Has anyone else had to get surgery to correct improperly repaired perineum? - Mothering Forums

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#1 of 15 Old 01-08-2014, 07:39 PM - Thread Starter
 
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The Dr. was incompetent and didn't repair my perineum correctly. My muscles do not react how they should- at 2 months postpartum after doing PC exercises every day since delivery-- nothing. There is a slight change when i try to stop peeing but it should be a lot better right now- says my midwife. She suspects that all the muscle fibers were not stitched together which is why it's not working. I'm going to a gynecological surgeon tomorrow for a consultation to see what needs to be done. has anyone else had to deal with this? I know a lot of women just deal with this and live their lives peeing when they run and sneeze and jump and have bad sex with stretched out vaginas... but I'm only 25 and I just got married and there is no way I am EVER having sex again with my vagina like this.

 

also- Im sure a lot of people will say this is cosmetic, but to me it's not... it's functional. There is just a random flap of skin near the bottom of the entrance, and the opening is a good centimeter lower than it used to be- she didn't sew me all the way up, and thus... my vagina is GAPING open.. like you can see right in to the hanging top wall of the uterus (cystocele) and the eviscerated leftover hymen tissue. UGH. I am not looking forward to another 8 weeks of recovery time, but at the same time, i cannot live with a vagina like this. Vaginas are for sex, and babies, and in order to make more babies I have to want to have sex and be able to have sex and it's just not functional.

 

anyone else??? I put this in healing birth trauma because for me-- having my vagina ripped open due to the dr not knowing what perineal support was, forcing me on my back and yanking my daughter out by her head is traumatic... and i need to get it cut open and sewed up by someone else other than her in order to heal. I told my husband that there is not a chance in hell I am ever having sex again until this gets fixed.

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#2 of 15 Old 01-09-2014, 06:48 AM
 
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#3 of 15 Old 01-09-2014, 08:09 AM
 
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I've read some of your other posts and understand that your birth did not proceed as you had planned.  I'm sorry about that, but just wanted to mention that all of what you describe can occur simply from having a baby.  I had a wonderful and perineum-conscious doctor, labored and birthed in positions that were comfortable and chosen by me, and had no tearing despite babies over 9lbs.  However, I still ended up with a rectocele and cytocele (even with squats and pelvic floor exercises pre-pregnancy and throughout my pregnancy).  Even at 8 weeks postpartum, your body is still adjusting for all of the changes associated with being pregnant, giving birth, and then nursing/not pregnant.  For me it was closer to 6 months before my lady bits felt more...normal, and they're definitely not the same as they were before I had a baby.  Your surgeon might tell you differently, but I was advised not to have anything surgically repaired until I was sure I was done having children because of the likelihood for reoccurance. 

 

I hope that you are able to find the healing that you seek.


Camille~
Mama to F (3/09) and S (3/11); and never forgetting my babe gone too soon angel1.gif(4/10).

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#4 of 15 Old 01-09-2014, 03:36 PM
 
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Originally Posted by YoginiMomma View Post

I know a lot of women just deal with this and live their lives peeing when they run and sneeze and jump and have bad sex with stretched out vaginas... but I'm only 25 and I just got married and there is no way I am EVER having sex again with my vagina like this.



I'm sure you didn't mean it to come across like this, but I almost get the impression that you think that other women are just fine with incontinence or that they somehow choose to suffer from complications. The fact of the matter is that you just pushed a big object through a small opening. Things aren't going to be exactly the same.

I also don't see anything that immediately points to medical incompetence here, although it certainly can't be excluded. The issues you're having are really, really common. That doesn't make them any easier, of course, but it's important to understand what's normal, what's not normal, and what can be fixed.

I wish you all the best in your healing journey.
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#5 of 15 Old 01-29-2014, 08:39 AM
 
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any update?

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#6 of 15 Old 02-04-2014, 11:47 AM
 
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I'm curious how this turned out for you YoginiMomma. I had an internal tear as well as external and part of the torn skin from inside was picked up in one of the stitches on the outside... No one, including my midwife and OBGYN thought that tiny flap of skin was going to be a "big deal." But 10 months PP I've got the same level of sensitivity I had at 6 week PP and I'm finally seeking help for what I think may have been an error in stitching on my Dr's part. I'm curious if anyone else has had an internal tear and what they experienced and for how long??? 


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#7 of 15 Old 04-15-2014, 02:46 PM
 
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I had a perineoplasty (episiotomy revision) three month after having my son. I had a 4th degree tear from his shoulder getting stuck, and I just didn't heal right. I knew something was wrong, when I had pain and bleeding from a piece of flesh that wouldn't heal at the opening of my vagina. I had two appointments with my OB where she cauterized the area with silver nitrate hoping to get the granulated tissue to heal over. Neither time it worked and the third appointment she told me we would need surgery to remove the granulated tissue and scar tissue.
The surgery and recovery was a breeze compared to the stitches right after giving birth. My theory is that my body had a bad reaction to the stitching material, trying to reject the foreign material by forming a granuloma around it. Maybe I had an allergy to something in them. Anyways I healed okay after the surgery, I wish I had been able to get it sooner, since I had to return to work a week after surgery. At this point I was still terrified of sex or anything happening near that area.

Once things healed over, with no return of granulated tissue I went to a physical therapist who specialized in pelvic floor issues. This was the best thing I ever did! My PT was so informative and helpful. We tried ultrasonic therapy to break down the scar tissue as well as massage. It may sound weird to some people to have someone else manipulating your hoo-ha, but it helped me so much because I was too scared to touch my scar myself out of fear of pain. Over a few months the scar tissue was broken down and the pain went away and the tightness got a lot better. I cannot recommend a good physical therapist enough! They can really help with all the muscle issues and helping to realign all the layers of tissue down there.

My son is almost two years old, and while I feel like things are 90-95% of what they were before having my son, it's a new normal and I'm thankful there is no pain, just tightness from the scar, and occasional gas sneaking past. I'm now pregnant with our second and I'm without a doubt pressing for a csection. I'm just to scared to risk another recovery like this last one. I was in a really dark place post partum and I was very angry that my body wouldn't heal the right way or fast enough. I also had just gotten married and my poor husband didn't get any sex until 7 months pp.

I hope you get the help and treatment you need. When I was going through my recovery, no one I knew had ever gone through anything close to this. I got a lot of help from hearing others women's stories online and I learned I definatly had to be my own advocate and pushed my OB for a PT referral . Time and physical therapy will help you so much! Hope your recovery is going better!
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#8 of 15 Old 04-17-2014, 07:36 AM - Thread Starter
 
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Just wanted to update. I finally found a gynecologist who will do the surgery to repair the improperly healed tear repair. I went to SO MANY GYN appts in the town i live (saw 2 different ones) and they said they see what i'm talking about but essentially it's not serious enough to do a surgery and most women" just live with it". I was also told it's MY problem and I have body image issues and i should just live with it this way and that i have unrealistic expectations and if they were to fix it they would be afraid they'd "do more harm than good" and sew it up too tight.  Whatever. It turns out they wouldn't do it because they all work for/are affiliated with the hospital/employment company that the Dr. who stitched me up is employed through- and if they were to do a "repair" on someone elses bad handywork- that would be a liability and just not good for them. soooo...

 

I had to go to a gynecologist in a town 40 minutes away who isn't associated with the hospital/medical company at all to get an unbiased opinion. She said it's absolutely something that should be repaired and she can clearly see what I'm talking about and she can fix it with a perineoplasty that will take about an hour under general anesthesia for $2400. The only problem is she's out of my insurance network so I have to come up with that money out of pocket first. She get fit me into her schedule and i could be getting the surgery next week or the week after. It's just a hassle because of the timing with my husband's work and having to drive to go to the pre-op and surgery and post-op appointments. but.... I'm so freaking ready to do it after living with this. Another good thing about this unbiased un-associated GYN is that I have a truly objective medical opinion, diagnosis and am getting corrective surgery- which adds to my case against the hospital and this particular doctor. 

 

what was I thinking going to GYNs who work for the same company that the GYN who stitched me up does?? OF course they wouldn't "correct" a colleague's work! DUH! 

 

ugh. I'm just pissed I didn't think to go somewhere unassociated sooner- because now my baby is 6 months old and we're approaching summer which is travel season for us and we have so much stuff planned I need to feel good/able to squat/move/dance... I was even about to go back to teaching yoga but now I have to wait another 2 months at least. 

 

The Dr. said I could be up and exercising moderately about a week post op- just no squats/crotch opening movements like lunges (so yoga is obviously out) for at least 4 weeks. I have a music festival to go to at the end of May, and the surgery dates could either be the 25th of April or the 2nd of May- so that's at least 4 weeks before- should be good right??

 

For ladies who have gotten this done -- how long does it take to heal? How long until you can exercise ? Sit normally? Dance? Do yoga? Squat?? 

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#9 of 15 Old 04-23-2014, 09:32 PM - Thread Starter
 
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update again: we're not going with the GYN that I thought we were going to.... issues with insurance and she won't do it any way but under general anesthesia and there's no need for general. 

 

so the search continues for a doctor who will correct it. I think I need more than just "surface" surgery now too- I palpated my own pelvic floor muscles- and the left side is strong, tight and ropey (needs some relaxing, actually) and the right side is nonexistent- like I could not even find the muscle- which makes me feel like the dr. didn't even stitch the muscle together underneath- on the right side my vagina just is wide open inside down to my bones. There is no pelvic tone at all- the outside is stitched up but not nearly high enough, and the inside is wide open- I tore down to the right so it makes sense that the right side is wide open. so frustrating. 

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#10 of 15 Old 04-24-2014, 06:12 AM
 
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why do you think there's no need for general? It sounds pretty serious, GA might be your best bet

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#11 of 15 Old 04-26-2014, 11:55 PM
 
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Originally Posted by rainbownurse View Post

why do you think there's no need for general? It sounds pretty serious, GA might be your best bet

I have to agree. For a repair that takes more than a short period of time, which it sounds like yours might, conscious sedation probably isn't the best choice. I had a laparoscopic procedure under general anesthesia and had no problems coming out of it afterwards.
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#12 of 15 Old 06-13-2014, 11:37 AM - Thread Starter
 
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just wanted to update. I had the surgery last friday and I'm one week post op today- so happy I finally got it done. The last 7 days were rough but I can already tell that things are together in there the way they should be- most of the repair was done internally- from a sulcus tear that was overlooked and left to heal open!!!! if i hadn't had the surgery I would have just been living with a wide open vagina forever... sulcus tears do not heal closed on their own! The two sides had just healed leaving me with a vagina so huge I could put my whole hand in- I'm not exaggerating. It was also an infection/hygiene issue because it was a deep pocket that trapped water from baths that would come out hours later- so gross. I feel the stitches poking me and there are a lOT in there, but I went to a urogyn specialist and I'm confident it's healing well I did general because when it came down to actually doing it...there's no way I could have been awake while my vagina got cut open!! I would have had panic attacks the whole time- and it took an hour.
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#13 of 15 Old 06-27-2014, 09:17 PM
 
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Glad it worked out finally. Please keep us updated on the healing process. Good luck.

SAHM to Chloe«- 6/2008 (10 lbs, 5 oz), Hannah- 9/2010 (9 lbs, 12 oz), Liam- 2/2013 (9 lbs, 6 oz)

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#14 of 15 Old 07-03-2014, 08:28 AM
 
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Glad the ol' vag is back up to snuff. How's the healing process going?

Mom through birth and foster care adoption to DS 9, DD 6, and DD 7 mos 
Check out my blog: No Bohns About It
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#15 of 15 Old 07-03-2014, 12:27 PM
 
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Originally Posted by LeelasMama View Post
just wanted to update. I had the surgery last friday and I'm one week post op today- so happy I finally got it done. The last 7 days were rough but I can already tell that things are together in there the way they should be- most of the repair was done internally- from a sulcus tear that was overlooked and left to heal open!!!! if i hadn't had the surgery I would have just been living with a wide open vagina forever... sulcus tears do not heal closed on their own! The two sides had just healed leaving me with a vagina so huge I could put my whole hand in- I'm not exaggerating. It was also an infection/hygiene issue because it was a deep pocket that trapped water from baths that would come out hours later- so gross. I feel the stitches poking me and there are a lOT in there, but I went to a urogyn specialist and I'm confident it's healing well I did general because when it came down to actually doing it...there's no way I could have been awake while my vagina got cut open!! I would have had panic attacks the whole time- and it took an hour.
Yay, glad to hear you had your surgery! Happy healing thoughts your way.

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