This is a follow up to this thread:
I met with my urogynecologist again yesterday, as I had to do a urodynamics test. This is a test to measure bladder function. They insert a catheter, fill up your bladder, and have you cough, etc...to determine your level of incontinence. Just about as fun as it sounds. LOL It came out normal.
The Dr. says he's been thinking of the best surgical option for me. Currently, he thinks fixing the rectocele and cystocele with mesh, then tightening the ligaments and muscles of my pelvic floor and lifting everything up and attaching them to my sacrum will be the best option. It'll kinda be like using my hips to pull up all my pelvic organs. Kinda scary option. I know I'll never have the option of a vaginal delivery should I get pregnant, and he said I'd need a special kind of c-section should that happen as well. This plus my hormonal issues, plus malabsorption from the DS...makes me feel like it will probably be better for me to never be pregnant. These pelvic problems are usually caused by pregnancy and delivery, so most patients would take this news a little better...because they've likely already had at least one child. I'm not really sad about it...I know there's no nail in the pregnancy coffin, but it's not exactly encouraging.
He also is afraid that all of this may not help my constipation issue. He really thinks a partial colectomy and reducing the length of the sigmoid colon is necessary to help. And even then... no guarantees.
THEN...because I'm young and in good shape, we're also working on combo-ing this with a tummy tuck too. Woot. :) I've been to 3 consults and found a surgeon I really like, so we'll see if this works out or not. I've discussed this with my gastroenterologist and we both think that it's POSSIBLE that with all the fat loss, there's just so much extra room in my abdomen that my colon isn't being opposed and cinching things in COULD help. Regardless, I want a flat tummy...haha.
I still have some insurance hoops to jump through. I have to do a round of physical therapy that focuses on training my muscles to produce better bowel movements, and I need to do anorectal manometry, which is a test that measures muscle function in the rectum and sphincter. Can I just say I'm so tired of having fingers up my butt?