Constipated After Laparoscopic Ventral Mesh Rectopexy


May 29, 2015

I hope you don't mind me posting on here a rambled question as I'm new to the forum and haven't contributed yet. I've read through several posts about Laparoscopic Ventral mesh Rectopexy and some not so positive outcomes, and my heart goes out to you all!

I had the LVR done nearly 6 weeks ago. I have had chronic constipation for 7.5 years now and have only just, this past year, been able to get anyone to take me seriously. I'm now 26, and have been through everything in terms of diet, water, exercise, toilet position, relaxation, supplements etc. I have been on Dulcolax daily; things like Senna or Movicol don't seem to do anything, and newer drugs like Prucalopride have been useless. I paid for a private consultation in Oxford follow my request to my NHS gastroenterologist for a transit study and defecating proctogram. I had a rectocele and intussusception grade with with full rectal prolapse. 

On a side note, I have pernicious anaemia, folic and iron deficiencies, and was recently diagnosed with Hypothyroidism (after a lot of pushing!). I am being treated for all of these but the Levothyroxine for hypo isn't doing anything, so the GP has suggested some people look online for an alternative NDT...

Post surgery, I've been constipated as usual. The Movicol / Laxido did nothing on 2 sachets a day. 3 sachets a day and nothing happened either. Dulcolax did something, but it didn't work as quickly or as effectively as it did prior to surgery. Last week I called the consultant and he suggested I may have impaction and to take Citramag. I've done that this week and it was horrendous - 2 sachets and 8 hours later, and I was finally able to go. This was mostly with pushing my stomach out, massaging my stomach, moving around etc.

I feel like there's still some kind of obstruction because with laxatives I know there's something in the rectum, but it goes no further. Without laxatives, and I don't feel anything there; it's like nothing happens in the descending colon, there's no 'activity' that I can feel. Before surgery, the transit study showed all markers still in my colon as I didn't move my bowels at all. The markers were mixed, some made it to the rectum but many were at the top of the descending colon. I'm wondering whether it's possible I'm still 'obstructed' and whether my colon is even working (all these years having to take a stimulant laxative surely won't help!)

I was just wondering whether anyone has any thoughts? I'm exhausted, just spent all of the money I had to my name on this surgery and I feel like it's worse. I should have been looking to go back to work from next week but that's not going to happen with the state I'm in. I don't want to be on laxatives, and I feel these past 7 1/2 years have been a complete waste. It all seemed to happen over night that I became constipated as I'd never had any problems with my digestion before that (I was prescribed iron tablets and thought it might be those, so I stopped taking them but never regained bowel function). 

I see the surgeon next week but don't know what I should be asking or what options I should look to explore. I can't go on like this and I'm sorry for the rambling and feeling sorry for myself, I'm just feeling very alone right now and pretty fed up.

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Ventral Rectopexy Surgery For Uterine Or Anal / Rectal Prolapse

Any one had a Ventral Rectopexy surgery kindly make contact. The surgery incorporates the use of a mess which could cause an erosion. I have some moderate internal rectal prolapse not full blown as yet. Much discomfort when sitting, and this is now making me exhausted. I have some incomplete evacuation with a need to wipe.The hammering of my womb and bladder is pressing on my pelvic floor causing this horrendous discomfort, as though there is a foreign object in my anal cavity.

My womb is mobile at the entrance of my vagina pounding at my organs giving me this pressure.I have been told by one gynaecologist that he was not convinced that my uterine prolapse was pronounced enough for surgery and thought this was a colorectal problem. The colorectal specialist thought this was a gynaecological problem. Both clinicians choose to leave me without a procedure for fear of making me worse.

I shall not dwell on the fact that I was left to seek pain management!

Proctogram showed distal intussusception. And prolapse in all 3 departments. As I have left this for so long my pain continues and worsens weakening my anal sphincter muscle control hence some occasional accidents with some faecal urgency. I have no constipation, no tummy pains, no bleeding and no itching. I do not need to digitate, but suffer with horrendous discomfort as though there is a foreign object in my anal canal 24/7 but worse when sitting. For some strange reason I am better up and mobile which does not sound like prolapse however my cervical canal must be small and therefore holding my mobile womb in situ. This has somewhat flummoxed the gynaecologist. The surgery offered by a colorectal surgeon Ventral rectopexy and possibly an add on sacrocolpopexy involves the use of mesh and this is my concern.Has anyone had these surgeries with my symptoms.
Also a hysterectomy and anterior repair has been mentioned as a way forward. But no guarantees that I may need a subsequent anal surgery later.
Anyone who has had a successful mesh surgery please make contact.

Whether it be uterine or anal.

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I was not on any type of insurance when, March, I found out the problems I'm experiencing are due to fibroids, so I went on Medicaid to pay for medications. Several doctors have recommended that I go on Lupron, which is $800 to $1,200 a shot.

Being on Medicaid, I'm fearful that I won't get the same level of treatment post-op. A few nights in a hospital charity wing can be deadly. Let's face it.

I went to get a second opinion from a doctor who referred me to a the head of robotic surgery at the hospital. She told me my fibroids can be removed laparoscopically. I researched the procedure, and the surgeon I was referred to, and I'm on the fence about what I should do. The surgeon would need to break up the fibroid in order to get it out, and when the FDA began discouraging its use she was quoted in an article touting it. "It needs more research." Well, I'm on public assistance. I'm on public assistance and I'm not stupid.

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I had surgery due to a loose gullet which was confirmed via endoscopy. I opted to not be sedated so I could get the results these are then (if you're sedated you get them a few days later as you tend not to be awake enough afterwards to take in the information). The endoscopy wasn't the most pleasant experience but was over fairly quickly and something I could do again if needed without being nervous about it.

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Since the surgery I've had a lot of discomfort in my tummy area but I've put this down to the holes that were made for the procedure rather than the fundoplication as it is very localised on the surface of my tummy. My lungs have been a bit sore since too and breathing in deeply has been uncomfortable but both issues have eased over the past three days.

In terms of eating and drinking I'd been told by the surgeon to experiment with textures to see what I can handle which is much better than the clear fluids for a week I was expecting. So far I have been able to drink water, squash, Horlicks and Decaf coffee without any issues. It takes a lot longer to get through a drink as there is a feeling inside like a funnel where liquids get backed up a bit when I swallow too much but there is no pain associated with this and it goes away after a few seconds. I managed to each half a bowl of Weetabix the morning after the surgery, moving on to custard, semolina and chicken soup over the past couple of days, none of which was strained. I'm probably not drinking enough due to how long it takes but my bladder and bowel movements are pretty normal so I'm not too worried about that at this stage. Also I am able to burp after eating and drinking. Probably not voluntary at the moment but when my body feels like it needs to it does. The same goes for passing wind too although there seems to be a lot more of that than usual!

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