Surprise! Cystocele!

Body: 

Hi Ladies,
I am new to WW,, having been diagnosed with a Cystocele. It was a complete surprise to me...thought the odd sensation I was having was an inflammation of some kind. Went to my GYN, and she took a look and said My bladder was a little droopy, and I have a mild Cystocele. She continued her exam, and found nothing else...I had a laparoscopic hysterectomy six years ago, uterus only was removed. She said vault looks good, no other issues. She said Kegels probably wouldn't do any good, and to stop any lifting over 15 pounds, and to keep my posture forward and chest up. On here, I have read that with a hysterectomy the WW posture wouldn't be as helpful. Am I reading wrong? Is there anything additional that seems to help keep your mild cystoceles at bay? If I can at least stop it from progressing further, I would be thrilled. I am 52, may e 15 pounds overweight, but on my feet a lot, and always in motion! I eat healthy, lots of fruits and veggies, and have been working to keep issues like constipation at a minimum. I used to have it a lot. Thanks for this forum!

Hi Packfan and welcome. I'm going to start this post with a quote from Louise that was written earlier today to another post-hyst member with cystocele:

"Wholewoman posture is the only thing that will help your bladder to move forwards again. By relaxing your belly and raising your chest you will give your bladder more room at the front of your body. Don't just allow your belly to flop out. Lifting your chest will make you feel and look taller and more confident, and will give your belly a gentle curve. If you just flop your belly forward, then lift your chest while looking in the mirror you will actually see your belly coming in again.

Having had an hysterectomy your body may have moulded itself into a configuration where it is comfortable. I suggest that you don't aggressively practise Whole Woman posture. Just make the adjustments slowly, lifting your chest and relaxing your belly a bit more every week. That way, if you take it too far, and aggravate the surgically changed pelvic interior, and cause pain or irritation you will be able to pull back, knowing exactly how far you can take the posture.

We do have a few women who have had hysterectomy who have come to grips with the fact that their pelvic interior has been changed, and that this does limit the improvements that they can make, but with some mental and emotional adjustment to the realities of this they find that 'better' is good enough, and that it is likely to be more successful, and give them more mobility and comfort in the longer term than having more and more operations." - Louise

The fact is that WW posture is the healthiest and most natural posture for all women. It is the best way to guard your hips and spine against future problems. As Louise explains, you may have somewhat more discomfort at the beginning because of how your body has settled into a post-hyst configuration. So take it slow but be assured that this is very much worth pursuing. - Surviving

Hi PackFan61,
Yes I would agree with Surviving60 and Louise's suggestions. I think the WW approach is the best option for all of us with pop, inc those of us with hysterectomy. However we do need to adapt this to meet our individual needs, taking into consideration factors such as age, medical history, physical abilities etc. For women who've had hysterectomy I would recommend that they do not vigorously engage with the exercises described in 'the alternative kegels' which are described and shown in an article in the WW blog. IE they either omit or do the circling postures shown very gently and with smaller circles than shown.

The WW work is an on-going work in progress, (as is the case with all medical and healing practices), and in some areas we are not sure what the outcome of doing some things might be. So for example, with women who've had a hysterectomy, some women have the top of their vaginal passages tethered to their sacrum or elsewhere. If these women engage in rigorous wide circles there is a question mark re. whether this might pull on the tethered area. That is one reason why it is probably a good idea to take things gently and listen to how your body responds to whatever you do.

It's very important to get the WW posture right. I also find the WW exercises very helpful to develop the muscles, tone, strength and flexibility required to do the posture, as well as maintain the posture. This takes time and patience. Fortunately we have the rest of our lives to do this work!

I highly recommend the 'saving the WW' for anyone who is interested in the background theory that underpins this approach and also there are good text and image descriptions of the posture and some of the exercises there. I find the dvd's v. helpful for showing the postures and a logical sequences of postures which make an approx 20' practice.

1:1 consultations are also a wonderful option, which thanks to Christine's pioneering new WW teachers training courses are increasingly available as an option, either via tel/SKYPE/face to face. There's nothing like seeing someone in person for postural work.

Basically there are things you can do to make things worse, such as constipation, slumping, poor posture, stress and certain postures. There are thankfully things you can do to make things better, such as WW posture, WW exercises, WW walking/running/cycling/ pushing pram/hoovering etc.. good elimination, mindfulness and joy....

It's a journey towards health and happiness!
Good luck on your WW journey.
xwholewomanuk