙏 from the UK. In the 3 years I have been under my doctor for POP, I have never received this amount of information. I feel now I can move forward. So grateful for this video.
THANK YOU FOR THIS AMAZING CHAT!! I'm a mom of 5. My last baby was born when I was 40 (!) --from your description, I have a stage 4 prolapse. You have given me the info I was looking for.... Thank you again for taking the time to talk to us!
I began to suspect a prolapse last week when I took a „look“ due to an itching feeling. I was shocked…but then when you aren`t always looking nor feeling anything unusual, it could be that this is something normal. Anyway, found your video and I feel sooo much better, even if it is the beginning of a prolapse - also suspected because I have a chronic cough. Will talk to my Dr on my visit in April …..you made me feel like it wasn`t an emergency nor would I need invasive treatment. I`ve come away from this video very well informed. Thank you for all the good info!!!!
THANK YOU SO VERY MUCH for this very informative video on prolapse..67 and just discovered I have something going on..this helped me calm down and not freak out. Had no idea this was part of life and the life cycle of the vagina. So much wonderful information. Was clueless, now informed !!! Great presentation 👏
It is very common and not dangerous. Most women just don't get any "heads up" that this could be happening. That is why I believe in education so much!
All the way from Australia,I am sending my gratitude for this fantastically informative video. Along with your extensive knowledge comes your ability to explain things in layman's terms. Your warmth and humour to help us prolapse gals feel comforted and understood. After 5 big babies and twenty years of doing weights at the gym, I think I have given my pelvis a thrashing - hence, bladder and uterine prolapse!!!! I have confidence in my urologist but if I lived in the US I would definitely be your patient :D
I also do weights at the gym but I bought a hard foam wedge because weight machines are made for men. A woman should never have her body at more than a 90 degree angle from her legs when using a weight machine. I use the wedge to correct that - works a charm
Thank you. I have struggled with this for a while and just thought those was my new normal. Recently, it has gotten worse, which led me to seek treatment. This makes me feel less anxious about my situation.
Thanks so much for your video information!! I am having prolapse surgery next week at Mayo Clinic for pelvic floor reinforcement due to grade 3 rectocele and cystocele. You have answered so many of my questions and helped me prepare mentally for surgery. Thank you for doing this video!
Thank you for explaining the 4 stages of prolapse and surgical treatments. It was useful to hear the correct medical terms and to learn about the many options. Giving much needed hope and guidance. Thank you x
thank you for the great information. i had a full hysterectomy 20 years ago and have now discovered a prolapse. you answered all my questions and i now don't feel as anxious. good info and good timing!
Thank you so much for this video. It made me feel so much better about my situation and gave me a sense of what to ask and talk about with my Urogynecologist who I was just referred to. I have never had surgery before and this took away a lot of fear. So appreciated! I also love your down to earth personality and compassion, I hope that my surgeon has your character.
I just noticed a anterior prolapse today while I was at work (as a CMA) I knew immediately what I was feeling because of my previous obgyn experience, and it scared me to death. You're the first video I landed on after coming home, and you have helped calm me a bit. I'm guessing I'm a 3 or 4 so I'm somewhere between starting a keagle program and running to a surgeon. Thanks for making this video.
I’m in PT for bladder prolapse & you have given so much positive information. I now feel confident the kegels,bridges, therapy bands will eventually minimize the heaviness in the pelvic area. You were very professional & thorough. Thank you for sharing your expertise!
I had the surgery after my 4th baby and it has been amazing. I can now be active without feeling like my bladder is about to fall out . That was 25 years ago now, and I. Still good. If it’s affecting your lifestyle adversely, as mine was, then go for it.
I have a 3rd stage prolapse to my rectum, bladder, and uterus and this has been amazing! I will be having surgery and I feel so much more informed! Thank you!!!
I know you did this two hears ago. Thank you so much. Im in great discomfort and was really needed guidance. Good simple facts you can make informed decisions are hard to find.
Thank you! Started following you 6 mos ago after going to my obgyn and while up in stirrups she tells me I have prolapse and she will refer me to a surgeon for hysterectomy! I didn’t hear anything she said after that and realized when I got home that she hadn’t even done my Pap smear that I went in for. Dr. Just said it was normal with aging. I am 63 yr very healthy, active, LHS resistance training, clean eating, supplements etc. never expected this. Researched on internet for hours daily and now on estrogen cream, pelvic floor physio, estradiol gel, progesterone. Changed dr. Prolapse better, work in progress. Now Following you, dr Rachel Rubin, dr Mary Claire Haver, Dr Louise Newson, Dr V. Wright and others. Thank god for all that you do and social media
Thank you. I have robotic surgery (stage 4) scheduled for next month and this explained a lot. The Dr told me most of what you said but it didn’t register at the time. You’ve given me more detail than I remember so it was really helpful. Thanks again. Shirley
Thank you SO much. Just diagnosed with anterior prolapse. Your video was so much more helpful than my family doctor in terms of information and “next steps”. “Do your kegels, refer to a surgeon”. I will be seeing a pelvic physiotherapist next month (my idea 😊
Do you have a link or copy of the evidence you mention in the video about how pessary use improves postpartum recovery and enables pelvic floor healing. Would be great to have access to the specific reference and data. Thank you.
Thank you so much for this information. I have had this problem for several years. It is uncomfortable and challenging. I am considering the robotic surgery and hearing you explain it in detail has helped me understand it better. I needed to hear this and knowing I'm not alone in this helps. Thank you for sharing your knowledge.
I know this video is 4 years old but the information you’ve provided was absolutely essential to me. You’ve helped me not be so freaked out about what’s going on with me. I’m 53, had a hysterectomy at 42 where they left my tubes and ovaries because I had a pulmonary embolism when my youngest daughter was born in 2004. They didn’t want to put me into early menopause at 42 since they felt HRT was not an option for me. Now, I have a solid 5cm mass in the center/left side of my pelvis near my ovaries that was found incidentally during an ER and hospital stay due to a horrible UTI/kidney infection, sepsis, and kidney abscess. One radiologist thinks the mass may actually be a residual fibroid that is attached to my vaginal cuff area or maybe a broad ligament fibroid/mass. I’m scheduled for surgery to remove the mass in a couple weeks. I’ve been experiencing tailbone pain for about 5 months that I keep getting told is just aging. I’ve had no injuries or an accident to explain the pain. This week, I noticed a lump at the entrance of my vagina on the back/posterior. It’s worse later in the day or if I’ve been on my feet a long time. I’m curious if the solid mass near my ovary could be contributing to the lump/rectocele or if this is completely a separate issue. They sent me to a gyno oncologist for review and surgery on the solid mass, as a precautionary measure. I’m trying to figure out if I should let my surgeon know about the rectocele issue, before she takes out the mass or let it go and see if the solid mass being removed helps fix the issue. It wasn’t something I wasn’t even aware of during my initial consultation and physical exam with her. She likely didn’t see it during the exam because I was on my back. I don’t want extra surgery if I don’t need it, but I also don’t want two surgeries if I can avoid it.
Thank you for this informative video. Surgeons do not discuss options with women. They recommend their favorite procedure and are not available for questions . This was very useful. Thanks.
Thank you for posting this video. You answered my questions. I have had a pessary for seven years, which helped with my prolapse (at 3-4). But over the past two years, I have been experiencing bladder leakage with constipation. I have recently met with an OBGYN specialist and neuro surgeon to discuss bladder repair and a partial hysterectomy (remove the uterus) due to polyps and fibroids. A mass was found in my ultrasound. I feel constant pressure in my pelvic floor. I’m tired, bloated, and struggle to have bowel movements. Sex is not painful… but when I lay on my back, my uterus is enlarged and feels like a rock to touch. I don’t want mesh products in my body so I asked about the natural biological tissue to ligaments for the repairs. The sling was suggested but I have another meeting with both surgeons to pose my question about the natural biological tissue to use for the repair. I’m premenopausal and plan to keep both my ovaries for hormone balance. Do you recommend estrogen cream with keeping both ovaries after a partial hysterectomy? I know prolapse is your specialty, but perhaps you can speak to the benefits of the estrogen cream post- surgery. I’m not sure if I want to keep my cervix due to breakthrough bleeding down the road. I want to be completely done with periods and breakthrough bleeding. I want to be healthy and feel normal again. Thank you for your video and expertise in the medical field. I want to make a well informed decision over my body before consenting to surgery.
Thank you so much. I have a bladder prolapse diagnosed during early lockdown by the nurse at my surgery, I haven’t spoken to a doctor about it and I haven’t had my physio appointment yet, nearly 12 months later. This was a breath of fresh air. So informative and straightforward. My question is, at 55, how long can I use oestrogen cream for? It has relieved most of my symptoms but no one told me how long I can carry on with it for. I wish I could see you In person. Thank you for caring so much about a subject which is largely not spoken about.
I assume you’re speaking about topical vaginal estrogen and not systemic estrogen. Vaginal estrogen can and should be used for life. It is an extremely low dose estrogen. If you’re deficient in estrogen to the point that you have urovaginal atrophy, the atrophy will return if you stop the estrogen. If you’re talking about systemic estrogen, however, the answer varies! You would need to speak to a hormonal specialist about that.
Thank you. Owe you a Starbucks and then some!! You rock. I never even heard of splinting… good description. The whole thing has just come to light for me this week w pop diagnosis after an exam… and I have been completely freaked out. Peace to you.
I have watched this video multiple times and am still learning things I didn't catch when watching earlier. It as been the BEST, most helpful video in understanding my surgery, options after failure (anterior repairs and ligament suspension) and the importance of at home measures. I would give you the biggest hug if I could. Thank you!
thank you so much for taking the time to make this post. i'm having surgery on May 18th and have a lot of anxiety, as i'm sure most women do. you make me feel more prepared and knowledgeable which helps a lot. Thank you!
Thank you that explained alot about what my symptoms are.You are a confident & informed doctor.I just pray I find one like you.Thank you so much for making this video.
Thank you this very informative video. I have a prolapse also. Haven’t had an appointment with a hospital Doctor yet. Our local nurse could see what the problem was, referred me and instantly gave me oestrogen cream. Immediate relief from the dryness. Your video answered all the questions I have wondered about. Thank you explaining this to us. X
Thank you so much . I have a mild prolapse and you just put everything into perspective. I will continue to see my pelvic floor therapist and continue with my exercises and estrogen cream. I have so much more clarity.
Thank you for this video. I didn't actually want to tell anyone about what was going on with my prolapse. I had a total hysterectomy at 27 and I am 42 now. I just started looking this up because I have major bladder/kidney problems. I have had many surgeries to put stents in because I can't urinate properly which of course led to kidney infections and stones. I have noticed for over 2 years this bulging out of my vagina. Now I can't urinate or get my stool out properly. I decided to take care of this myself and research as much as I can. I found a lot about these different types of prolapse. I have seen so many different doctors and absolutely NO ONE noticed this!? I don't understand. Women are overlooked. All anyone wanted to diagnose me with is having bladder and kidney infections as well as a problem they want to leave. I am so incredibly happy I noticed this myself because I am not in a great situation now. I am going to have to have surgery. I am so scared. Watching you and the way you are so calm has made me feel more calm myself. You are a great doctor! Amazing woman! It is obvious that this is your passion. You have made me understand what the heck the drs are saying and that there are options. I need to start speaking out and being my own advocate. Thank you for the great video ❤️
Thank you so much! I've seen my ob/gyn and I'm stage 3 and I've been referred to a specialist I haven't seen yet, but I'm armed with a wealth of information -- thanks to you!✌🏾
Extremely helpful video. Thank you so much for this! I was convinced I might need surgery, but I think exercise and following your tips may well be sufficient to avoid worsening.
What a brilliant informative talk from a top Lady. Thank you so much, really interesting. Much appreciated. Sandie (Sw London). You are amazing. Keep well. 👍🙏😘
I’m scheduled for colpocleisis in April and I will be 82 in April. My prolapse is stage 4. I had a hysterectomy when I was younger. I did wear a pessary for years until it began to hurt me. I’m quite anxious about all this and wish I could still use a pessary. Was not using an estrogen cream so probably should have. I do understand better after hearing you and thank you so much.
I am the same age and have major prolapse and several failed surgeries I am now totally in continent. Did your doctor say any incontinence would be fixed with the colpocleisis?
Thank you so much for sharing your extensive knowledge. It’s great to have some understanding before seeing a health professional as it’s quite involved.
I had a vaginal prolapse operation coming up three years ago next month. I had it since the birth of my second child at age 33 doing too much exercise. It gradually got worse while I ran myself to death the following twenty years. It was the best thing I ever did and haven’t looked back since. I’m from England and it’s one thing I can thank the NHS for.
Did you transition from running as exercise to another type of exercise after you healed from the surgery? Or were you able to run again once the prolapse was fixed?
@@sandrajohnson2491 I’m thinking that genetics play a part. The consultant told me that most if his patients were overweight and had smokers coughs, which made their prolapse worse. My mum had a similar operation at the age of only 42 and she never ran in her life, wasn’t overweight and didn’t smoke 👍🏼
@@1961-v9k I agree. I’m not overweight and also have never smoked. My Mom’s older sister who was an avid walker, not a smoker, not overweight, has had two prolapse surgeries.
This helped me so much! Such a powerful presentation infused with your infectious personality! I feel armed to speak to my urogyno surgeon about all the options. Thank you for your time and desire to empower women who have to deal with this! I feel so blessed to have found this!
Thank you Dr.Casperson for all your knowledge. I'm 63 with a rectocele but was informed last week a high one and a lower one. I was fitted for a pessary, I'm hurting from it 6 days now. I've tryed to take it out but no luck yet. So seeing a gynogolist next week. I'm not sure I can wait. Anyway I've decided not to have the surgery thus far. I think a smaller pessary might do the trick. Thank you again you certainly explained everything about prolaps.
How are you feeling now? 6 months after my 4th child I noticed my rectocele. Had a pessary a month ago. Ended up in emergency room after some crippling pain down there. Waiting for swelling to go down to see gynecologist. But not that the pessary is out, I definitely can tell it gave me a significant amount of relief with the heaviness in my pelvic area along with bowel movements.
Thank you so much! I had a cloposeisis two years ago. I had a hysterectomy at the same time. I have stopped using the estrogen cream out of laziness but I will now make sure I use it! I did have a complication a year later. I had a twisted bowel and the surgeon that fixed it felt that part of the mesh was the problem. Rare, I know but it was scary. I was told at the post op visit that I have a rectocele that will be a problem soon. I will see a pelvic floor PT before I go back to that surgeon. So thank you very much for your wisdom and straight forward descriptions. Much Love. Ann
Half way through this EXCELLENT video and it's so long I have to go pee now, after all this bladder talk. 😂 I'll be right back... Okay I'm back. Lots of info but every piece is truly a gem. I will be studying this closely. Grateful to this generous doctor sharing this with us, every single info-packed minute. A covid blessing in disguise, indeed. ☺️
This was awesome! I have had to have this done twice, no mesh. If I had all of this explained the way you did here, I don't think I would have had all this mess now. Now after six years it's partially back maybe a 2 as well as splinting and stress. Wish you had some charts to show what each thing looks like.
@@Brooklynn291I'm so sorry you're going through this. I had a pessary first but it was a 3 to 4. You are very young. Please get a few opinions if you're not at this stage or not severe, think about it. Have you looked at finding a PF physical therapist Did you have children?❤
@@againstallodds404 yes I had three , I’m 4 weeks postpartum . So scary because I had no clue this stuff could happen , I’ve been worried sick , as the symptoms are getting annoying and I have really bad back pain , I just don’t want it to worsen , I am scheduled for PT so I’m hoping that helps and some healing time also , I appreciate your words ❤️
I’ve had 3 children vaginally and at the end of last year had a hysterectomy. It was the perfect storm for my organs to begin to shift around. I’m grade one but I’m in some discomfort. Lower back pain, lower abdominal pain and some sexual dysfunction. I agree that my sexual dysfunction is more likely due to my preexisting pelvic floor issues (weak muscles, vulvodynia). I just started PT and am hoping I can prevent it from getting worse. Thank you for this information! I’m doing as much studying as I can.
Andrea, I just started a new job so I had to postpone PT until after I’m done with training. So far I just had my initial evaluation but the therapist was very knowledgeable and gave me hope. I work full time from home at a computer and have to take frequent breaks to stand or I end up with lower back pain, pelvic floor pain and lower abdominal pain. A sit/stand workstation would be ideal. I can keep you updated on progress with the PT in upcoming months if you’d like. Best of luck to you in finding some relief.
I'm on my third child now, how do you do it hahaha. I can only afford to feed two of them, thinking of sacrificing the third for a weeks feast. Anyways, any doctors you recommend? :)
@Andrea If you find the right pelvic floor physical therapist, they can save your life, or should I say, give you your life back. Mine is out of network (only way to get proper one on one time) Life saver!!! The way you can get a spasm.that causes pain in your back, you can get in your vagina too. They do PT inside, pushing gently to find any trigger points or spasms, any pain, gone. But read reviews. Not all are created equal. Some just have that "it" factor, like the doctor who was kind enough to make this video seems too as well:)
Did any of you have horrible coccyx pain? I have prolapse in both areas. I haven’t been able to sit, had to quit working as I went thru so much pain sitting, much less thinking, at work, working from home, functioning, trying the sit/stand desk, chiropractors, PT, and mainly lying flat or in my adjustable bed in a “recliner” position is all that has helped. I see my Urogynocologist next month for testing. Praying I am able to get it all lifted and not have to deal with it anymore.
This is an amazing video, truly a Master Class on prolapse, and I thank you for it. Two questions: 1- Without mesh, how do you fix a rectocele? What is the process? I have a bulge that fills the (shortened) vag compartment. You spoke to the anterior wall fix but not the posterior procedure. Similarities? Differences? 2- Lateral rectocele (under the small intestine at the right thigh abdominal juncture area for those reading,) what do you do about that? I am double splinting (thumb in and fingers to right out) and transvag with mesh is what I am being told is the best recourse for rectocele - with uncertainty about the lateral. A sling is also being mentioned for my cystocele. Pessary won't stay in place due to recent septum growing down from Hysterectomy scar. Badly healed perenial scar and sme internal rectal issues (a defect and hemorrhoids) are on the list too. After watching this I am wondering if my male surgeon (hundreds of prolapse repairs at a teaching hospital) is leading me astray?
I am dealing with the same thing and would love to know how you get on. I was never told that having a hysterectomy could cause all these issues. Burns me up that we are not told.
Thanks! You prompted me to see my doctor about this and I felt very empowered and informed. 😊. Had my bloods done and booked for an ultrasound next week, then I’ll be referred to the specialist and we will see what happens. With a possible 30 years left to live I think the surgery might be worthwhile.
My prolapse appeared last year and I was so scared... I am 73 years old, 3 children, hysterectomy...I saw my Gynecologist/ Specialist and was fitted with a peasantry to use if I wanted to. She explained that because of kids and hysterectomy that was what caused my problem. She said I looked fine and assured me that a lot of women actually had a prolapse but no surgery needed...& this this issue was hardly talked about.. I have no urinary or bowel movement problems.. Sometimes it seems to go away and sometimes I can see this pink buldg. (My bladder)I don’t panic anymore.... I don’t think I need surgery, but I did purchase a pelvic organ brace from a company called “BRACEABILITY”.. cost $60.00. I might wear it once every 2 weeks when I feel the bulge more.. Thank You so much for this video.. I will continue to follow you.. Sandy P
Thank you so very much ,I feel so much more informed than anything else I have listened to.As a mother of ten natural born children the natural estrogen and physical therapy has been working wonderful. Keeping slim and exercising has really helped as a now 65 year young .
Thank you so much for a great and detailed explanation of this issue. You are highly intelligent and skilled. Just had my surgery and now I am empowered to ask my surgeon why he did not put me on estrogen, if he did pushing vs pulling and did not send me home on foley. I had an extensive surgery with hysterectomy due to my fibroids, rectocele and cystocele repair. I should not have my surgeon do the repairs looking back because I don’t have a lot of bothersome symptoms. I think my pain is more because of my fibroids. But anyway it is done so....I have a question for you which I hope you can answer right away.....when do you usually allow or order PT?
This was absolute perfection. You are what we hope all of our doctors can be. Thank you. Bless you.
I can't tell you how many videos I watched before this one. I felt so annoyed and frustrated because NONE of them answered the questions I had. YOU ARE ABSOLUTELY AMAZING! Thank you so much. I am certain you are helping more women than you could possibly know, even just by posting this video, and in your practice, you are an angel. :). I might move to Washington state just so I can come to Pacific Northwest Urology Specialists! :)
What city is it in?
@@tameeskrodgers2793 I believe Bellingham, WA. :)
I have learn so much. Before the Prolapse I knew nothing.
Thank you so much for explaining everything about it.i feel like come to see u for my problem but I live in Canada. I feel so comfortable treating from you:)can u suggest me treatment for feeling prolapse towards urinary track I feel so heaviness.can u suggest which treatment is best for me.
Thanks With lots of gratitude 🙏
This was a terrific explanation of these common "Problems" woman can have and how to deal with them. Thank you.
Wow! Spectacular ;) I appreciate the concise and clear information. I’m 66 and on the fence, the is gave me clarity. Thank you much!
What an amazing video!!! Very engaging, thorough, and informative. 38 minutes well spent. I am 63 y/o and 1 week post pelvic floor prolapse repair surgery. I have learned so much from this video than the few minutes I spent with my surgeon. Now, when l go for my follow-up visit, I will be equipped with a million educated questions. I will also be requesting pelvic floor PT and possibly estrogen cream. Thank you so much for sharing your knowledge!!❤
I’m a med/surg/orth nurse and float to OB occasionally, this doctor is a gem and rare !!!
Wow, well presented….to the point, articulate and in understandable language !
Gods bless you and keep doing what your doing !!!!!
Yes she is a gem for sure. I hope to find a female doctor where I live in Charlotte NC and get seen and I will be listening to this posting over and over , making notes and will go with facts and knowledge to the next doctor I try out.
You are so special. Women need more doctors like you who really explain things so thoroughly. I wish you lived in my town. I would pick up the phone and get an appointment just to talk to you. God bless you for sharing your knowledge and expertise with everyone. Thank you so very much. 😊🙏❤️
This is absolutely the best video on this subject I have seen. I feel like I just had the most comprehensive education on POP and I am deeply grateful. It takes a woman to explain to other women about this common occurrence in approximately 30% of us.
You are right this is a blessing on desguise, so now you are having time of sharing your knowledge with everybody in this world that needs this kind od help or to share it to who might need it. THANK YOU and Blessings Dr.
37 minutes and I listened to every single one, because I just went to the urologist I was referred to by an absolutely NON EXAMINING nurse practitioner, a urologist that specializes in prostates. The staff didn’t even know what to do with me. I literally thought that I’m irreparably broken with no hope of ever being able to be healthy again. Now to find an amazing doctor like you.
That's about 36 more minutes than my Doctor discussed with me prior to my recent hysterectomy with a cystocele bladder fix tossed in for good measure. I was only told why the mesh could not be used due to insurance regulations and risk factors. Here I am, almost 6 months after surgery, dealing with my bladder again. I think it must like living in the basement! I wish women had been given better educations regarding this phase of our lives when we were given our sex ed courses in school and college! THANK YOU for this very educational video!
Try a pessary. Very useful.
My surgery failed after two months. I’ve made a couple of changes that are helping. Find me on Facebook, friend me, and private message me and I’ll tell you what I am currently doing. I don’t ever want to have that surgery again.
@@cherylhughes7417 you can find me under Connie Norleen
omg what happen i have mine in 2 wks@@connienorleen
THANK YOU!! So...Having babies causes this crapola. I had 5 children. Been having mild/mod prolapse for years! (More that women have to endure in our lives. 😩). Thank you soooo very much! You’ve given me all I need to know! Stay strong, ladies!!!💪
Me too, 2 large boys late n life 37 n @44 my 2
Bless you. Forever grateful. I’m 78, just had vaginal/uterine prolapse surgery. Just had two week check up. No one mentioned the estrogen cream. I will be getting that on Monday. This information was so helpful. This video ought to be in every doctors office.
Hows it going Connie? I think I’ll be having this and was interested in your thoughts 😊
@@llamarama111 Hello, well my surgery failed after two months. This drs information was the best I have heard. So I still have the problem. I have made a couple of changes that make it easier to live with. If you can find me on Facebook and friend me and private message me I’ll tell you what I have been doing. I don’t ever want to have that surgery again if I can avoid it.
@@llamarama111 you. An find me under Connie Norleen
Thank you very much for sharing your wisdom and educating us. It's amazing how many women are affected by POP but are embarrassed to talk about it. Even worse, it's a shame how many doctors won't address it when needed. So, THANK YOU for taking the time to empower us to make good decisions regarding our medical care!
OH SO HELPFUL !!!! I was scared silly 37 minutes ago & now I'm back to normal. THANK YOU SO MUCH !!!
How long do you have a prolapsed?
My gnat-sized attention allotment stayed with you for 37 minutes. Great job! Thank you.
Excellent talk.. thank you so much.. I’m 50 and have been wondering about the changes I’m experiencing especially with the menopause and no one talks about it.. Ty for sharing your knowledge with us and in such a clear and easily
Understood manner, I’m sure there are a lot of women out there like me who very much appreciate you taking the time to inform us on this subject.. 😊
Thank you Doctor! Women, please keep talking about what is going on with your body. Sharing helps all of us! I'm scheduling my surgery for stage 4. I can't believe it has taken this long for me to figure this out, talk about it, and deal with it.
Great letter. I too am stage 4. I learn more regarding treatment this week.
Je ne trouve pas mon trou du cul.
Would love to hear how you are post surgery 😊
@@llamarama111 Why, Im sure she's how every woman would be after a partial hysterectomy. 😁😎
Hi how did the surgery go!
I absolutely loved your video. Thank you for being straight up and explaining what doctors dont seem to have time to do. Please continue to educate us. Thank you so very, very, much.
Thank you. You explained everything in simple layman terms. You answered all my questions without me asking any. I was so upset, my anxiety is now gone!!!
wow wow! So glad to be of help!
You are a Godsend! You answered soo many questions and shredded light on things I needed to know; THANK YOU FOR CARING!!
You are so welcome!
Paraneoplasty deserves more airtime, IMHO. The lack of sensation a woman can feel because of vaginal muscles stretching from childbirth is incredibly depressing. And some doctors do not take it seriously at all. I had one female doctor practically scoff in my face about it, insinuating that it is for the male partner's enjoyment only. Not so. I left the doctor's office feeling disheartened. And so your mention of it is appreciated, doctor.
This was a great explanation. The Doctor I had did not help me understand anything he said. Its too bad there aren't more women Doctors like you. After seeing him I was petrified. I am now seeing a female doctor for a pessary and she has been great. Thank you so much!!!!
Thank you for 37 minutes of prolapse talk!
I am the mom of eight children, all vaginal deliveries. I’m in my early 60’s, not on an Estrogen cream, had a sudden weight gain of fifty (50) pounds six years ago due to a three year treatment with steroids, (I’ve since lost twenty pounds, yay!), and currently I have a bulging bladder and uterus.
Thanks to this video, I now have a better idea of what decisions I want to make when I visit my GYN next week.
I definitely feel more empowered.
Thanks.
(Even so, the Foley still scares the heck out of me!🤣)
Peace out. ✌🏽
I’m wondering what you decided to do, and how are you now? I had a full repair after my last baby and it was the best thing I ever did. That was 25 years ago now, and I’m still going great, and very active. All the best to you.
So glad it helped! Best of luck!
@@lindagardener855❤
M also thinking for pelvic repair bt in fear of prolapse to reoccur.. Surgery need a high amount of money... If it's successful then wow....
Cn you give guidelines and diet to follow after surgery
Boy - are you interesting. Well spoken and informative with a great personality. A delight to watch - thank you!
Great HELP FOR MYSELF .... I AM 81 years with Fractured Spine 😢 I developed Prolapse during stones in kidney 😢
HAD STENT OUT IN , BECAUSE STONE TOO BIG , AND UNUSUAL SHAPE 😢😢😢😢😢
YOUR INFORMATION VERY HELPFUL.
BLESSINGS FROM AUSTRALIA 🇦🇺 🙏
❤❤❤❤❤❤❤❤
Thank you 🙏
from the UK.
In the 3 years I have been under my doctor for POP, I have never received this amount of information. I feel now I can move forward. So grateful for this video.
THANK YOU FOR THIS AMAZING CHAT!! I'm a mom of 5. My last baby was born when I was 40 (!) --from your description, I have a stage 4 prolapse. You have given me the info I was looking for.... Thank you again for taking the time to talk to us!
Did you have major problems urinating. I suspect I'm grade 4 too. It really is affecting the quality of my life.
@@lynne3989 not exactly "major" problems. i do tend to have to sit and wait for my bladder to completely empty. it's more annoying than anything.
Did you have the surgery?
@@lynne3989did you have the surgery?
I am a family medicine doctor in Australia. This overview is fantastic. Thank you so much for posting.
heell yeaa
I began to suspect a prolapse last week when I took a „look“ due to an itching feeling. I was shocked…but then when you aren`t always looking nor feeling anything unusual, it could be that this is something normal. Anyway, found your video and I feel sooo much better, even if it is the beginning of a prolapse - also suspected because I have a chronic cough. Will talk to my Dr on my visit in April …..you made me feel like it wasn`t an emergency nor would I need invasive treatment. I`ve come away from this video very well informed. Thank you for all the good info!!!!
Thank you for presenting this information. You have a very easy practical ability to explain details without freaking a woman out. Very informative.
What a great explanation of all this. Thank you so much.
THANK YOU SO VERY MUCH for this very informative video on prolapse..67 and just discovered I have something going on..this helped me calm down and not freak out. Had no idea this was part of life and the life cycle of the vagina. So much wonderful information.
Was clueless, now informed !!!
Great presentation 👏
Thank you for this! I just discovered my prolapse yesterday. I was FREAKING OUT!! This was very informative
It is very common and not dangerous. Most women just don't get any "heads up" that this could be happening. That is why I believe in education so much!
Hope you’re doing ok
me too, found out yesterday.. thank you so much for this really informative video
Same here. This is so reassuring.
This is by far the most informative and comprehensive video on pelvic prolapse that I have seen and I am so glad I found it. Thank you!
All the way from Australia,I am sending my gratitude for this fantastically informative video. Along with your extensive knowledge comes your ability to explain things in layman's terms. Your warmth and humour to help us prolapse gals feel comforted and understood. After 5 big babies and twenty years of doing weights at the gym, I think I have given my pelvis a thrashing - hence, bladder and uterine prolapse!!!! I have confidence in my urologist but if I lived in the US I would definitely be your patient :D
I also do weights at the gym but I bought a hard foam wedge because weight machines are made for men. A woman should never have her body at more than a 90 degree angle from her legs when using a weight machine. I use the wedge to correct that - works a charm
E
Thank you. I have struggled with this for a while and just thought those was my new normal. Recently, it has gotten worse, which led me to seek treatment. This makes me feel less anxious about my situation.
Thanks so much for your video information!!
I am having prolapse surgery next week at Mayo Clinic for pelvic floor reinforcement due to grade 3 rectocele and cystocele.
You have answered so many of my questions and helped me prepare mentally for surgery.
Thank you for doing this video!
Thank you for explaining the 4 stages of prolapse and surgical treatments. It was useful to hear the correct medical terms and to learn about the many options. Giving much needed hope and guidance. Thank you x
You can't even imagine the relief I feel now after I watched your video. You are AMAZING. Can't thank you enough:):)
thank you for the great information. i had a full hysterectomy 20 years ago and have now discovered a prolapse. you answered all my questions and i now don't feel as anxious. good info and good timing!
Thank you for taking the time to explain much of what happens when one has a prolapse. Great content!
Thank you so much for this video. It made me feel so much better about my situation and gave me a sense of what to ask and talk about with my Urogynecologist who I was just referred to. I have never had surgery before and this took away a lot of fear.
So appreciated! I also love your down to earth personality and compassion, I hope that my surgeon has your character.
Thank you and I am glad it is helpful. Best of luck!
About to fix my prolapse surgery and I’m so glad I came across you you have given me the confidence to say yes yes yes
I just noticed a anterior prolapse today while I was at work (as a CMA) I knew immediately what I was feeling because of my previous obgyn experience, and it scared me to death. You're the first video I landed on after coming home, and you have helped calm me a bit. I'm guessing I'm a 3 or 4 so I'm somewhere between starting a keagle program and running to a surgeon. Thanks for making this video.
How did everything turn out for you??
I’m in PT for bladder prolapse & you have given so much positive information. I now feel confident the kegels,bridges, therapy bands will eventually minimize the heaviness in the pelvic area. You were very professional & thorough. Thank you for sharing your expertise!
Have you noticed improvement??
@@k.pep.1253 I have not had noticeable improvement yet but will continue with my PT for another month.
@@judyfellows7381 thank you for replying. What grade are you dealing with?
I had the surgery after my 4th baby and it has been amazing. I can now be active without feeling like my bladder is about to fall out . That was 25 years ago now, and I. Still good. If it’s affecting your lifestyle adversely, as mine was, then go for it.
I have a 3rd stage prolapse to my rectum, bladder, and uterus and this has been amazing! I will be having surgery and I feel so much more informed! Thank you!!!
Have you had your surgery
I have the same and am booked for surgery 01 Nov.
Have you had your surgery? How did it go? Having a hysterectomy with suspension on Aug 12th super nervous@@thalassophile1665
I know you did this two hears ago. Thank you so much. Im in great discomfort and was really needed guidance. Good simple facts you can make informed decisions are hard to find.
Thank you! Started following you 6 mos ago after going to my obgyn and while up in stirrups she tells me I have prolapse and she will refer me to a surgeon for hysterectomy! I didn’t hear anything she said after that and realized when I got home that she hadn’t even done my Pap smear that I went in for. Dr. Just said it was normal with aging. I am 63 yr very healthy, active, LHS resistance training, clean eating, supplements etc. never expected this. Researched on internet for hours daily and now on estrogen cream, pelvic floor physio, estradiol gel, progesterone. Changed dr. Prolapse better, work in progress. Now Following you, dr Rachel Rubin, dr Mary Claire Haver, Dr Louise Newson, Dr V. Wright and others. Thank god for all that you do and social media
Thank you. I have robotic surgery (stage 4) scheduled for next month and this explained a lot. The Dr told me most of what you said but it didn’t register at the time. You’ve given me more detail than I remember so it was really helpful. Thanks again. Shirley
Cancel the surgery, u less it's bothering you!
How did your surgery go ?
Thank you SO much. Just diagnosed with anterior prolapse. Your video was so much more helpful than my family doctor in terms of information and “next steps”. “Do your kegels, refer to a surgeon”. I will be seeing a pelvic physiotherapist next month (my idea 😊
Do you have a link or copy of the evidence you mention in the video about how pessary use improves postpartum recovery and enables pelvic floor healing. Would be great to have access to the specific reference and data. Thank you.
This was the most informative prolapse video!! I wish you were my doctor!!
Thank you so much for this information. I have had this problem for several years. It is uncomfortable and challenging. I am considering the robotic surgery and hearing you explain it in detail has helped me understand it better. I needed to hear this and knowing I'm not alone in this helps. Thank you for sharing your knowledge.
I know this video is 4 years old but the information you’ve provided was absolutely essential to me. You’ve helped me not be so freaked out about what’s going on with me. I’m 53, had a hysterectomy at 42 where they left my tubes and ovaries because I had a pulmonary embolism when my youngest daughter was born in 2004. They didn’t want to put me into early menopause at 42 since they felt HRT was not an option for me.
Now, I have a solid 5cm mass in the center/left side of my pelvis near my ovaries that was found incidentally during an ER and hospital stay due to a horrible UTI/kidney infection, sepsis, and kidney abscess. One radiologist thinks the mass may actually be a residual fibroid that is attached to my vaginal cuff area or maybe a broad ligament fibroid/mass. I’m scheduled for surgery to remove the mass in a couple weeks. I’ve been experiencing tailbone pain for about 5 months that I keep getting told is just aging. I’ve had no injuries or an accident to explain the pain. This week, I noticed a lump at the entrance of my vagina on the back/posterior. It’s worse later in the day or if I’ve been on my feet a long time. I’m curious if the solid mass near my ovary could be contributing to the lump/rectocele or if this is completely a separate issue. They sent me to a gyno oncologist for review and surgery on the solid mass, as a precautionary measure.
I’m trying to figure out if I should let my surgeon know about the rectocele issue, before she takes out the mass or let it go and see if the solid mass being removed helps fix the issue. It wasn’t something I wasn’t even aware of during my initial consultation and physical exam with her. She likely didn’t see it during the exam because I was on my back. I don’t want extra surgery if I don’t need it, but I also don’t want two surgeries if I can avoid it.
thank you so much. I also just realised I have a prolapse and was freaking out. this makes me feel so much less worried about it.
Thank you for this informative video. Surgeons do not discuss options with women. They recommend their favorite procedure and are not available for questions . This was very useful. Thanks.
Thank you for posting this video. You answered my questions. I have had a pessary for seven years, which helped with my prolapse (at 3-4). But over the past two years, I have been experiencing bladder leakage with constipation. I have recently met with an OBGYN specialist and neuro surgeon to discuss bladder repair and a partial hysterectomy (remove the uterus) due to polyps and fibroids. A mass was found in my ultrasound. I feel constant pressure in my pelvic floor. I’m tired, bloated, and struggle to have bowel movements. Sex is not painful… but when I lay on my back, my uterus is enlarged and feels like a rock to touch. I don’t want mesh products in my body so I asked about the natural biological tissue to ligaments for the repairs. The sling was suggested but I have another meeting with both surgeons to pose my question about the natural biological tissue to use for the repair. I’m premenopausal and plan to keep both my ovaries for hormone balance. Do you recommend estrogen cream with keeping both ovaries after a partial hysterectomy? I know prolapse is your specialty, but perhaps you can speak to the benefits of the estrogen cream post- surgery. I’m not sure if I want to keep my cervix due to breakthrough bleeding down the road. I want to be completely done with periods and breakthrough bleeding. I want to be healthy and feel normal again. Thank you for your video and expertise in the medical field. I want to make a well informed decision over my body before consenting to surgery.
Thank you so much. I have a bladder prolapse diagnosed during early lockdown by the nurse at my surgery, I haven’t spoken to a doctor about it and I haven’t had my physio appointment yet, nearly 12 months later. This was a breath of fresh air. So informative and straightforward. My question is, at 55, how long can I use oestrogen cream for? It has relieved most of my symptoms but no one told me how long I can carry on with it for.
I wish I could see you In person. Thank you for caring so much about a subject which is largely not spoken about.
I assume you’re speaking about topical vaginal estrogen and not systemic estrogen.
Vaginal estrogen can and should be used for life. It is an extremely low dose estrogen. If you’re deficient in estrogen to the point that you have urovaginal atrophy, the atrophy will return if you stop the estrogen.
If you’re talking about systemic estrogen, however, the answer varies! You would need to speak to a hormonal specialist about that.
Thank you. Owe you a Starbucks and then some!! You rock. I never even heard of splinting… good description. The whole thing has just come to light for me this week w pop diagnosis after an exam… and I have been completely freaked out. Peace to you.
I have watched this video multiple times and am still learning things I didn't catch when watching earlier. It as been the BEST, most helpful video in understanding my surgery, options after failure (anterior repairs and ligament suspension) and the importance of at home measures. I would give you the biggest hug if I could. Thank you!
thank you so much for taking the time to make this post. i'm having surgery on May 18th and have a lot of anxiety, as i'm sure most women do. you make me feel more prepared and knowledgeable which helps a lot. Thank you!
How did it go ?
How was your surgery?
Thank you that explained alot about what my symptoms are.You are a confident & informed doctor.I just pray I find one like you.Thank you so much for making this video.
Thank you this very informative video. I have a prolapse also. Haven’t had an appointment with a hospital Doctor yet. Our local nurse could see what the problem was, referred me and instantly gave me oestrogen cream. Immediate relief from the dryness. Your video answered all the questions I have wondered about. Thank you explaining this to us. X
Thank you so much . I have a mild prolapse and you just put everything into perspective. I will continue to see my pelvic floor therapist and continue with my exercises and estrogen cream. I have so much more clarity.
Thank you for this video. I didn't actually want to tell anyone about what was going on with my prolapse. I had a total hysterectomy at 27 and I am 42 now. I just started looking this up because I have major bladder/kidney problems. I have had many surgeries to put stents in because I can't urinate properly which of course led to kidney infections and stones. I have noticed for over 2 years this bulging out of my vagina. Now I can't urinate or get my stool out properly. I decided to take care of this myself and research as much as I can. I found a lot about these different types of prolapse. I have seen so many different doctors and absolutely NO ONE noticed this!? I don't understand. Women are overlooked. All anyone wanted to diagnose me with is having bladder and kidney infections as well as a problem they want to leave. I am so incredibly happy I noticed this myself because I am not in a great situation now. I am going to have to have surgery. I am so scared. Watching you and the way you are so calm has made me feel more calm myself. You are a great doctor! Amazing woman! It is obvious that this is your passion. You have made me understand what the heck the drs are saying and that there are options. I need to start speaking out and being my own advocate. Thank you for the great video ❤️
When is your surgery? If you’ve had it, are you ok?
Thank you so much! I've seen my ob/gyn and I'm stage 3 and I've been referred to a specialist I haven't seen yet, but I'm armed with a wealth of information -- thanks to you!✌🏾
Extremely helpful video. Thank you so much for this! I was convinced I might need surgery, but I think exercise and following your tips may well be sufficient to avoid worsening.
Thank You !! Thank You!!
You're still sharing your expertise & knowledge and helping women, myself included , in 2022 💖
Thank you so much for making medical information accessible!! I wish there were resources like this for every condition.
What a brilliant informative talk from a top Lady. Thank you so much, really interesting. Much appreciated. Sandie (Sw London). You are amazing. Keep well. 👍🙏😘
This makes me feel sooo much better ! I just found out I’m between a 1-2 and I felt my life was over.
This has been soooo helpful! I watched all 37 minutes.
I’m scheduled for colpocleisis in April and I will be 82 in April. My prolapse is stage 4. I had a hysterectomy when I was younger. I did wear a pessary for years until it began to hurt me. I’m quite anxious about all this and wish I could still use a pessary. Was not using an estrogen cream so probably should have. I do understand better after hearing you and thank you so much.
I am the same age and have major prolapse and several failed surgeries I am now totally in continent. Did your doctor say any incontinence would be fixed with the colpocleisis?
Thank you so much for sharing your extensive knowledge. It’s great to have some understanding before seeing a health professional as it’s quite involved.
I had a vaginal prolapse operation coming up three years ago next month. I had it since the birth of my second child at age 33 doing too much exercise. It gradually got worse while I ran myself to death the following twenty years. It was the best thing I ever did and haven’t looked back since. I’m from England and it’s one thing I can thank the NHS for.
Did you transition from running as exercise to another type of exercise after you healed from the surgery? Or were you able to run again once the prolapse was fixed?
@@sandrajohnson2491 no, I still run, just not every day 👍🏼
@@1961-v9k Great! It gives me hope that I can continue as well.
@@sandrajohnson2491 I’m thinking that genetics play a part. The consultant told me that most if his patients were overweight and had smokers coughs, which made their prolapse worse. My mum had a similar operation at the age of only 42 and she never ran in her life, wasn’t overweight and didn’t smoke 👍🏼
@@1961-v9k I agree. I’m not overweight and also have never smoked. My Mom’s older sister who was an avid walker, not a smoker, not overweight, has had two prolapse surgeries.
This helped me so much! Such a powerful presentation infused with your infectious personality! I feel armed to speak to my urogyno surgeon about all the options. Thank you for your time and desire to empower women who have to deal with this! I feel so blessed to have found this!
So glad I found this! I can’t tell you how many questions this has answered. Thank you!
Extremely helpful. I have not had a sexual partnerfor five years because I thought I was doomed for life. You have given me hope.
Thank you so much!!! You don’t understand how much you helped me!
so glad!
Thank you. That has been so useful and informative. Gave me much more confidence about the options for treatment.
Thank you Dr.Casperson for all your knowledge. I'm 63 with a rectocele but was informed last week a high one and a lower one. I was fitted for a pessary, I'm hurting from it 6 days now. I've tryed to take it out but no luck yet. So seeing a gynogolist next week. I'm not sure I can wait. Anyway I've decided not to have the surgery thus far. I think a smaller pessary might do the trick. Thank you again you certainly explained everything about prolaps.
Best of luck! You got this!
How are you feeling now? 6 months after my 4th child I noticed my rectocele. Had a pessary a month ago. Ended up in emergency room after some crippling pain down there. Waiting for swelling to go down to see gynecologist. But not that the pessary is out, I definitely can tell it gave me a significant amount of relief with the heaviness in my pelvic area along with bowel movements.
Thank you so much! I had a cloposeisis two years ago. I had a hysterectomy at the same time. I have stopped using the estrogen cream out of laziness but I will now make sure I use it! I did have a complication a year later. I had a twisted bowel and the surgeon that fixed it felt that part of the mesh was the problem. Rare, I know but it was scary.
I was told at the post op visit that I have a rectocele that will be a problem soon. I will see a pelvic floor PT before I go back to that surgeon. So thank you very much for your wisdom and straight forward descriptions. Much Love. Ann
Half way through this EXCELLENT video and it's so long I have to go pee now, after all this bladder talk. 😂 I'll be right back...
Okay I'm back. Lots of info but every piece is truly a gem. I will be studying this closely. Grateful to this generous doctor sharing this with us, every single info-packed minute. A covid blessing in disguise, indeed. ☺️
This was awesome! I have had to have this done twice, no mesh. If I had all of this explained the way you did here, I don't think I would have had all this mess now. Now after six years it's partially back maybe a 2 as well as splinting and stress. Wish you had some charts to show what each thing looks like.
Was it worse before the surgery?
@@Brooklynn291 YES
@@againstallodds404 thank you , just trying to navigate and figure out what to do , I’m 21 and was diagnosed with bladder and uterine prolapse
@@Brooklynn291I'm so sorry you're going through this. I had a pessary first but it was a 3 to 4. You are very young. Please get a few opinions if you're not at this stage or not severe, think about it. Have you looked at finding a PF physical therapist Did you have children?❤
@@againstallodds404 yes I had three , I’m 4 weeks postpartum . So scary because I had no clue this stuff could happen , I’ve been worried sick , as the symptoms are getting annoying and I have really bad back pain , I just don’t want it to worsen , I am scheduled for PT so I’m hoping that helps and some healing time also , I appreciate your words ❤️
I’ve had 3 children vaginally and at the end of last year had a hysterectomy. It was the perfect storm for my organs to begin to shift around. I’m grade one but I’m in some discomfort. Lower back pain, lower abdominal pain and some sexual dysfunction. I agree that my sexual dysfunction is more likely due to my preexisting pelvic floor issues (weak muscles, vulvodynia). I just started PT and am hoping I can prevent it from getting worse. Thank you for this information! I’m doing as much studying as I can.
Andrea, I just started a new job so I had to postpone PT until after I’m done with training. So far I just had my initial evaluation but the therapist was very knowledgeable and gave me hope. I work full time from home at a computer and have to take frequent breaks to stand or I end up with lower back pain, pelvic floor pain and lower abdominal pain. A sit/stand workstation would be ideal. I can keep you updated on progress with the PT in upcoming months if you’d like. Best of luck to you in finding some relief.
I'm on my third child now, how do you do it hahaha. I can only afford to feed two of them, thinking of sacrificing the third for a weeks feast. Anyways, any doctors you recommend? :)
@Andrea If you find the right pelvic floor physical therapist, they can save your life, or should I say, give you your life back. Mine is out of network (only way to get proper one on one time) Life saver!!! The way you can get a spasm.that causes pain in your back, you can get in your vagina too. They do PT inside, pushing gently to find any trigger points or spasms, any pain, gone. But read reviews. Not all are created equal. Some just have that "it" factor, like the doctor who was kind enough to make this video seems too as well:)
Did any of you have horrible coccyx pain? I have prolapse in both areas. I haven’t been able to sit, had to quit working as I went thru so much pain sitting, much less thinking, at work, working from home, functioning, trying the sit/stand desk, chiropractors, PT, and mainly lying flat or in my adjustable bed in a “recliner” position is all that has helped. I see my Urogynocologist next month for testing. Praying I am able to get it all lifted and not have to deal with it anymore.
My doctor told me yesterday that I have stage 2 bladder prolasp. Your video very helpful in understanding how to manage this. Thanks from Australia
This is an amazing video, truly a Master Class on prolapse, and I thank you for it.
Two questions: 1- Without mesh, how do you fix a rectocele? What is the process? I have a bulge that fills the (shortened) vag compartment. You spoke to the anterior wall fix but not the posterior procedure. Similarities? Differences? 2- Lateral rectocele (under the small intestine at the right thigh abdominal juncture area for those reading,) what do you do about that? I am double splinting (thumb in and fingers to right out) and transvag with mesh is what I am being told is the best recourse for rectocele - with uncertainty about the lateral. A sling is also being mentioned for my cystocele. Pessary won't stay in place due to recent septum growing down from Hysterectomy scar. Badly healed perenial scar and sme internal rectal issues (a defect and hemorrhoids) are on the list too. After watching this I am wondering if my male surgeon (hundreds of prolapse repairs at a teaching hospital) is leading me astray?
I am dealing with the same thing and would love to know how you get on. I was never told that having a hysterectomy could cause all these issues. Burns me up that we are not told.
Thanks! You prompted me to see my doctor about this and I felt very empowered and informed. 😊. Had my bloods done and booked for an ultrasound next week, then I’ll be referred to the specialist and we will see what happens. With a possible 30 years left to live I think the surgery might be worthwhile.
This is a great video, helped me a lot through difficult times. Sincerely Emerson
@@miklfet3927 Isn't he a doctor that specialises in this topic
You have helped me soooooo soooooo much ! I’m going to my 1st appointment May 16 th and you’ve given me sooooo much clarity ! Thank you !
My prolapse appeared last year and I was so scared... I am 73 years old, 3 children, hysterectomy...I saw my Gynecologist/ Specialist and was fitted with a peasantry to use if I wanted to. She explained that because of kids and hysterectomy that was what caused my problem. She said I looked fine and assured me that a lot of women actually had a prolapse but no surgery needed...& this this issue was hardly talked about.. I have no urinary or bowel movement problems.. Sometimes it seems to go away and sometimes I can see this pink buldg. (My bladder)I don’t panic anymore.... I don’t think I need surgery, but I did purchase a pelvic organ brace from a company called “BRACEABILITY”.. cost $60.00. I might wear it once every 2 weeks when I feel the bulge more..
Thank You so much for this video..
I will continue to follow you..
Sandy P
How did the brace work for you- please let us know!
How do you like the brace?
OMG!! Years of suffering and you answered so many questions! Thank you, thank you, thank you!!!
This was exactly what I needed before going in for surgery this coming week! Thank you for all the understandable explanations. Praise to you.
Thank you so very much ,I feel so much more informed than anything else I have listened to.As a mother of ten natural born children the natural estrogen and physical therapy has been working wonderful. Keeping slim and exercising has really helped as a now 65 year young .
What is NATURAL estrogen and how does one get it? Thank you ❣️
I would like to know that too.
Good bless you..10! I’ve given vaginal birth to seven and have some issues. I agree staying slim anna being active is extremely important
Thank you for this. People like you are total savior.
Thank you so much for a great and detailed explanation of this issue. You are highly intelligent and skilled. Just had my surgery and now I am empowered to ask my surgeon why he did not put me on estrogen, if he did pushing vs pulling and did not send me home on foley. I had an extensive surgery with hysterectomy due to my fibroids, rectocele and cystocele repair. I should not have my surgeon do the repairs looking back because I don’t have a lot of bothersome symptoms. I think my pain is more because of my fibroids. But anyway it is done so....I have a question for you which I hope you can answer right away.....when do you usually allow or order PT?
This is the best, most informative video I have ever enjoyed, yes, actually enjoyed listening to! Thank you!!!
I got surgery how come the prolapse come back? How to fix it? Thanks.
This video is Gold and so is your enthusiam - it's very clear. Thanks
Thank you from a Herman and Wallace pelvic health physio! Excellent video :)
We LOVE our Herman And Wallace PT's in our town!! Like seriously LOVE! Someday I want to teach at a course!