Problems with exercise after anterior/posterior vaginal repair

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I had an anterior/posterior vaginal repair in Dec. 2008. I had a cystocele, uterine prolapse and rectocele that I've suffered with for over 2 years. I kept my uterus and both ovaries. After the surgery, my symptoms (urinary frequency, heaviness in the pelvic area) were completely gone, and I felt great.

In Jan. 2009. I had a ant. mesh repair because the Dr. said that some of it was exposed. He 'touched' it up in a 1 hr. procedrue.

I just started back to light walking on the treadmill last Monday for 30 min. Wow----I had the worst urinary frequency--every 20-30 I had the 'urge' to go. I called the Dr. and got worked in that week. My UTI test came back negative, no infection (I knew it). I made him check me for any kind of recurring prolapse both in the laying down and standing postition. He confidentally said that there was no prolapse at all. I do agree, there is no more bulge feeling anywhere vaginally.

I took 5 days off of any exercise and all my urinary frequency went away and I felt fabulous!! However yesterday I did 25 minutes on the stationary bike, and guess what? URinary frequency back again, really bad...

WHat is going on?

I'm really new here and have no idea what's actually going on for you, but 25 and 30 minutes of exercise to 'just start back' seems pretty ambitious. If you've made this connection between the exercise and frequency maybe start again with 5-10 minutes of walking when you're feeling better?? And no caffeine?
I hope it resolves soon- good luck- CL

Hi Kristine,

I agree with Crazylady. Starting back with exercise for that length of time, even though it's light, does seem like a bit much. I think you have to be very careful after having these kinds of repairs, unless things have changed drastically in the last five years. When inquiring about a bladder repair for my cystocele back then, I was told by several different doctors, I would never be able to pick anything up that weighed over eight pounds! I chose not to have the surgery. I am too active for that kind of restriction.

I suggest you check with your doctor about what you can and cannot do having had the surgeries. I certainly would stop, or try cutting way back, on doing anything that gave me a problem. The last thing you want, I am sure, is yet another surgery.

Wishing you well.

~Mae

Hi Kristine,

I would make an in-depth study into the numbers of women having serious problems with erosion, migration, tissue distortion (mesh “shrinkage” as it is known) and infection from operations that attempt to “reinforce” the vaginal walls with surgical mesh.

Until you are able to fully evaluate your condition with your doctors I would curtail all exercise and penetrative sex.

Please consider sharing your journey here with us as you learn the best course of action to take. It may be to have the mesh removed as quickly as possible (if that is even possible without causing irreversible damage to your urethra), partially removed to improve your symptoms, or perhaps the “revisions” will be enough to make the situation viable for the long term. Data does not yet exist to know one way or the other, and the FDA, although having recently issued clear warnings regarding this particular use of mesh, has not yet outlawed the procedures or penalized the surgeons or manufacturers.

I am so sorry you are having this experience and can only hope that together we can prevent it from happening to others.

Wishing you well,

Christine

just reading some comments from people who have had these procedures and find it a bit daunting that very few feel it has been a good procedure for them. I had mine recently 10/1/11 and still waiting for followup review by surgeon. Icant wait to get back to exercising again can anyone suggest what kind of excercise one whould do.

Hello and welcome CM,

Yes, when the dynamics of the pelvic interior are changed through these sorts of reconstructive surgeries, it sets women up for further problems. The direction of forces within your pelvis are changed so that other organs like the uterus and rectum can shift from their anatomic positions to a more prolapsed state. Anterior colporrhaphy carries with it a huge risk of urinary incontinence and thus the reason the procedure is now coupled with a sub-urethral sling.

However, now the fascia separating your bladder and vagina is fused, so bladder and vagina must move as one unit. The WW work strives to move the bladder forward so the vagina can once again flatten against intraabdominal pressure.

You must continue to exercise and I hope you are able to live fully with no further prolapse or other problems. Although much of the WW work may be very good for you, even WW posture stretches fascial planes in such a way that the bladder is being pulled toward the front. Natural anatomy is very predictable, but not so the reconstructed pelvis.

Be especially mindful of the TOT, which places you at risk of erosion and migration of the mesh, particularly if you are sexually active. Women are not being fully informed, and therefore not giving full consent, to these operations.

Wishing you well,

Christine