8:02 pm - 03/28/2018

Urinary incontinence after hysterectomy

Has anyone experienced any urinary incontinence after hysterectomy? I find that if I don’t go fairly quickly after I get the urge, I am no longer able to control it. I’ve had a couple of incidents of losing control. My job involves a lot of driving and I hate that I’m having to make bathroom stops in between my job stops because I’m afraid if I don’t I will end up losing control of my bladder and have to go change...

Also mine was a full hysterectomy, partial laparoscopic but they did remove my cervix vaginally. Im 42 and my surgery was November 2, 2017 and I never had this problem before surgery. I have been without insurance for about a month due to a job change but it goes back into effect on Sunday so I will be able to see an on/gyn after this week if that is necessary.

archangelbeth 29th-Mar-2018 04:27 am (UTC)
While I have no direct experience, Google Fu says that it's entirely possible, though not very common.

https://www.ncbi.nlm.nih.gov/pubmed/6540426 suggests some options for treating it? You may want to print this out and wave it at your provider!

https://www.ncbi.nlm.nih.gov/pubmed/3580318 -- this suggests that while it's not common to get urinary incontinence after a hysterectomy, there are some risk factors that make it more likely.

In the meantime, though I would find it a bit upsetting to have to deal with it myself, you might want to consider grabbing some incontinence "adult diapers" in the grocery store. I think they've got slim ones? It would at least give you more leeway in picking your pause-points, and not risk your outer clothes. Hopefully, this is something that kegals and time will heal!

Good luck!
patchworkorange Not uncommon.29th-Mar-2018 12:43 pm (UTC)
ABSOLUTELY.

#1 question: can you feel yourself doing kegel exercises?

I had a hysterectomy in 2011. I realized in about 6-8 mths that I couldn't feel myself doing kegels. I went to the doc and they told me I was still healing, to give it time. I ended up back at the doc 6-8 mths later and was sent for physical therapy.

One thing they DON'T tell you is that our bodies can have a physical shock response to the trauma of hysterectomy. Some women will experience hyper tense responses where penetration is painful if not impossible, others' muscles can go to sleep and not wake up. That was me.

My PC muscles were so weak and atrophied; the specialist could tell just by looking at me that they had gone unused for awhile. Biofeedback was what helped...

I don't think I'll ever be normal again and it's a constant struggle. And like you, I do have incontinence issues....I have to time my travel around the bathroom and my kids tease me that I'm like a 5 yr old. I have found that exercise like the elliptical at the gym do help me feel a bit stronger down there, but I foresee myself have a cystocele someday.

And I don't want it....it cuts straight through the G spot area , I've heard :(
goddessdi 29th-Mar-2018 01:23 pm (UTC)

I can feel myself doing them. And the lack of chronic pain I dealt with has been a blessing. Sex is more enjoyable for me now too. This has been the only downside for me but it’s obviously kind of a big one...

giabean 29th-Mar-2018 06:10 pm (UTC)

I have the opposite problem. I had a total hysterectomy 2 years & from day 1 have had severe issues with urinary hesitation & urinary retention.

spyinak 30th-Mar-2018 01:10 am (UTC)
I have urge incontinence but it isn't related to a hysterectomy. It is a miserable thing to deal with on a daily basis. It doesn't matter if I have to pee a teaspoon or a gallon- once I get the urge to go I had better get to a bathroom ASAP or I will be peeing my pants. :-(

That being said- Mine got so bad that I could hardly get two steps from the toilet without feeling like I had to go again. I went to a natural path and see treated me with oral meds for a yeast infection. I will danged if that didn't level things out for me so that I could live again. Just a thought to consider though with a hysterectomy in the mix it may not resolve your problem.

There are meds for treating an overactive bladder, collagen injections and other things that can be tried. I would suggest reading up on your options and then going to your doctor armed with the knowledge of the various treatments that are available.

Best wishes.
immatotalqueen 9th-Apr-2018 06:06 am (UTC)
Maybe talk to a urologist about botox injections. I heard it helps with inconvenience.
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