N.D. asks from Los Angeles, CA on June 15, 2008
Bladder Prolapse
I gave birth 4 weeks ago. I believe that I have bladder or urethral prolapse. I do not have urine incontinence but I do feel like I frequently have to go to the bathroom but then not much urine comes out. I have a bulge at the opening of my vagina (that I mistakenly thought was just swelling for the first 4 weeks of my recovery). I have my 6 week postpartum check up in a week and a half so I don't have a confirmed diagnosis. Has anyone experienced this? Does it make sex painful? I have read that kegals improve things - can they make the bulge go away completely? I am very scared that things will never be the same......
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B.F. answers from Los Angeles on June 16, 2008
I just wanted to say that this is really common. I didn't have bladder prolapse, but I HAD a cervical prolapse. You are still soooooooo early in your post-partum recovery and things will for sure get better. I know that while you're still breastfeeding, your joints and ligaments are still softer than usual, so this can make prolapses of any kind seem worse than they are. I am happy to say that 17 months after giving birth, my uterine prolapse is basically non-existent. I do some things differently - I always kegel when I have to sneeze, I never get in a squat and I am very careful how I do ab work. Here is a link to an online chat group that helped a lot - there's a lot of women on here with different types of prolapses...
http://www.mothering.com/discussions/showthread.php?t=713732
Hope this helps :)
J.A. answers from Los Angeles on June 15, 2008
Call your OB! It could be a UTI, and the bulge could be "just swelling", however, I would think that uterine or bladder prolapse could be EXTREEMLY serious. Call and tell them your symptoms, and let her/him decide whether you need to be seen sooner.
My SIL had SEVERE damage during the birth of her daughter! She complained for months that it was hard to poop and that she always felt "ill". After many, MANY tests, they found out that her bowl just beyond the rectum and sphinkter muscle had torn. She felt ill, and had troble getting the ppop out, because someof it was going through the whole back into her body. So- Severe CAN happen during child birth!
But- self Dx are dangerous, as we tend to get an idea and find things to prove us right. Drs are highly trained to look at the symptom and then come up with a Dx.
C.C. answers from Los Angeles on June 16, 2008
I have this problem too. But I gave birth to my last child 8.5 years ago. My doctor told me that if it became a serious problem or interferred with my daily life I would need surgery. I've just been living with it. Sex isn't painful. I have the same problem with frequently needing to go and not much happens! It doesn't affect my bladder control at all. Since you just had your baby Kegals might help, I would do them all the time. Also it might get better over time on it's own. Your doctor will fill you in. Good luck....it's not the end of the world but I know it's a pain and annoying! Hope I was somewhat helpful.
C.F. answers from Los Angeles on June 16, 2008
It is common. Surgery can get everything back where is should be if necessary. I have a related issue, but went undiagnosed for 6 yrs. because it wasn't as bad at first and has gotten worse until finally a urologist(because unrelated-- I had kidney stones) diagnosed it. My primary care never understood what I has talking about. Good luck and don't worry -- things are not ruined for ever.
C.S. answers from San Diego on June 16, 2008
Yes, do kegels!!! lOTS AND LOTS OF THEM, IT WON'T HURT YOU AND MAY CLEAR UP THE BULDGE!
C. S.
J.C. answers from Los Angeles on June 16, 2008
Sounds like you could have an uranary tract infection, but I'm not sure about the bulging part. I would get to the doctor I would'nt wait.
M.R. answers from Los Angeles on June 16, 2008
Obviously, you'll need to have the doctor diagnose this for you. One possibility is that of a prolapsed bladder that could be herniated through the wall of the vagina (not literally all the way through, but bulging out). If that is the case, then the remedy is to put in a sling that holds the bladder up in its proper position.
I know women who have been through this and all came out fine.
M.H. answers from Las Vegas on June 16, 2008
I had a bladder and cervical prolapse. You can try kagels, but usually it will require surgery. I had an anterior and posterior repair. The surgeon did it through my vagina, so there was no surgical scar on my abdomen. It is a very easy repair and the results were terrific. When you see your OB doctor, he'll be able to determine if you have developed a bladder prolapse and will recommend what to do at that time. Some women just opt to wear a pessary which will hold the bladder up. I just went ahead and had it repaired because I knew it would not improve. One of the gals that wrote you really put the scare on me. Her information was not accurate. I have been a nurse (RN) for 40 years, so I'd like to think I know what I'm talking about. Best of luck.
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