Surgical mesh and grafts are not usually used, since research suggests no benefit from these materials. Health Home Conditions and Diseases. What Is a Rectocele? Rectocele Causes Rectocele is caused by prolonged pressure on the pelvic floor.
Women also often report: Rectal pressure or fullness, or the sensation that something is stuck in the rectum Difficulty having a bowel movement Discomfort during sexual intercourse A soft bulge of tissue that can be felt in the vagina or protrudes outside of the body Women with a rectocele may also have a secondary prolapse of the other vaginal walls and nearby organs, including the bladder or uterus.
Rectocele Diagnosis At your appointment, your doctor will discuss your symptoms and review your medical history with you. Learn how our urogynecology team can help. Rectocele Treatment Your doctor will consider the severity of your symptoms to recommend the most appropriate treatment for your rectocele.
In fact, you may not even know you have posterior vaginal prolapse. But sometimes moderate or severe posterior vaginal prolapses can be bothersome or uncomfortable. See your doctor if:. Posterior vaginal prolapse results from pressure on the pelvic floor. Causes of increased pelvic floor pressure include:. The muscles, ligaments and connective tissue that support your vagina become stretched and weakened during pregnancy, labor and delivery.
The more pregnancies you have, the greater your chance of developing posterior vaginal prolapse. Women who have had only cesarean deliveries are less likely to develop posterior vaginal prolapse, but still may. Posterior vaginal prolapse rectocele care at Mayo Clinic. Mayo Clinic does not endorse companies or products.
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Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Updated visitor guidelines. You are here Home » Repair of Rectocele or Enterocele. Top of the page. Repair of Rectocele or Enterocele. Surgery Overview A rectocele occurs when the end of the large intestine rectum pushes against and moves the back wall of the vagina. What To Expect After Surgery General anesthesia is usually used for repair of a rectocele or enterocele.
Most women are able to resume sexual intercourse in about 6 weeks. Why It Is Done 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. How Well It Works Not much is known about how well the surgery works over time. Risks Risks of rectocele and enterocele repair are uncommon but include: Urinary retention.
Bladder injury. Bowel or rectal injury. Other forms of treatment for rectal prolapse Surgery is the best option for severe rectal prolapse. Other possible forms of treatment may include: Lifestyle changes — including high-fibre diet, drinking plenty of water and getting regular exercise Change to toileting habits — such as not straining when trying to pass a bowel motion.
This may require using fibre supplements or laxatives. Immediately after surgery for rectal prolapse After your operation for rectal prolapse or rectocele, things you can expect include: Hospital staff will observe and note your temperature, pulse, breathing and blood pressure.
You will have an intravenous fluid line in your arm to replace fluids in your body. You will receive pain-relieving medications. Tell your nurse if you need more pain relief. You may have a catheter to drain off urine for the next day or so, or until you can empty your bladder by yourself. If you have a vaginal pack, this will be taken out later the same day or the day after surgery. You may be in hospital for three to six days following surgery.
You will need to make follow-up appointments with your doctor. Complications of surgery for rectal prolapse Possible complications of surgery include: Allergic reaction to the anaesthetic Haemorrhage Infection Injury to nearby nerves or blood vessels Damage to other pelvic organs, such as the bladder or rectum Death necrosis of the rectal wall Recurrence of the rectal prolapse. Taking care of yourself at home after surgery for rectal prolapse Be guided by your doctor, but general suggestions include: Rest as much as you can.
Avoid heavy lifting or straining for a few weeks. Take measures to prevent constipation, such as eating high-fibre foods and drinking plenty of water. After rectocele surgery, expect bloody vaginal discharge for about four weeks. 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.
You can expect to return to work around six weeks after surgery. Attend follow-up appointments with your surgeon. Long-term outlook after surgery for rectal prolapse While surgery through the abdomen gives better results, older people may be advised to undergo surgical correction of rectal prolapse via the anus, since this procedure is less stressful on the body.
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