how to repair rectocele and cystocele

How long does it take to recover from cystocele repair?

Women typically recover from the cystocele repair in about 4-6 weeks. Women typically recover from the cystocele repair in about 4-6 weeks. They may resume their daily activities, including sexual intercourse, in about 4 weeks after the procedure.

Which Doctor is best for doing cystocele repair?

When surgery is necessary

• How it's done. Often, the surgery is performed vaginally and involves lifting the prolapsed bladder back into place using stitches and removing any excess vaginal tissue. ...
• If you have a prolapsed uterus. ...
• If you have incontinence. ...

What is the best treatment for cystocele?

• Well, one of the easiest ways to lessen the itch is to use ice. Ice provides great relief and soothens the itchy feeling. ...
• The second home remedy is turmeric. Turmeric is a great remedy for itching. It is really helpful in soothening the skin and also helpful in healing wounds. ...
• Soframycin cream is one

What risks are associated with cystocele repair?

The complications of cystocele repair include:

• Infection
• Bleeding
• Injury to other pelvic organs
• Dyspareunia ( painful intercourse)
• Failure to treat the defect
• Recurrent prolapse

How to treat rectocele without surgery?

What does rectocele mean?

How to stop bowel movement?

How to reduce bulge in vagina?

What is the most common surgical repair?

How long does it take to repair a pelvic floor?

Why does my vagina have a bulge?

See more

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Can a rectocele and cystocele be repaired at the same time?

If there is any bulging of the bladder, this will also be repaired at the same time- this is called and anterior repair or cystocele repair. It is possible that a graft or mesh may be used during the surgery to help in the long term success of the repair.

How long does it take to recover from rectocele and cystocele surgery?

Typical recovery for the procedure is 2-3 weeks. Your doctor may prescribe pain medication to make you feel more comfortable. You can expect to resume normal physical activity within hours of your procedure. But you should not have sex until 6 weeks after surgery.

Is cystocele repair major surgery?

Yes, cystocele (bladder prolapse) repair is major surgery. Even if your surgery is done through a less invasive way, surgeries to repair prolapse tend to be major surgery.

How is rectocele repaired?

The goal of rectocele repair is to strengthen the wall between the vagina and rectum. In this surgical procedure, the doctor will make an incision into the back wall of the vagina. 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.

How do you poop after rectocele surgery?

Use a stool softener/osmotic laxative (e.g. Movicol) to keep your stool soft and easy to pass – especially during your short-term recovery. Discuss the best stool medication with your medical care provider. Adhere to the correct diet to keep your stool soft if you suffer from constipation.

How long do you stay in hospital after rectocele surgery?

What happens after the procedure? You may stay in the hospital anywhere from 2 to 6 days. The catheter may remain in your bladder 2 to 6 days or until your bladder starts working normally again. You may be constipated during this time.

What does a Grade 3 cystocele look like?

A grade 3 cystocele is the most severe of cystoceles. This is the diagnosis when the bladder droops low enough to bulge completely out of the vagina. Symptoms are similar to those of a grade 2 cystocele—but worse.

Can you have both cystocele and rectocele?

Key Points. Urethrocele is virtually always accompanied by cystocele, and cystocele, urethrocele, enterocele, and rectocele are likely to occur together.

What is a Grade 3 cystocele?

There are three grades of cystocele: Grade 1 (mild): The bladder drops only a short way into the vagina. Grade 2 (moderate): The bladder drops to the opening of the vagina. Grade 3 (severe): The bladder bulges through the opening of the vagina.

Is a rectocele repair worth it?

Studies show about 75% to 90% of patients have significant improvement but this level of satisfaction decreases over time.

What is considered a large rectocele?

If a rectocele is present, this study can document the size and the ability to completely empty the rectum. In general, if the rectocele is larger than 2 centimeters and/or has significant retention of contrast, it is considered abnormal.

Can poop get stuck in a rectocele?

When rectoceles become symptomatic a conversation with your doctor is needed. Problems may include: Difficulty having a complete bowel movement because of stool getting stuck in the rectum. The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement.

Can you have both cystocele and rectocele?

Key Points. Urethrocele is virtually always accompanied by cystocele, and cystocele, urethrocele, enterocele, and rectocele are likely to occur together.

How long will I be off work after bladder prolapse surgery?

You will probably need to take 2 to 4 weeks off work for open surgery and 1 week off for laparoscopic surgery or vaginal surgery. It depends on the type of work you do and how you feel. Your doctor will tell you when you can have sex again.

What is the success rate of rectocele surgery?

Studies show about 75% to 90% of patients have significant improvement but this level of satisfaction decreases over time.

How painful is cystocele surgery?

You may experience discomfort in the vagina for 1-2 weeks following the surgery. The physician may place a medicated vaginal packing in the vagina overnight. The catheter stays for 2-6 days to give the bladder more time to function normally. You may notice bloody discharge and/or odor from the vagina for 1-2 weeks.

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How to treat rectocele without surgery?

Strategies include: Avoid constipation by following a high-fiber diet (more than 25 grams of fiber per day) and drinking six to eight 10-ounce glasses of water per day. Avoid straining during bowel movements and long periods of sitting on the toilet.

What does rectocele mean?

A sense of bulging or fullness in your vagina. Problems with sexual intercourse. The need to manually reduce the bulge in your vagina to have a bowel movement. A rectocele should be treated only if your symptoms interfere with your quality of life.

How to stop bowel movement?

These methods include: Avoiding constipation by following a high-fiber diet (more than 25 grams of fiber per day) and drinking 6 to 8 10-ounce glasses of water per day. Avoiding straining during bowel movements and long periods of sitting on the toilet. Using stool softeners if needed.

How to reduce bulge in vagina?

Follow exercises designed to strengthen and retrain the muscles of the pelvic floor. Go to your provider to be fitted with a pessary, a device placed into the vagina to reduce the bulge.

What is the most common surgical repair?

The most common surgical repair is a transvaginal rectocele repair , also called a posterior repair. The rectocele is reached through the vagina. It offers the chance to correct not only the rectocele but a thinned perineum and widened vaginal opening.

How long does it take to repair a pelvic floor?

In most cases, surgery is done under general anesthesia and takes about one hour. The most common surgical repair is a transvaginal rectocele repair, also called a posterior repair.

Why does my vagina have a bulge?

The bulge occurs as a result of thinning and weakening of the band of tissue that separates the vagina from the rectum. This thinning has a number of causes, including: Advanced age. Multiple vaginal childbirths or trauma during childbirth (for example, the use of forceps or the tearing of tissue during delivery).

How long does a bladder catheter stay in after a cystocele repair?

If you had a rectocele repair, the bladder catheter will be removed as soon as you are able to use the bathroom on your own. If you had a cystocele repair, the bladder catheter often needs to stay in longer—sometimes 2-6 days.

What are the complications of a sexectomy?

Accidental damage to vagina, rectum, and bladder. Accidental damage to nearby organs. Difficulty with bowel movements. Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as: Smoking. Drinking.

How to reduce the chances of infection?

There are also steps you can take to reduce your chances of infection such as: Washing your hands often and reminding visitors and healthcare providers to do the same. Reminding your healthcare providers to wear gloves or masks. Not allowing others to touch your incisions.

Can you eat before rectocele surgery?

Eat a light meal the evening before the surgery. Do not have anything to eat or drink after midnight on the night before the procedure. If you are having a rectocele repair, you may need to have an enema the night before the surgery.

Can you remove excess vaginal lining?

Any tissue that has been weakened by previous surgeries, pregnancies, or age will be removed. Excess vaginal lining will be removed as well. In some cases, a suspension or elevation procedure may be done. These are special sutures that provide extra support to the bladder.

Can a rectocele cause pain?

Cystocele and rectocele can cause problems going to the bathroom such as frequent urination, urine leakage, and difficulty urinating. Pain during sex may also occur. This surgery is done to help relieve these symptoms. Most often, this type of surgery is not done until all other treatments have been tried. Other treatments may include muscle ...

What is the name of the prolapse of the bladder?

Note that the bladder prolapse is between the normal upward attachment and the cervix or vaginal apex, usually resulting in what is termed a high cystocele. H. Note that the bladder descends around the normal upper attachment of the fascia or the muscular lining of the vagina.

Where are Mayo scissors inserted?

After an initial incision is made, usually Mayo or Metzenbaum scissors are inserted between the vaginal epithelium and the vaginal muscularis or between the layers of the vaginal muscularis and are gently forced upward while they are partially opened and closed ( Fig. 54–8B ).

What is the term for the prolapse of the vaginal wall?

Anterior vaginal wall prolapse, or cystocele, is defined as pathologic descent of the anterior vaginal wall and overlying bladder base. The cause of anterior vaginal wall prolapse is not completely understood but is probably multifactorial, with different factors implicated in individual patients.

What is cystocele repair?

A cystocele and rectocele repair are an operation that lifts and tightens the tissue around the bladder and rectum so these organs no longer push against the vagina.

How to treat rectocele?

Doing muscle-strengthening exercises, called Kegel exercises. Placing a pessary in the vagina (a device that supports the vaginal walls). A pessary does not help a rectocele problem, but it can help with a cystocele. Ask your doctor about these other treatment choices.

What is the term for a vaginal wall prolapse?

Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele (when the bladder or urethra is involved). Posterior vaginal wall prolapse is commonly referred to as enterocele (when the small intestine and peritoneum are involved) and rectocele (when the rectum is involved).

How long does it take for a rectocele to heal?

You may stay in the hospital anywhere from 2 to 6 days. The catheter may remain in your bladder 2 to 6 days or until your bladder starts working normally again. Rectocele repair is a major surgery. A doctor will often suggest it only after other treatments have failed to correct your problem.

How to recover from bowel surgery?

Follow instructions provided by your doctor. You may be asked to take an enema or medicine to clean out your bowel the day before surgery .

What is the procedure to loosen the vagina?

Depending upon the vagino-anal condition to be treated, there are two variants of the perineoplasty procedure: the first, to tighten the perineal muscles and the vagina; the second, to loosen the perineal muscles. Read more about : Cervical cancer treatment. Read more about : Risk factors of cervical cancer.

How long does it take to recover from vaginal surgery?

You may need about 4 to 6 weeks to fully recover from open surgery and 1 to 2 weeks to recover from laparoscopic surgery or vaginal surgery.

How to prevent rectocele?

Avoid constipation by following a healthy diet and regular exercise. Take a stool softener to keep your bowel movements soft. Have plenty of water throughout the day (6-8 ounces) Keep weight under check. Avoid straining at stools ( bearing down worsens the rectocele) Avoid heavy lifting.

What does it feel like to have a small rectocele?

Over time, you may experience: Feeling a soft bulge in your vagina (that may even come out on straining at stools) A sensation of heaviness in the rectum. Difficulty in passing stools. A feeling of incomplete evacuation of bowels.

How to get rid of a swollen pelvic floor?

Here is how you can do them: Try tightening your pelvic floor muscles slowly for 3 seconds. You will feel like you are lifting them or like you are holding your pee. Then release for 3 seconds. Do this 10 times at a stretch. This is one set. You should do one set of Kegel exercises 2-3 times a day.

How to stop constipation from a swollen bowel?

Avoid heavy lifting. Control coughing (you can use over the counter cough suppressants) Do pelvic floor muscle-strengthening exercises. A high- fiber (25 grams/day) diet is a healthy option that helps in treating constipation as well as is useful in controlling weight gain.

What tests are done to determine the size of the rectocele?

The doctor will order a few tests that include: Magnetic resonance imaging ( MRI ): This will help the doctor know the size of the rectocele. Defecography: This is a special X-ray series that shows the movements of the pelvic muscles while you defecate.

Does a rectocele heal on its own?

A rectocele does not heal on its own. It requires medical therapy and/or surgical treatment. If left untreated, it can worsen the existing symptoms and affect your quality of life greatly. However, not everyone will need immediate surgery. The reasons for which you need surgery for rectocele are:

Can you fix a rectocele?

As it is a structural ( anatomical) defect, you cannot fix a rectocele by natural means alone. However, you can follow some simple lifestyle tips to relieve its symptoms.

What is a cystocele repair?

Cystocele and Rectocele Repair. Cystocele and rectocele repair is surgery to lift and tighten the tissue around the bladder and rectum so that these organ s no longer push into the vagina . ... These problems can cause discomfort, leaking of urine or bowel movements, bladder infections, constipation, and pain during sex.

What is the surgical repair of rectoceles and enteroceles?

Surgical repair of rectoceles and enteroceles is used to manage symptoms such as movement of the intestine that pushes against the wall of the vagina, low back pain, and painful intercourse. An enterocele may not cause symptoms until it is so large that it bulges into the midpoint of the vaginal canal.

How long does a bladder catheter stay in the vagina after a cystocele repair?

If you had a rectocele repair, the bladder catheter will be removed as soon as you are able to use the bathroom on your own. If you had a cystocele repair, the bladder catheter often needs to stay in longer sometimes 2-6 days.

How long do you stay in the hospital after a cystocele?

After Cystocele and rectocele surgery. You may stay in the hospital anywhere from 2 to 6 days. The catheter may remain in your bladder 2 to 6 days or until your bladder starts working normally again. You may be constipated during this time. During the first 4 weeks after the operation, there may be some smelly, ...

How long does it take for a cystocele to heal?

If you had a cystocele repair, the bladder catheter often needs to stay in longer sometimes 2-6 days. This will allow the bladder more time to begin to work normally. When you return home, do the following to help ensure a smooth recovery: Avoid lifting anything that weighs more than 10 pounds for about 6 weeks.

How long does it take to heal from vaginal surgery?

You can expect to feel better and stronger each day, although you may get tired quickly and need pain medicine for a week or two. You may need about 4 to 6 weeks to fully recover from open surgery and 1 to 2 weeks to recover from laparoscopic surgery or vaginal surgery.

How long does it take to recover from a rectocele?

Rectocele recovery time. Typical recovery for Rectocele is 2-3 weeks. Your doctor may prescribe pain medication to make you feel more comfortable. You can expect to resume normal physical activity within hours of your procedure. But you should not have sex until 6 weeks after surgery.

How to empty your bowels?

Correct position to empty your bowels: Sit on the seat (never hover) Lean forwards (not backwards) Position your hips and legs apart. Rest your forearms of hands on your thighs to support your trunk. Maintain the inwards curve in your lower back throughout.

What to do when you have emptied your bowel?

Diuretics. When you have emptied your bowel take appropriate measures using the information above to help you avoid repeat constipation. This can be a matter of trial and error to get the right stool consistency with diet and laxatives. Your goal should be to minimise the use of laxative medications over time.

Why does my bowel wind up?

Gas or wind in the bowel is caused by: Swallowed air. Bacterial fermentation of unabsor bed food in the large bowel. If you are prone to bloating and gas with particular foods watch out for this pitfall after your rectocele repair.

How to relax pelvic floor muscles?

Perform 5-6 relaxed deep diaphragmatic breathing exercises – these help to relax your pelvic floor muscles. Brace to make your waist – if you say and hold the sounds “SSSS” or “Moooo” this can help bracing.

Can rectocele repair make stool hard?

If your stool is too hard or too soft emptying your bowels will be difficult after rectocele repair. Unfortunately one of the side effects of pain relieving medications like codeine and narcotics is constipation which can make stools hard and difficult to pass.

Is rectocele a problem?

Rectocele is a challenging and embarrasing problem to deal with. This rectocele video and information helps you manage rectocele, reduce your risk of rectocele worsening and repeat prolapse after rectocele repair surgery. Unfortunately women are discharged from care after rectocele repair without clear guidelines for how to prevent repeat prolapse.

Does having a prolapse repair increase your risk of repeat prolapse?

Being so young and having a prolapse repair increases your risk of repeat prolapse since this repair needs to last a long time. The fact that you’ve had surgery increases your risk of repeat prolapse. Added to this is the issue of pregnancy and childbirth should this arise that loads the pelvic floor too.

What is cystocele repair?

Cystocele repair surgery. A cystocele repair is a surgery to put your bladder back in its normal place. Your surgeon will fix the wall between your bladder and vagina to keep your bladder from moving again.

What causes cystocele in women?

A cystocele can be caused by: Aging. Vaginal deliveries of heavy babies. Menopause (a permanent end of your monthly periods) Obesity (having a high, unhealthy amount of body fat) Frequent straining during bowel movements (pooping) Heavy lifting. A hysterectomy (surgery to remove your uterus) or other gynecologic surgery.

Can you get a sling without cystocele surgery?

Female anatomy with urethral sling. Some people get a sling without having cystocele repair surgery. If you’re having cystocele repair surgery and getting a sling, your sling will be placed during your surgery. Your healthcare provider will talk with you about what would work best for you.

What to do if you have a prolapsed uterus?

For anterior prolapse associated with a prolapsed uterus, your doctor may recommend removing the uterus (hysterectomy) in addition to repairing the damaged pelvic floor muscles, ligaments and other tissues. If you have incontinence.

What to do if you have a prolapsed bladder?

Bladder and urine tests. If you have significant prolapse, you might be tested to see how well and completely your bladder empties. Your doctor might also run a test on a urine sample to look for signs of a bladder infection, if it seems that you're retaining more urine in your bladder than is normal after urinating.

How does a prolapsed bladder surgery work?

Often, the surgery is performed vaginally and involves lifting the prolapsed bladder back into place using stitches and removing any excess vaginal tissue. Your doctor may use a special type of tissue graft to reinforce vaginal tissues and increase support if your vaginal tissues seem very thin.

What are some exercises to strengthen pelvic floor muscles?

Kegel exercises are exercises you can do at home to strengthen your pelvic floor muscles. A strengthened pelvic floor provides better support for your pelvic organs and relief from symptoms associated with anterior prolapse. To perform Kegel exercises, follow these steps:

How effective are Kegel exercises?

Kegel exercises may be most successful at relieving symptoms when the exercises are taught by a physical therapist and reinforced with biofeedback. Biofeedback involves using monitoring devices that help ensure you're tightening the proper muscles with optimal intensity and length of time.

How to do kegels?

To perform Kegel exercises, follow these steps: Tighten (contract) your pelvic floor muscles — the muscles you use to stop urinating. Hold the contraction for five seconds, and then relax for five seconds. (If this is too difficult, start by holding for two seconds and relaxing for three seconds.)

How to prevent anterior prolapse?

To help keep an anterior prolapse from progressing, you can also try these lifestyle modifications: Treat and prevent constipation. High-fiber foods can help. Avoid heavy lifting, and lift correctly. When lifting, use your legs instead of your waist or back.

How to treat rectocele without surgery?

Strategies include: Avoid constipation by following a high-fiber diet (more than 25 grams of fiber per day) and drinking six to eight 10-ounce glasses of water per day. Avoid straining during bowel movements and long periods of sitting on the toilet.

What does rectocele mean?

A sense of bulging or fullness in your vagina. Problems with sexual intercourse. The need to manually reduce the bulge in your vagina to have a bowel movement. A rectocele should be treated only if your symptoms interfere with your quality of life.

How to stop bowel movement?

These methods include: Avoiding constipation by following a high-fiber diet (more than 25 grams of fiber per day) and drinking 6 to 8 10-ounce glasses of water per day. Avoiding straining during bowel movements and long periods of sitting on the toilet. Using stool softeners if needed.

How to reduce bulge in vagina?

Follow exercises designed to strengthen and retrain the muscles of the pelvic floor. Go to your provider to be fitted with a pessary, a device placed into the vagina to reduce the bulge.

What is the most common surgical repair?

The most common surgical repair is a transvaginal rectocele repair , also called a posterior repair. The rectocele is reached through the vagina. It offers the chance to correct not only the rectocele but a thinned perineum and widened vaginal opening.

How long does it take to repair a pelvic floor?

In most cases, surgery is done under general anesthesia and takes about one hour. The most common surgical repair is a transvaginal rectocele repair, also called a posterior repair.

Why does my vagina have a bulge?

The bulge occurs as a result of thinning and weakening of the band of tissue that separates the vagina from the rectum. This thinning has a number of causes, including: Advanced age. Multiple vaginal childbirths or trauma during childbirth (for example, the use of forceps or the tearing of tissue during delivery).

Definition

Possible Complications

What to Expect

Problems to Look Out For