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Bulge, back pain: An enterocele is a hernia of the small bowel into the vagina. Traditionally, it has been described as causing back pain but in reality many women in their middle ages who have enterocele have back pain for other reasons. Thus, the primary symptoms is pelvic pressure and / or a bulge from the vaginal opening. ...Read more
Repair: Enterocele is when the small bowel dips down into the pelvis and may prolapse out the vagina or other opening. Laparoscopic techniques involve minimally invasively (with small incisions and a camera) going in to fix the problem. It sometimes is associated with the repair of prolapse of other organs, and may involve the use of mesh. ...Read more
If the enterocele is removed, can it grow back? Worse case scenario if i don't opt to have the enterocele removed? Possible complication of surgery
Great Q for Urogyn : Thanks for bringing up three very good questions. Our obgyn colleagues and subspecialists in urogynecology can answer this best. They see the natural course or progression of enteroceles when patients perhaps wait too long for repair. In addition, they can list the risks of a repair. Pardon the graphic image, but it does show the proximity of the pelvic structures to the vagina. ...Read more
None that r good: Enteroceles may not cause symptoms (incidental finding); therefore, they may not require rx at all. No evidence that, say, yoga, pilates, tai chi, rolfing, herbs, homeopathy work for symptomatic enteroceles. Kegel exercises/biofeedback unlikely to help symptomatic enteroceles (but may be worth a try) surgical management may help. ...Read more
Hysterectomy w/ posterior repair: 2009.
Laproscopic bowel resection: 2011. Now same bowl symptoms as before. Probability of enterocele recurrence?
Can p.O.P, or enterocele cause rectal pain to be worse and more constant during menstrual cycle? If pertinent, in add. Uterus is also retroverted.
Maybe.: Usually, pop and enteroceles are painless, but if you have a rectocele and tend towards constipation or harder stools at that time of the month, then there may be more pressure in your pelvis/rectum causing pain. The retroverted uterus is also pushing on the rectum and is lower in your pelvis (pop) which may make stool transit more difficult. What does you doctor think? Have you tried a pessary? ...Read more
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