instruction: hello doctor I have a stage to bladder prolapse I would like to get the surgery but I am suffering from anxiety and panic attacks I am terrified about getting the surgery in my mind it got fixed that if I go there I will die from that surgery it is said that it will be done through the vagina and she will fix it to the solid part of the pelvis no mesh will be used and it will be by spinal and not general anesthesia I am someone who does not tolerate the medication I always have bad reactions even if it is demerol morphine or codeine it does to me the opposite effect that it is supposed to do could you tell me more about the surgery what are the risks will I die from getting the surgery I do not even have a date for it and I think about it all the time I am terrified I do not want to die can it be done by local anesthetics only
output: hi I have gone through your question and understand the concerns vaginal surgery for the bladder repair is safe and there are no major risks associated with it complications like bladder injury can occur which is not at all life threatening and can be surgically managed spinal anesthesia is safer than general anesthesia and all the vaginal surgeries are done in it cannot be done in local anesthesia you should consult a psychiatrist and get properly treated for panic attacks and anxiety before going for surgery bladder prolapse cannot be treated medically and surgery is the only option I hope this helps