Question about hysterectomy?

I am a 37 yr old woman who has been diagnosed with uterine prolapse( cervix,bladder,uterus). My dr recommends that I have a hysterectomy with bladder suspension. We don't have any insurance and I don't think I'm ready for all of this yet. I already have an overactive bladder. I heard that a hysterectomy makes it worse. My pap smears have been normal. Is it really necessary to have this done for uterine prolapse. What else could they do for uterine prolapse?

Get a second Doctor's opinion or even a third, you are only 37 years old....a hysterectomy is so drastic and a major life change..Please gather all the information from your health professionals that you can before deciding....Good luck to you hun....

I've had a hysterectomy and a bladder suspension and it is a rough surgery. A
bladder suspension will help for a couple
of yrs and then you will go back to needing
one again. That is not a permanent fix.

Get a second opinion. I had a hysterectomy at 33 yrs old, and still ended up with pelvic organ prolapse a few years later. My bladder is now "attached" to another organ (it fell during the prolapse surgery). Honestly, you should get that 2nd, or even 3rd opinion before making a final decision.

Best of luck! That is not an easy decision to make. Sometimes I wish I could have just one more child, then I remember the pain from the endometriosis...

You might want to investigate the pessary.


"Uterine prolapse can be treated with a vaginal pessary or surgery.

A vaginal pessary is an object inserted into the vagina to hold the uterus in place. It may be used as a temporary or permanent form of treatment. Vaginal pessaries are fitted for each individual woman.

Pessaries may cause an irritating and abnormal smelling discharge, and they require periodic cleaning, usually done by the physician. In some women they rub on and irritate the vaginal mucosa, and in some cases may erode and cause ulcerations. Some types of pessaries may interfere with normal sexual intercourse by limiting the depth of penetration.

If the woman is obese, attaining and maintaining optimal weight is recommended. Heavy lifting or straining should be avoided.

There are some surgical procedures that can be done without removing the uterus, such as a sacral colpopexy. This procedure involves the use of surgical mesh for supporting the uterus.

Most surgery should be deferred until symptoms are significant enough to outweigh the risks. The surgical approach depends on:

The woman's age and general health
Desire for future pregnancies
Preservation of vaginal function
Degree of prolapse
Associated conditions
When indicated, a vaginal hysterectomy is performed. Any sagging of the vaginal walls, urethra, bladder, or rectum can be surgically corrected at the same time."