cystocele rectocele repair

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Dr. Michael Hulse answered:

Can a cystocele and rectocele repair help to tighten vagina?

That depends.

Vagina
The primary goal of cystocele and rectocele surgery is to repair the damaged tissue that was supporting the bladder and rectum from prolapsing or dropping into the vagina. Some surgical procedures will narrow or tighten the vagina While others will not. I would recommend making your wishes Known to your surgeon prior to surgery So that your expectations can better be met.
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Please tell me, could a cystocele and rectocele repair help tighten vagina?

Yes

Vagina
Cystocele and rectoceles are essentially hernias in the wall of the vagina. All of the repairs currently recommended with strengthen and tighten the vagina.
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Dr. Scott E. Beard answered:

Can a cystocele and rectocele repair help tighten up vagina?

Yes

Culdocentesis
if you explain that is part of your goal, usually the gyn will avoid this though so as not to cause problems with painful intercourse. Instead they will build up the support at the opening which in effect narrows the opening, making things more snug. See a gyn with a lot of reconstructive experience though like a urogynecologist
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Is it possible to have a hysterectomy, rectocele/cystocele repair all under spinal anesthesia?

Yes

Hysterectomy
This operation is low enough down in the abdomen that it can be done with spinal anesthesia. You will probably receive some IV sedation to help you relax during the case. Discuss your requests for anesthesia with your anesthesiologist before the operation. Hope all goes well.
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Dr. Michael Hulse answered:

I've got an embarrassing problem. I've got both a cystocele and a rectocele. what type of doctor can repair these?

Do your homework

Cystocele
A Gynecologist, Urogynecologist or Uroogist most commonly perform this type of surgery. Be sure that your surgeon has a lot of experience performing these types of procedures. Selecting the appropriate type of repair for your specific issue is very important and will effect your outcome and long term satisfaction. Don't hesitate to get a second opinion.
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Grade 2 Cystocele and Rectocele grade 1-2 uterine prolapse. No sensation of heaviness etc would you repair while doing sling for stress incontenence?

Probable not

Stress
If you are currently asymptomatic, I would probably not recommend repairing the cystocele or rectocele providing they are not causing any issues. That said, a number of factors go into determining whether to have surgery or not. I would suggest you discuss your options with your physician and follow their recommendation.
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Dr. Allen Kamrava answered:

Two weeks post-surgery rectocele/cystocele/Manchester repairs. Strong anal pressure, sense of constipation (normal stools), painful flatulence. Norm?

Still early

Constipation
It's still early on - your anorectal region is adapting. Speak with the surgeon that did your operation.
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Dr. Michael Hulse answered:

Can a general surgeon remove my gallbladder and fix my rectocele/cystocele all at the same time?

Not usually.

Gynecology
Although these procedures can be done at the same time, it would be unusual for a general surgeon to perform cystocele or rectocele repair. More commonly these procedures would be performed by a gynecologist, urogynecologist or a urologist. Just be sure that whoever does your surgery has a lot of experience performing these types of procedures. Never hesitate to get a second opinion.
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Dr. Timothy Wu answered:

Which surgery should I have done 1st and why? Surgery in spine to replace disk at L5-S1(bone on bone now) or Surgery to correct Cystocele & Rectocele.

Depends

Bones
Neither is an emergency, so which you have done really depends on which one bothers you more. I don't believe either surgery will affect the other procedure in any negative way, but you should discuss with both your spine and general surgeon.
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Could a grade 2 rectocele and cystocele prolapse cause excessive gasiness?

No

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No; Excessive abdominal gas is not the result of pelvic organ prolapse
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