Hello,
I had my surgery eight days ago once they got in there they saw that the tumor was not just on the posterior back of the vagina but that it had invaded the rectum and grown around the right of the vagina so they ended up taking much more almost all of the vagina and she had to go so far out to try to get clear margins that they ended up taking pelvic floor muscle and going straight to the bone she said there’s a possibility that it went into the bone. I’m still waiting for pathology reports because there’s so many samples to be reviewed. The reason it took so long for me to post is the pain has been horrendous. I feel like my pain was managed so well during my treatment because it was between me and my doctor and I wasn’t in a hospital. I am in the US and it’s a awful complicated system but the surgeon team so there were three surgeons what they recommend their hands are tied once you get admitted to the hospital and the hospital decides if you should have and what you should have for pain management so I had no management of the pain. It would go up to 10 and then I’d have to beg and plead for medication they mistakenly took the Foley out after two days and then they could not get it back in. They did two tries with four nurses and me screaming the whole time for an hour and they finally called urology and they were able to get the Foley back in. I would say the hardest part is having some of the nursing staff try to give me anxiety medicine and telling me that it was all in my head that it wasn’t hurting this bad but the surgeons were saying this is such a complex surgery that this particular hospital doesn’t see very often and they just were uncomfortable giving me 10 mg of oxycodone every three hours and then Dilaudid for the breakthrough pain. I had to fight to get a pick line I had to blow out five IVs before they would agree to put the pick line in so overall it’s been a horrendous eight days and I’ve had a friend stay here 12 hours a day and bring me food which was so gracious and wonderful. I’m talk texting because I can’t see to type. I just wanted to update and thank everybody for their prayers and support and any tips you might have going forward. They’re trying to get me out of the hospital cause I decided the goal is not necessarily the patient but they do want to get you out. I am just unable to move because my restrictions of not being able to incline more than 30° and not being able to sit under any circumstances so it’s very difficult to get Mobile. I’m trying to stay positive. I would welcome any tips or if anybody’s gone through this any ideas that I can use to get better thank you in advance Kathleen
Hi Kathleen
I am so sorry to hear you have had such a bad time of it. I had APR surgery in 2023 but I don’t think it sounds as extensive as what you have had, although they did remove my pelvic floor. I was definitely on 10mg of oxycodone maybe every 3 hours for about 3 weeks and then reduced it so that sounds normal to me and it is so wrong that they are not managing your pain correctly. My nurses also recommended to keep on top of paracetamol as when taken regularly it’s excellent to keep pain under control. I found that worked well. If you are to go home is there anyone who will be able to help you? Or is it possible that there is some kind of rehab centre you could go to while you heal more? I am not an expert in the healthcare system in the USA but my grandma is American and has recently had a hip replacement which involved her then staying in a rehab centre to get her in a position where she was strong enough to then go home and look after herself.
If at all possible it would be good for you to be able to move a little bit to ensure you are not on the wound on your bum for too long. I understand how hard that is though. Also I don’t know what the food is like where you are but NHS hospital food was the opposite of nutritional so if you are able to access protein drinks such as Ensure or similar I think they would really benefit you. They aren’t horrendous tasting either. For reference when I kept on top of the protein intake, my dehisced wound reduced from a depth of 7cm to 3cm in just one week! Which was amazing.
My final tip for trying to be mobile at least while you lie down is to get a large sausage shaped pregnancy cushion which you can use to sort of hug and roll over with. I would put my leg up on it while I lay on my side which helped with the hip pain I sometimes experienced due to being immobile for a while.
I really hope things improve for you soon xx
Hello Hope4life
What a terrible time you have had; what I find the most difficult to understand is the reluctance to give you pain medication given that you have just had extensive major surgery. I know the strongest pain medications are opioids but given in the correct circumstances, ie extreme pain, they are not addictive. I have heard that, on the other side of the pond, treating teams can be reluctant to prescribe medication for pain and I just don't understand this.
I am so sorry to hear about your other problems too. The catheter (Foley) procedure sounds horrendous and again, I am amazed that they struggled for so long.
I see MrsKS has made some good suggestions about rehab, which hopefully would much a better environment for you (and dare I say it, more empathetic staff?). Is there someone you could talk to about this at the hospital? Given that it is such early days for you and the restrictions you have on being able to move around I would hope that this would be covered under your medical insurance.
I can't give any tips as I haven't gone through this surgery but I just wanted to send you a huge hug and let you know you are in my thoughts.
Irene xx
Believe me, it shocked me too. I would say the hardest thing was being told when I made the decision about the surgery that my pain would be managed and it’s been a fight every single day even today they’re trying to get me off any IV assistance and go straight to Oral. I think it’s all about the money and they want to get me out of the hospital as soon as possible and in skilled nursing and the hospital has to say over everything. It really is a messed up system, but I’ve been through anal cancer treatment, which was no picnic, but that was managed very well, but I was at home. This has not been. I’m on day nine and I still am fighting to go three hours without paying that’s above a six so hopefully I’ll get it under control soon. Thank you I just walked onto to check on here. I appreciate the support
Hi Hope4life ,
I'm so very sorry to hear that you’ve been through such an awful experience. The very least we should expect with all of the medication available nowadays is that following such a big extensive surgery that pain would be managed adequately.
I see MrsKS has replied to your post & although you’re across the pond & our healthcare systems are different she has a lot of experience under her belt & is better qualified to advise than me.
I sincerely hope that your pain is under control soon & your recovery can start in earnest.
Sending lots of healing thoughts your way.
Nicola
Thank you Nicola the priority is to get me out of hospital and into skilled nursing. They are adamantly opposed to using opiods. Gave me a muscle relaxer which knocked me out and the pain spiked so high it woke me.
The spikes in pain feel like contractions but I no longer have a vagina. Did anyone else who had this surgery experience this? I was told they took a lot of pelvic floor muscle. Is this just part of the healing process?
thank you for not only listening but believing me. Kindly,
Kathleen
Hi hope4life.
i had very similar surgery to you. The cancer was on the back wall of my vagina with the tumour sitting on my sphincter muscle. The cancer then grew outside my body and they had to cut away a third of my bum cheek. It was absolutely horrible. The pain is awful and like you, they were very reluctant to give strong painkillers. I was only given them for 2 days then put onto paracetamol. On day 5, I cried in pain the whole day with the nurses totally ignoring the pain. I was so fortunate when the night shift came on that they were lovely and helped me out. My surgery was in December 2025 and I actually left hospital 7stone 12 pounds. I didn’t really start my recovery till I got into my own home. I have a permanent stomach and hadn’t pooed for 11 days. Nobody checked even though I was being sick constantly. My family actually took me out of the hospital as they were so concerned about me. I am now 10 months down the line and doing well. I am back to work full time and trying to live a normal life.
Keep going and I am sure things will eventually settle down. I am sending you love and prayers.
I am so sorry for all you have gone thru. I don’t get how they expect you to go thru this level of pain. I took ambulance 1hour ride to care facility absolutely brutal. Ancient ambulance no shocks. I was bouncing around in agony the entire ride. I still have a foley they trialed twice and I could not pee. So I asked facility to please clean it and they bring an alcohol square and never touched the tube just wiped the leg. I want to go home but I can’t walk without help. I hope it gets better from here. I can hardly stand the pain.
Kathleen
Thank you for reaching out. I am a month post surgery and am home. I have been lucky to have people stay with me to help me but I am basically in hospital bed 24/7 except for getting up and walking for 15-20 3 times a day. I was unprepared for how weak and helpless I would be post surgery. I am very discouraged I finally have the pain under control but now am constipated and going to dr today which is an ordeal since I still can’t sit and I have a catheter still. I miss my life and wish I was stronger. I hope someday I will be mobile and more myself. Thank you so much for inquiring. I didn’t want to come on here and just complain but it is really hard.
Kathleen
Hi Kathleen, please don’t be too hard on yourself. You have just had a massive, life changing operation. I know because I have been there too! I am coming up for 11 months on and I am nearly back to my old self, thankfully but I can assure you, there have been many dark days in that recovery. It will take a long time for you to be able to sit and even now, I have to take painkillers every day as I get really sore and achy. Give yourself some time and credit for getting to where you are now. I am here anytime if you need a chat.
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