sacrospinus fixation

Vaginal hysterectomy plus sacrospinus fixation for prolapse – Giselle’s story

I had a very difficult birth with my only child 24 years ago, so when I first suspected I had a prolapse problem some 7 years ago, I hoped and hoped that it would just “go away”, hence the reason I lived with it for so long. I visited my GP 2 years after I realised things were not right. She diagnosed a bowel prolapse.

Told me to do pelvic floor exercises and assured me that it would solve it. Well, of course it didn’t. I also “googled” bowel prolapse, only to find that I had none of the symptoms associated with this!! But I did have symptoms for a bladder prolapse!!

Over the next 5 years it got increasingly worse….The last 2 have been so awful. Finally, I got the courage to see the GP who referred me to a urogynaecologist.

He examined me and said yes I certainly did have a bad prolapse, but it was my WOMB that had prolapsed, and my bladder..NOT my bowel. He recommended I had a hysterectomy. I was totally shocked, as had not even thought about THAT! He said he would do it vaginally, but I would also need a pelvic repair to realign my bladder into the right position, and a sacrospinous fixation, to stop the top of the vagina vaulting afterwards….

Phew….I was terrified.

But he was/is THE most amazing surgeon who wanted me to have as long as I needed to decide, never pushed me into it, gave me all the options, of doing nothing, having a pessary, or surgery. He also said that he could remove my womb, and I would never realise it had gone!! And he is absolutely right. Physically, I would never know!

I decided on surgery, I really could not live with this thing protruding out of my body, and causing me discomfort each and every day.

The surgery went well. I felt great as soon as I came round, I opted for a general anaesthetic, and would recommend it to everyone, unless you are much braver than me, and can cope with a spinal block and sedation, or need it for medical reasons. I loved going to sleep and waking up, and it all being done!

Apart from the few days in hospital, I have had hardly any pain from the hysterectomy. Yes, cramping like period pains afterwards, but controlled with pain relief, and pulling if I have overdone it!
The other 2 procedures, have been much harder to cope with. The stitches from the bladder repair are painful, I still cannot sit, unless I sit on my left side. The discomfort in my right buttock has been bad from the sacrospinous fixation, which goes into the ligament near your tailbone. I am now 3 weeks into recovery, and feel great, but still unable to sit….

I had to see the surgeon 2 weeks after surgery, as the stitches were so excruciating when having a bowel movement, despite not being constipated at all!! He removed 3 stitches, and things have improved greatly. I am now just impatient for the wretched stitches to dissolve. For me, the vaginal hysterectomy has been a piece of cake!! Emotionally, I have felt absolutely fine. As I said at the beginning, I have had a child, and feel very blessed. I am also 60 years old, and have gone through the Menopause, so do not have that to endure.

My womb did an amazing job, I did not need it anymore, and I did say a fond farewell to it, and thanked it from the bottom of my heart for the wonderful way it carried my child for me.
It is a long recovery, but I feel SO much better for having had this surgery, despite the wretched stitches!! I hope my story helps someone, who may be facing the same type of surgery.

(Image courtesy: skeeze from Pixabay)

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  1. I can recommend the team at Kings College Hospital who did not prolapse repair and hysterectomy. Professor Linda Cardozo and John Bidmead

  2. Dear Giselle
    I was so happy that I came across your story. It really made me feel so much better about my upcoming surgery. I am having a anterior and posterior repair and maybe a vaginal hysterectomy. So happy to know that you recovered so quickly and feel so good about it. I’m hoping I’ll be the same. Many thanks and enjoy your new YOU.

    All my best

  3. Can you please tell us who was the doctor who did your bladder repair. I am looking for a good Urogynecologist to do my bladder prolapse. Please advice!
    Kind regards