Avulsion?
Hi, so I’m almost one year postpartum and had been diagnosed with stage 2 cystocele, rectocele, and uterine prolapse, but it feels like it’s getting worse and I’m stage 3 (everything is coming out the opening). Today when I was sitting rocking my son to sleep, I feel this unbearable pressure sensation like there’s a fist pushing downwards on my pelvic floor. I went to take my pessary out and there was a hard ball - either my uterine prolapse or my cystocele or both pushing hard on my fingers and it ended up coming out the opening. When I looked, all three prolapses were out.
When I’ve asked the doctors and pelvic floor PTs I’ve seen about the possibility of me having an avulsion, they all say they aren’t able to tell. When I’ve asked my current doctor about it, she says there’s no point in doing imaging to see because treatment would be the same. Is there any difference in prognosis/treatment if there is an avulsion? I feel like I’ve read that surgery failure is more common with avulsion. Something just seems really wrong because no matter how much PFPT work I do or what pessaries I wear, I’m getting worse.
For those of you who have avulsions, how were you diagnosed? Did it change your treatment?