4 weeks post op rectocele repair. Increase slowly as you feel comfortable. C 680 N. They don’t need to be removed. Surgery can fix the symptom but doesn’t address what contributed to the problem developing in the first place. This op can make you a lot smaller inside and you may need dilators to help stretch everything inside but you wont know that for a while yet. There will typically be a follow-up appointment required within the final 4 – 6 weeks after your surgery. Jul 25, 2023 · Your doctor is likely to recommend drinking lots of fluids, using stool softeners and eating a fiber-rich diet in the weeks after surgery. It hasn't been an easy month the repair was surposd to be done through the stomach but had to be aborted due to the amount of adhesions that I had so all the work was done through the vagina. I am glad to report I have no problems now. It is best to quit 6 to 8 weeks before surgery. Also, your wounds will heal much better if you do not smoke after surgery. 2-1/2 weeks post surgery. Outcome of surgery Surgery results in a good improvement in symptoms of around 8 out of 10 patients but additional non-surgical treatments can help with the symptoms. For this reason, if you are a smoker, you should quit at least 2 weeks before the procedure. I hope you get well soon. Do not drive for 24 hours after surgery. May 14, 2015 · I know what you are going through. , Suite 117 Chicago IL 60611 (312)654-1166: Debra Richardson, M. Just in case the chairs are not padded wherever we are going. Aug 4, 2024 · Do not lift more than 10 pounds for at least 6 weeks. On the positive nothing is hanging out of 8 weeks on now, im feeling physically good. She was seen 1 week after surgical revision with 10/10 perineal pain. During the repair, your provider will use sutures or a medical device to strengthen the tissue between your rectum and vagina. HI. Data on the efficacy and safety of mesh repair for genital prolapse are limited in literature. Customer: I am 14 weeks post op . But there are some general principles that apply to all types of pelvic prolapse surgery. Week 4 I only felt it when I touched it (wiping and May 3, 2010 · I was 10 days post op before I had a bm. And increase your activity level gradually. When I went for my 6-week checkup, I proudly announced I hadn't had any bleeding. This is major surgery and can take up to 3 or 4 months to recover from. 8/day). Rectocele is a challenging and embarrasing problem to deal with. I’m 4 weeks post surgery and have had a really rough recovery and a string of issues since. This is due to the presence of stitches in the vagina; as the stitch - es absorb the discharge will gradually reduce. Apr 2, 2018 · I'm 6 days post-op for a straightforward repair, and have spent most of the last week laying flat in bed not wanting to jeopardise the recovery process. (I had a large tumor/fibroid on back of uterus that pulled down a lot of stuff). I have been doing a little more than LadyPink has suggested, but think everything is going ok. You can expect to return to work around six weeks after surgery. You have had major surgery and as you're only 2 weeks post op you are at the very beginning of your recovery. Praise the Lord!!!! I feel really good. These are to avoid constipation and excessive straining that can cause the rectal prolapse to happen again. Please speak with your doctor for more information on post-op instructions. Most women start walking during the hospital stay after prolapse surgery. I have had no pain and no discharge for about a week. I didn't remember any discomfort post op. Usually up to 6 weeks post op. I am 4 weeks post-op tomorrow from having a Sacrospinous ligament fixation plus enterocele, rectocele, and Perineorrhaphy repair. I spent the second week on occasional narcotics and sleeping a lot. After rectocele surgery, expect bloody vaginal discharge for about four weeks. Your doctor may prescribe pain medication to make you feel more comfortable. I have a grade 2 cystocoele and grade 1 rectocoele. This is due to the presence of stitches in the vagina; as the stitches absorb the discharge will gradually reduce. Feb 27, 2017 · Hello loutland. Traditional repair consists of midline plication of endopelvic fascia to reduce the prolapse and create support. With prolapse repair the pain and discomfort can get worse around the 3rd week as the internal sutures start tightening and the repair starts to heal. I was in the OR each month following the surgery for approximately two months. Reconstructive Surgery: Surgery to repair or restore a part of the body that is injured or damaged. This includes tampons. Don’t lift anything heavier than 10 pounds (4. I am release to return to work in 3 days. Mar 2, 2020 · It depends on the type of surgery you have. I had hemorrhoid surgery. Some urogynaecologists advise no baths until 6 weeks post op as this can make the wound "soggy" but obviously you have been advised otherwise. After my first (anterior repair & hysterectomy) I had lots of worries and went back to my doctor who arranged lots of tests to check things out. Some creamy white vaginal discharge may be expected for the first few weeks. Don’t swim or soak in water for four to six weeks after surgery. I had surgery Monday released from hospital after 4 days. It will be swollen, tender and narrow from the surgery and around 4 to 6 weeks the wounds will tighten up and stitches will loosen off. On the Genitourinary Prolapse Holme page there is a Pinned Post and if you click on that you will find some well researched information especially the South Tees information. They are also more likely to have breathing problems during surgery. 501(c)(3) Federal ID 27-3737815. Some people experience depression or post-surgery blues. Absolutely agree! I was told you can’t drive for at least 6 weeks, then that some people are driving within a couple of weeks! Then don’t lift anything heavier than a filled kettle, hoover, do any housework for 6 weeks, but btw you’re fit to return to work the day after that 6 weeks-and no question about what your job entails! Jan 29, 2019 · Hi alidew Thanks so much for your update. was vaginal. Rectocele is also called posterior vaginal wall prolapse. $After$3$months,$you Hi, I have surgery for rectocele repair scheduled for next Tuesday. Surgery to fix each prolapsed organ can be done at the same time. I was discharged in a appaling way from St Thomas's and have been given no post op information. After you are discharged from the hospital, continue to take daily walks around your home or neighborhood. Sacrocolpopexy: A type of surgery to repair vaginal vault prolapse. Try not to worry too much, you are very early days as yet. Typical recovery is 4-6 weeks with heavy lifting off-limits for at least 6 weeks. Jun 6, 2008 · The only procedure I had this time was the rectocele repair. Customer: I am 4 weeks post op for a rectocele repair. The pudendal nerve is a mixed nerve that exits the S2 – S4 sacral nerve roots, we have a right and left pudendal nerve and each side has three main trunks: the dorsal branch, the perineal branch, and the inferior rectal branch. " Go figure. Hi I know this is from a while ago but trying to find someone to talk to. For the first 2 weeks following your surgery it is important that you do nothing. This includes running or jogging, bike riding, and heavy lifting. Surgery to fix the prolapse might be needed if: Pelvic floor strengthening exercises or using a pessary doesn't control your prolapse symptoms well enough. The risk is greatest for hormones taken as tablets. Avoid vacuuming or pushing heavy doors or grocery carts. When this has stopped and the vaginal wound has healed you can have sexual intercourse, as comfortable (usually by 6 wks). Lake Shore Dr. Back in 2000. You can make your pelvic muscles stronger with physical therapy (PT). You can ready about my decision to have surgery here . a large bulge anterior / bladder pushing through into my vagina. If you have open surgery, it can take 4 - 6 weeks to heal. 1. I have a portable cushion that I keep in the car. Here is an account of my first 7 days post-op. 11 A study by Bradley et al of women undergoing sacrocolpopexy for vaginal vault prolapse with or without rectocele repair, reported a 45% prevalence of at least 1 bowel symptom Aug 3, 2015 · I am six weeks post op for a vaginal vault repair and posterior fascial repair. Having gynecologic surgery, such as a hysterectomy, can cause an enterocele. The surgery included removal of two of eight permanent sutures and introital closure to functionally widen the introitus. Start by walking outside your hospital room the day after surgery. Rectocele repair is a surgical procedure to correct a bulge in the wall between your rectum and vagina. *HUG* Type of prolapse repair surgery (e. Sacrohysteropexy: A type of surgery to repair uterine Mar 27, 2017 · Hello sheila what you describe is perfectly normal. We Coughing, laughing, anything hurt it. You can expect to resume normal physical activity within hours of your procedure. You should be fit to drive after about 1 or 2 weeks and return to work after 2 to 4 weeks. Rectum: The last part of the digestive tract. I think the rectocele repair has been the most painful part of my recovery. Ask your healthcare provider when it is safe to go back Fatigue and low energy level may persist for many weeks after surgery. The vaginal incision usually does not cause much post-op pain. Feb 6, 2008 · Back pain 4 weeks after rectocele repair Some back pain can be normal with abdominal surgery. After a Posterior Repair (Rectocele) surgery, you may need to stay in the hospital for 23 hours. Wait 48 hours after the surgery to shower. He said the first couple of times would be uncomfortable-it needed some stretching right at the opening. I have been on cipro 500 MG 2X and flagyl 500 MG 2X day for three weeks. Avoid heavy exercise the first few weeks after the surgery. Was told by my Dr. Jun 8, 2011 · Lauren Streicher, M. I did not have any pain at all before my surgery - just the prolapse. Jan 8, 2024 · Surgical interventions are usually minimal. Walk at a comfortable pace. Chronic constipation can cause a rectocele. I am almost 4 weeks post TVH and rectocele repair, starting 2 days ago I have this feeling like something is in my vagina, not painful I am just contantly aware of the feeling. the surgery has now created a cystocele. You will still be very swollen after only 4 weeks so i wouldnt worry to much. I am 2 months post op for a hysterectomy with a rectocele repair. Recovery. The extent of surgery will depend on the stage and severity of your prolapse. Usually this goes away by itself but if it does not, please call our office and let us know. The goal of rectocele repair is to strengthen the wall between the vagina and rectum. I can flop down on chairs now and be okay. It is usually safe to start pelvic floor exercises when you feel ready, usually 1 to 2 weeks after surgery. General anesthesia is usually used for repair of a rectocele or enterocele. Ok, it's been a week today that I've had surgery for both rectocele and cystocele repair. I can do about 4 hours of housework (cooking, cleaning, laundry) and then I'm wiped out. Because of the extensive vaginal surgery, you may have some spotting and discharge from the vagina for as long as 6 weeks. If I had known about this site I would have realised most of my "problems" were quite normal post op feelings! Make sure you have a post op check up with your surgeon who will advise about returning to Precautions for avoiding injury when walking after surgery; Always follow your medical caregiver’s guidelines for walking after prolapse surgery. Contact your doctor if you experience any unusual symptoms, such as difficulties with urination, heavy bleeding, fever, or signs of infection around the wound sites. I jogged a little yesterday and did not have any leakage. Pelvic Floor Exercises. Heavy lifting puts pressure on the surgery area and slows healing. I spent the whole first week after surgery on narcotics and in bed. Gynecologic Specialists of Northwestern, S. I saw my doctor yesterday and he said my result is fantastic, and that the pain should be completely gone in the next 2-4 weeks. When to Start Walking After Your Prolapse Surgery. May 13, 2019 · The patient elected to have rectocele revision, which was performed approximately 12½ weeks after her original surgery. I am extremely nervous, and having trouble getting a clear picture of what recovery will look like. This is due to the breakdown of old blood trapped under the skin. Here’s what to expect: To help prevent blood clots, your nurses will encourage you to walk as soon as possible after Women typically recover from the cystocele repair in about 4-6 weeks. You may have a pessary device put into your vagina. D. No uti but still feel the pain from it, like I’m severely bruised internally. I am 8 and a half months post op for rectocele repair and sex is still soooooooo This usually stops by about 3 to 4 weeks. . The doc says I'm fine but I know this isn't normal. See full list on bpgyn. It Jul 6, 2009 · I am now 1 week post a grade 2 rectocele and small cycstocele repair. Day of Surgery Dec 20, 2014 · I'm just 4 weeks post op for rectocele, and slight cycstocele. Posterior vaginal repair (May 2020) 7 and the risk of continuing to take them may be greater than the benefit you will get from taking them. Surgical repair is one of the management options. Yep yeast infection as well. com Jun 1, 2022 · Treatment for Enteroceles and Rectoceles. The layers under the vaginal wall are then sutured together in such a way as to tighten the tissues and reinforce the strength of the wall. The rectocoele causes me only v minor issues but I hate the cystocoele. I'm trying not to anxiety spiral and I would greatly appreciate any details you could share about how they diagnosed and treated the hematoma. You may also take a laxative like Senokot-S orally as needed or Milk of Magnesia. Pelvic Floor Surgery (Rectocele, Sphincteroplasty) Avoid strenuous activity, straining, heavy lifting more than 10 pounds, and sexual activity for at least 6 weeks. While you’re healing, avoid intense exercise and heavy lifting. 5 kilograms) for 6 weeks after your surgery. CONTACT APOPS. In this surgical procedure, the doctor will make an incision into the back wall of the vagina. Unfortunately women are discharged from care after rectocele repair without clear guidelines for how to prevent repeat prolapse. I had the same op last June. Can you describe the type of pain (shooting, sharp, stabbing, burning, cramping etc. Anybody else had a repair done recently. I've still not found going to the toilet very Apply vaginal estrogen cream once daily on the incision and in the vagina with only your finger for 4 weeks post-op. Take 2 tablets of stool softener twice daily for 6 weeks and Fibercon 1 tab daily. I'm 4 weeks post op too for anterior & posterior prolapse repairs, plus perineum reconstruction. I am 18 weeks post op after having a hysterectomy and rectocele repair. This may cause damage to the Make an appointment to see your healthcare provider 2 weeks after your surgery. Ask what other steps you should take and schedule checkups with the doctor 2 and 4 weeks after the operation. Note that the stitches used in this surgery will eventually be absorbed by the body. In a secondary analysis of a randomized trial for 3 different approaches to rectocele repair, the presence of at least 1 bowel symptom at baseline ranged from 80–97%. He looked at me like I was deranged and said, "Well, you weren't supposed to have any. Noninvasive Rectocele and Cystocele Repair General anesthesia is usually used for repair of a rectocele or enterocele. But you should not have sex until 6 weeks after surgery. Make sure as stated you drink plenty of fluids, and light meals until you go! May 20, 2017 · Hi sal . Postoperatively, it is important the patient reduce certain risk factors that may have caused or contributed to the rectocele in the first place. My main goal for surgery is that it helps my chronic constipation that has drastically reduced my quality of life in all possible ways. I still dread bowel movements each morning, but it is definitely improving. Within a few days to a few weeks, you may feel well enough to begin doing everyday activities, like walking and driving. Normal bowel function returns within 2 to 4 weeks. I’m so miserable. Went back to work 6 weeks ago but unfortunatly have not been able to go back full time yet as i have problems sitting up straight on a chair as it becomes really painful. Gynecologic surgery is surgery on the female reproductive system. I was sent home without antibotics; 10 day post op checkup showed significant infection. This rectocele video and information helps you manage rectocele, reduce your risk of rectocele worsening and repeat prolapse after rectocele repair surgery. Most people can return to their normal activities within 4 to 6 weeks after surgery. I had lots of pain and swelling inside as well as outside. Apr 9, 2024 · Surgery can also affect your stress level and your medication routines. It really felt like something was being pinched up a lot higher in there, but he showed me a diagram of what it was that was very tight, and said it Published: October 2015. Avoid strenuous exercise, such as running or jogging, for 6 weeks after your surgery. 7 days ago, my urinalsis still showed quite a bit of bacteria (30). If the discharge has an offensive odor contact your doctor. I realize this is 5 months later, but I just had rectocele repair surgery last week and started heavily bleeding a few days ago. I recently got exactly what you’re saying a lump forming. Women consider preservation of sexual activity and improvement of sexual function as important goals after pelvic organ prolapse surgery. Unlike many other reconstructive surgeries used to treat pelvic organ prolapse (POP), your provider can perform the procedure without having to make a large incision (cut) into your abdomen. Had catheter for 4 days. I also had some work done on my perineum, and an ablation after d&c/hysteroscopy. This support may help ease your symptoms. Had a LVH, rectocele, cystocele, bladder sling, hernia repair x4 and something that basically put my colon and intestine back up where it was supposed to be. You may get some blood-stained discharge immediately after surgery or starting about a week after surgery. Smokers heal more slowly after surgery. You may try light activity, such as short walks, 3 to 4 weeks after the surgery. It's very difficult to stop doing things when you start to feel a bit better. It hasn't been an easy month the repair was surposd to be done through the stomach but had to be aborted due to the amount of adhesions that I had so all the work was done through the Jul 15, 2022 · The authors are also cautious about performing an aggressive repair in a woman who plans to be sexually active, as rectocele repair can result in a foreshortened vagina and/or dyspareunia. Aug 6, 2015 · I had rectocele repair along with hemorrhoidectomy August2014. ,$at$the$gym)$for$the$first$6$weeks,$and$then$ build$up$your$level$of$activity$gradually. These changes can lead to a different bathroom pattern. It is normal to get a discharge for 4 to 6 weeks after surgery. Nov 7, 2008 · Genital prolapse is a common problem in women. I couldn't understand the pain. Most people can return to their normal activities in about 6 weeks. Benefits of Cystocele and Rectocele Repair This procedure should allow easy, effective and complete urination and better bowel control. Colporrhaphy is a surgery used to repair weaknesses in your vaginal walls that are causing unpleasant symptoms. A rectocele repair procedure can help with symptoms of pelvic organ prolapse. Your provider may recommend surgical repair if you have symptoms like pain, difficulty pooping or sexual dysfunction. Usually, these changes resolve as you recover. If you have keyhole surgery, it may only take 1 - 2 weeks to recover. Feb 2, 2015 · I've been reading through a couple of the "any old prolapse" threads, but wanted to ask for some experiences following post op. Avoid strenuous activity for the first 6 weeks. Like any surgery, you will also have a recovery time and could experience pain or discomfort while healing. Customer: I am 4 weeks post op from enterocele/rectocele repair. This systematic review aimed to compare sexual activity and function before and after prolapse surgery among specific approaches to pelvic organ prolapse surgery including native tissue repairs, transvaginal synthetic mesh, biologic grafts, and sacrocolpopexy. Try not to cough or strain to have a bowel movement. As a guide you can: General anesthesia is usually used for repair of a rectocele or enterocele. Oct 12, 2022 · Use stairs slowly and use a railing for additional support, especially the first few days after surgery. There is around a 6 to 7% risk of recurrence following the operation. It’s a procedure reserved for rectoceles that cause significant discomfort or symptoms Jul 27, 2020 · You should abstain from any physical exercise and sex until after 6 to 8 weeks post-op. The symptoms of a cystocele withdraw after its repair; however, some symptoms, such as stress incontinence, may require a separate surgery to recede. Avoid high-energy exercise for 3 months after your surgery. Often, rectocele happens with other forms of pelvic organ prolapse, where organs like your uterus or bladder shift out of place, too. I have worked up to about 75 % of what I was doing and have had no problems. I felt like I was bulging down there. Don’t have sex or put anything in your vagina (such as tampons) for 6 weeks after Apr 21, 2021 · When pelvic organ prolapse starts affecting your daily life, it could be time for surgery. You can usually restart these 4 weeks after surgery when the risk of thrombosis (blood clots) has reduced. Do not lift anything heavier than 10 pounds (4. While most people who heavier$than$a$kettle),$and$strenuous$exercise$(e. It helps a lot. cystocele repair, rectocele repair, uterine prolapse) Continue your progressive walking program during the first 6 weeks Aug 12, 2004 · The gyn did lots of stretching at the very opening at the 4 week and 7 week post op visit. Week 3 was just ibuprofen sometimes. The challenge lies in the uninformed person who used to use symptoms to guide movement. It's still tender but it's not constant. Causes of Enteroceles and Rectoceles. but now i noticed i have a heavy feeling there and always need to pee. A hysterectomy is surgery to remove your uterus. For many people, bowel function returns to normal just after a few days or weeks, depending on the condition. It may take up to six weeks before you’ve healed enough to go back to work. Thank you! Nov 19, 2017 · I'm nearly 8 weeks post op and I did a short drive a couple of days ago, I did try pushing on the pedals hard and fast (like an emergency stop) before I attempted driving, but your car insurance is not valid until 6 weeks post op, so just check it before you do go out in the car. I am obviously sore but I am a little concerned about the fact that I am still bleeding to the level that I am. I had 3rd degree rectocele and 1st degree cystocele. Preparing For A Rectocele Repair – Prolapse Surgery; Riding The Rollercoaster of Emotions – The Days Before Prolapse Surgery; Post-Op Recovery The first few days - Prolapse Surgery - Rectocele Repair It is normal to get a discharge for 4 to 6 weeks after surgery. I had a rectocele repair, uterus removed and bladder surgery. My first BM was 3 days after the op. The device will hold up the organs that cause the bulge. It is usual to have some pain post-operatively but this mainly resolves by 4 weeks and is usually controlled with paracetemol. Aug 3, 2023 · Wiped out 7 weeks post enterocele, rectocele, cystocele, vault repair & perineorrhaphy surgery I am 7 weeks post-op. g. You may stay in the hospital from 1 to 2 days. I don't feel any pressure at all but I am starting to get worried that something is wrong. APOPS Association for Pelvic Organ Prolapse Support 8225 State Rd 83 Mukwonago, WI 53149 USA. I have never had to splint before but I did the first few times. Nov 15, 2005 · I had a TAH and I didn't have one drop of blood or vaginal discharge, while other (((sisters))) use pads for weeks post-op. Other pelvic organs are prolapsed along with the rectum, and your symptoms really bother you. It sounds on the whole, quite positive. Jul 23, 2021 · You’ll typically take medications to ease pain in first 1 or 2 weeks after your surgery. to resum having sexual relations at this time. Jun 22, 2022 · Expect to feel tired and sore within the first two weeks following surgery. The downside of the latter is limitations with penetrative sex. About a week post-op, some blood-stained vaginal discharge may happen. I can't exactly say I'm still in pain-more discomfort really, made worse by my back "going" last week which I feel was probably exacerbated by so much sitting about & in such an uncomfortable position. Jun 29, 2009 · I am 4 weeks post-op tomorrow from having a Sacrospinous ligament fixation plus enterocele, rectocele, and Perineorrhaphy repair. A surgeon may repair the vaginal wall or stitch the opening. I am 5 weeks post op. I have been kneeling at my computer at work as the pressure gets unbearable after around an hour. This is due to the presence of dissolvable sutures in the vagina. Remember, recovery times are unique to every woman, so try not to compare your recovery to anyone else’s. And the extent of pelvic prolapse surgery will affect your recovery. Jan 23, 2016 · I am 3 weeks post op rectocele and cystocele surgery. Aug 22, 2019 · Pudendal Neuralgia is a clinical diagnosis that means pain in the sensory distribution of the pudendal nerve. They may resume their daily activities, including sexual intercourse, in about 4 weeks after the procedure. Sitting on the potty was torture. Attend follow-up appointments with A week ago I had prolapse surgery to repair my rectocele. followed by usual 4 days of no bowel movement, followed It is normal to get a discharge for 4 to 6 weeks after surgery. The bleeding stopped after just 3 days. Anterior and posterior repair and sling. Typical recovery for the procedure is 2-3 weeks. Do not drive if you require narcotic pain medications. You can potter around the house and make cups of tea but nothing more. The surgery attaches the vaginal vault to the sacrum with surgical mesh. I hurt so bad I had my mom go get glycerin suppositories. But (tmi, sorry) I've just had diahorrea and when I wiped the surgery area, there was some fresh blood. How can I aid my recovery from pelvic organ prolapse surgery? Sep 11, 2017 · Hi Janet. A mesh has also been used to augment and repair such defects in the pelvic floor. Aug 10, 2022 · Surgery. I was cleared last week to excersize including weight training. APOPS Mission and Vision weeks after your surgery. Mar 22, 2022 · Rectocele is one form of pelvic organ prolapse (POP), a condition where organs droop because of a weak pelvic floor. You will have a follow-up appointment with your doctor between 4-6 weeks after Dec 7, 2017 · Unpleasant things that happened in the 7 weeks included anaemia due to blood loss in the operation (a trait of redheads also apparently) which led to fainting/weakness immediately post op which meant I couldn't get out of bed/alarms going off in the hospital/catheter in place longer etc. Things to avoid after surgery. This information is for you if you are about to have, or you are recovering from, an operation for a prolapse of your pelvic floor (when the sling of muscles that supports your bladder, bowel and vagina has slipped or descended). My husband gave up his recliner for me. You can take up to 2 every 6 hrs (max. Apr 21, 2023 · Rectocele repair involves surgical correction of the bulge created by the rectum pushing into the vagina. Talk to your surgeon before resuming these activities. ), whether or not you can localize it to one area or if it is generalized low back pain. Please note that this information will be reviewed every 3 years after publication. im really upset about this, ill go and see the surgeon next week for my post op appointment and hear what grade it is. After 4 weeks and up to 6 weeks post op you can start to walk and do gentle exercises. Preparing For A Rectocele Repair – Prolapse Surgery; Riding The Rollercoaster of Emotions – The Days Before Prolapse Surgery; Post-Op Recovery The first few days - Prolapse Surgery - Rectocele Repair the operation. I take laxatives as I’m scarred of impacted bowel and dear God don’t bear down. bvlgy nqb ohtjc cxumz xpvl mtoi edsuid tpc plrdq glicu