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Fluid behind hysterectomy site
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An_246856 posted:
Hello I am a 31 year old mother of 3. I had a Hysterectomy (uterus and cervix removed) in November of 2011 for prolapse of the uterus/bladder/rectum. I have had back pain and urinary incontinence and urgency since then. I have been to the ob/gyn 5 different times since December 15. (8 weeks post op) to tell them about my bladder and back pain and have always been dismissed with "give your body time to heal" or "you were probably doing to much it will heal in time" or "your pain or bladder problems are not from the surgery". I have just recently developed extreme fatigue, nausea and the back pain is not constant.

I recently got referred to a urologist to make sure the bladder was not the cause of the back pain. Blood was found my urinalysis (no infection) and my urologist wanted to make sure it was not cancer. I took my ct scan today no tumor found but they did find fluid behind my hysterectomy site.

So basically what caused the fluid to be there?

Is it possible for that fluid to be infected?

Would that make my back hurt all the time?

Cause Blood to be in my Urine?

Make me incontinent?


How do I get rid of the fluid? Surgery?


I have a appointment scheduled with the urologist in 3 weeks but i am leaving for vacation on Friday.This is going to drive me crazy!! Also, a friend of mine that works at the hospital read my ct report and the report has not yet went to my doctor, but am really anxious for suggestions on this.
1 Replies |Watch This Discussion | Report This| Share this:Fluid behind hysterectomy siteHello I am a 31 year old mother of 3. I had a Hysterectomy (uterus and cervix removed) in November of 2011 for prolapse of the uterus/bladder/rectum. I have had back pain and urinary incontinence and urgency since then. I have been to the ob/gyn 5 different times since December 15. (8 weeks post op) to tell them about my bladder and back pain and have always been dismissed with "give your body time to heal" or "you were probably doing to much it will heal in time" or "your pain or bladder problems are not from the surgery". I have just recently developed extreme fatigue, nausea and the back pain is not constant.<br /> <br /> I recently got referred to a urologist to make sure the bladder was not the cause of the back pain. Blood was found my urinalysis (no infection) and my urologist wanted to make sure it was not cancer. I took my ct scan today no tumor found but they did find fluid behind my hysterectomy site.<br /> <br /> So basically what caused the fluid to be there?<br /> <br /> Is it possible for that fluid to be infected?<br /> <br /> Would that make my back hurt all the time?<br /><br />Cause Blood to be in my Urine?<br /><br />Make me incontinent?<br /><br /> <br /> How do I get rid of the fluid? Surgery?<br /> <br /> <br /> I have a appointment scheduled with the urologist in 3 weeks but i am leaving for vacation on Friday.This is going to drive me crazy!! Also, a friend of mine that works at the hospital read my ct report and the report has not yet went to my doctor, but am really anxious for suggestions on this.
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Jane Harrison Hohner, RN, RNP responded:
Dear An: I am not a surgeon, but from my clinical experience I would say that, over time, some women do develop bladder problems after hysterectomy. The uterus helps support the bladder, and cystocele (prolapse of the bladder) can occur after hysterectomy. Having said that, it was good that you were sent to a urologist to see what type of incontinence you now have developed. Some types of urinary incontinence are less likely to be linked to issues of support. Your urologist can give you the best answer on this one.

Fluid can be from many things, and generally the body will re-absorb any small blood leaks or tissue fluids. Usually if there is an infection the woman will have a fever and a high white blood count as the body fights the infection.

Blood in the urine is commonly from infection, trauma to the bladder, a kidney stone (this can prompt back pain, to0), a tumor, or TB. It sounds like the urologist has ruled out most of these. Sometimes hematuria (traces of blood in the urine) is without an apparent reason. It may come and go.

Truly your urologist and GYN surgeon can give you the most "for sure" answers. If you are not satisfied with the answers, or communication style, with your surgeon you can certainly choose to get a second opinion. A consult GYN surgeon will try to review your records to get a sense of your case.

In Support,
Jane
Report This| Share this:Fluid behind hysterectomy siteDear An: I am not a surgeon, but from my clinical experience I would say that, over time, some women do develop bladder problems after hysterectomy. The uterus helps support the bladder, and cystocele (prolapse of the bladder) can occur after hysterectomy. Having said that, it was good that you were sent to a urologist to see what type of incontinence you now have developed. Some types of urinary incontinence are less likely to be linked to issues of support. Your urologist can give you the best answer on this one.<br /><br />Fluid can be from many things, and generally the body will re-absorb any small blood leaks or tissue fluids. Usually if there is an infection the woman will have a fever and a high white blood count as the body fights the infection.<br /><br />Blood in the urine is commonly from infection, trauma to the bladder, a kidney stone (this can prompt back pain, to0), a tumor, or TB. It sounds like the urologist has ruled out most of these. Sometimes hematuria (traces of blood in the urine) is without an apparent reason. It may come and go.<br /><br />Truly your urologist and GYN surgeon can give you the most "for sure" answers. If you are not satisfied with the answers, or communication style, with your surgeon you can certainly choose to get a second opinion. A consult GYN surgeon will try to review your records to get a sense of your case.<br /><br />In Support,<br />Jane
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