Fibroid like Tissue around Urethra

Body: 

Hi Everyone,
I have been diagnosed with stage 1 cystocele and stage 1 rectocele, neither of which bother me very much. I am sure they are both from the hours of intense labor pushing out my son, who was 9 and a half pounds and required forceps and vacuum(I am only 5 feet tall). For the past 7 months, my bladder has not been emptying completely. I feel like my urine flow is very slow , and it takes forever to pee. There is still about 1/2 cup left after I urinate. My urologist did urodynamics, which confirmed the presence of an obstruction to my urine flow. He also did a cystoscopy and an MRI, which showed the presence of excess tissue consistent with fibrous or fibromuscular tissue. He believes this excess tissue is obstructing my urine flow. He thinks I should have a day procedure to get rid of this excess tissue. The way he described it, he would make an incision in my anterior vaginal wall to access this tissue surrounding the urethra, cut it out, then sew me all back together again. He said it is a 30 minute procedure, and I could go home the same day. I asked about risks, and he said that since no procedure is 100% risk free, there is a small chance I would have some stress urinary incontinence. I am so unsure as the whether or not to do this. I am only 40 years old, very active, and the thought of having stress incontinence(even though he said the chance would be small), is crazy to me. Anyone ever heard of anyone else in a similar situation? Thanks in advance.

What's the name of this procedure? Docs are good at making things sound like nothing. There are lots of other things you can be doing for prolapse and for problems with emptying. Please don't jump to quickly into this. - Surviving

I agree with Surviving60, don't jump too quickly in having the procedure. Read as much as you can on this site. I am new and am learning something new every day.

When you cannot empty your bladder, try what was taught to me by someone who had the same problem (not being able to empty, that is). After you finishing doing what you can the usual way, stand and bend over at the waist and try again. You might have to wait a few seconds. OR, instead of sitting in the first place, just bend over the bowl and try to empty that way. Let me know if it works for you.

Good luck!

Your doc has done a thorough examination and has found excess tissue consistent with fibrous or fibromuscular tissue which is obstructing your urethra. Will this get worse if left alone: grow larger? Will it get to the stage when you can't empty at all? Is this the type of fibroid mass that is not usually cancer and will go at menopause?

Stage 1 cystocele and rectocele usually in themselves effect the urine flow. I wonder can you learn to empty your urine enough so that you do not have a pressing need to go? We usually recommend, and this is just for the 'celes mind not for fibroid masses obstructing, that when you void that you then stand again in posture and perhaps jiggle a bit and then return to the toilet and you will often find you will void more. It is possible just with 'celes to be conscientious with making sure you void completely and that stale urine is not left to pool. Some ladies completely empty when they shower by bending over on all fours as recommended in Christine's book.

The prospect of incontinence is not a good thought so I would be asking just a few more questions of your doctor as well if you haven't already.

I hope someone else can give you more advice from personal experience of this.

best wishes, Fab

Fibrous/fibromuscuar tissue. I am no doctor, but that sounds like bunched up urethra to me, like you have a prolapsed urethra, or something similar, with lots of bends in your urethra.

Am I right in saying that you are seven months postpartum? If so, I wouldn't even think about an operation until you are two years postpartum.

If it is a prolapsed urethra, urinating in all fours position with relaxed belly, will stretch it out. Regular firebreathing and WW posture will eventually rotate your organs forward again, and keep it stretched out.

Does this sound possible?

Louise