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[Love_vodka]

Morning I have anterior/bladder prolapse.(along with hypersonic pelvic floor, perineal collapse,rectal intussception)  Basically a bit knackered!
I have bad nocturia getting up 6/7 times a night to pee. No-one has given me any advice apart from offered surgery,  which I really want to avoid!!  and prescription tablets Bermuda and solifenacin which do nothing.
I have GP appointment Monday.
Has anyone any advice or suggestions on what I could ask for? I'm currently on hrt patches (hysterectomy 10 years ago and been on hrt 6 years)
I read somewhere testosterone might help? Pessaries?
Any help,much appreciated. I want to go armed with knowledge. Thanks for reading, I'm a bit fed up and scared surgery will be my only option.

[CLKD]

What do U worry about surgical intervention?

Firstly take a list of queries with you to discuss.  Make notes of the replies/suggestions.

How is your urine outflow in the day?  Could this be vaginal atrophy for which treatment is successful.

[Love_vodka]

Thanks, I don't have any other symptoms of vaginal atrophy. I assumed it was the prolapse bladder but will mention it 

[CLKD]

Let us know how you get on.

[Love_vodka]

I saw the GPtoday, apparently my bladder prolapse has gone/fixed itself!  and I have been referred to urology with nocturia.

[CLKD]

Obviously your body takes care of itself 

How long will you need to wait for the appt.?  has the night time trips eased any?

[Love_vodka]

No, still up 6/7 times. She also prescribed some oestrogen cream to use internally. Some days I wake up feeling a bit irritated inside. She didn't mention atrophy but I'm going to do some more research. I also have slow transit, so that might be contributing?
No idea how long I'll wait for appointment, no infection in my pee, she mentioned botox for bladder.

[Wrensong]

Hi, so sorry to know of the problems you're facing which must be making life pretty difficult at present. 

Morning I have anterior/bladder prolapse.(along with hypersonic pelvic floor, perineal collapse,rectal intussception)

I'm guessing you've already seen a colorectal surgeon for the intussusception diagnosis?  It seems likely that that this condition, together with the slow transit you mention, are also having adverse effects on your bladder function, so yes I think your instincts here are probably right:-

I also have slow transit, so that might be contributing?

As you have pelvic floor dysfunction, if you haven't seen a specialist women's physio for pelvic floor assessment I would ask for one while waiting to see Urology.

You might also like to have a look at a recent thread called "Constipation" partly for some links I posted (pages 2&3) on pelvic floor dysfunction & the associated different types of pelvic organ prolapse.  One of the links has a section on the pessaries you mention, but the info in them is much more comprehensive than that so I hope you might find something helpful there.  There is also a good book called The Pelvic Floor Bible by Jane Simpson.  I'll bump the thread for you.

Wx

[Love_vodka]

Thank you Wrensong. That's really helpful. I did mention physio but there was a lot to get through and because she said the bladder prolapse was fixed I didn't pursue.
She did say to ease off pelvic floor exercises because of the hypertonic diagnosis.
I'll read up on the thread/book. Thanks I appreciate your reply. I want to be able to self manage rather than surgery (which was offered after my diagnosis) because of success rate/complications etc I had a hysterectomy at 39 and post menopause 6 years and don't want to risk more problems unless I absolutely have to.
Thanks again for your kindness.

[Wrensong]

No problem    Having had more than I'd wish myself over the years, I completely understand your wish to avoid further surgery; even surgeons say that should always be the last resort.  A good women's physio can be a great help though in enabling self management & I would think about asking for a referral as she will be able not only to do a thorough assessment but advise on all important relaxation of the PF.
Good luck with it, whatever steps you take.
Wx

[Love_vodka]

Thanks,yes I will, have found one listed in my area 

[VioletAquarius]

Hi Love_Vodka

Sorry to have to put this, but did yr GP check for prolapse while laying or standing? As if laying sometimes they cannot be felt. I have had this happen myself.

[Love_vodka]

Lying down. Oh bollox! What now? Wait for urology appointment?

[Wrensong]

have found one listed in my area

Ooh, well done L_V     Hope it proves worthwhile.  Wrt lying down during exams for diagnosis, sometimes it can help the clinician see what's going on in every day life if they ask you to bear down.  Sorry - not much use mentioning that after the event, but you could perhaps ask if they want you to do that next time.
Wx

[Love_vodka]

Oh she did ask me to bare down, I will definitely ask for pelvic floor referral though.
Is the book worth buying if I have hypersonic pelvic floor? Is it mentioned in the book do you know?