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Doctor insights on: Starr Procedure Rectocele

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Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vag Vault Prolapse: Generally performed by a urogynecologist. Make sure you find out in advance whether or not your doctor performs these with or without mesh, the route of surgery (vaginal vs. abdominal), and how often the doctor performs this type of procedure. ...Read more

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Dr. Michael Hulse
157 doctors shared insights

Rectocele (Definition)

A condition in which there is a herniation (bulge) of the ...Read more


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What's a hysteroscopic myomectomy done for?

What's a hysteroscopic myomectomy done for?

Alternative idea: Fibroids are tissue growth that affect the uterus. They are extremely common and present in up to 50% of women (i've seen as high as 70% quoted). They commonly cause abnormal bleeding and a hysteroscopic myomectomy is done to remove fibroids that protrude into the cavity of the uterus as an alternative to hysterecomty. It's done through the cervix with minimal anesthesia. A nice little surgery. ...Read more

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What is the procedure done during hemorrhoid surgery?

What is the procedure done during hemorrhoid surgery?

Varies: Depends. If it is a rubber band office procedure, it constricts the internal hemorrhoid veins. Surgery may remove external and internal hemorrhoid veins, or ligate them. Surgical stapling can excise the veins and loose internal lining. ...Read more

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What is urethrocystoscopy + bladder neck incision? I underwent that procedure. Is painful urination common after catheter being removed? Please rush

What is urethrocystoscopy + bladder neck incision? I underwent that procedure. Is  painful urination  common after catheter being removed? Please rush

Common: It is common to have painful urination for a week or two after catheter is removed. Given your young age, your urologist probably diagnosed you with a high riding bladder neck that was causing you difficult voiding symptoms. The procedure involves putting a camera scope in your urethra and making relaxing incisions in your bladder neck with laser or cautery to change your bladder neck angle. ...Read more

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Meatal stenosis urologic surgery : Is in-patient surgery (stitches) to be preferred over out-patient surgery? How do we qualify a urologic surgeon?

Meatal stenosis urologic surgery : Is in-patient surgery (stitches) to be preferred over out-patient surgery?  How do we qualify a urologic surgeon?

Meatal stenosis: The surgery to correct mental stenosis, a meatotomy, is usually an outpatient procedure. It is a fairly minor procedure. I assume the surgeon you or your lived one has been evaluated by was recommended by another physician. If you trust that physicians judgement that no further prequalification is warranted. If not, go online, check reviews and malpractice history. ...Read more

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Has anybody done a laparoscopic supracervical hysterectomy?

Has anybody done a laparoscopic supracervical hysterectomy?

Yes: The most common reason for leaving the cervix is patient request. Current medical evidence doesn't suggest any advantages to leaving the cervix, though sexual function or bladder function were concerns in the past. If the cervix is left, the uterus must be removed by morcellation which can be a tedious and time-consuming endeavor, especially with a large uterus. ...Read more

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What happens during a laparoscopically assisted vaginal hysterectomy lavh?

What happens during a laparoscopically assisted vaginal hysterectomy lavh?

Safe and efficient s: The laparoscope allows excellent visibility inside the abdomen for releasing the uterus (and ovaries as appropriate) before proceeding with the vaginal portion of the hysterectomy. Many studies show fewer complications with lavh compared to an abdominal hysterectomy or a vaginal hysterectomy. There is the additional benefit of inspecting the abdominal cavity before and after the hysterectomy. ...Read more

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Is da vinci robotic surgery a reliable option for hysterectomy?

Is da vinci robotic surgery a reliable option for hysterectomy?

Can be: This is a procedure that requires a highly trained specialist who has plenty of experience in this procedure. In the right hands of a well trained surgeon, it can be highly successful. ...Read more

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What would cause severe starbursts after YAG procedure following cataract surgery?

What would cause severe starbursts after YAG procedure following cataract surgery?

See your eyedoc: Seeing better out of an eye with a multifocal lens following YAG might do it. Other causes might be a new PVD, severe pitting of lens, corneal edema from intraocular pressure spike, and other causes. You need to consult your ophthalmologist to ease your mind! Best wishes. ...Read more

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Had a leep cone biopsy doctor billed for vaginal wall repair, is that right?

Need more info: A cone biopsy isn't a vaginal wall repair, but perhaps your physician did both. Ask, or get a copy of the operative note and see what is described. Billing for a procedure not done would be fraud and most physicians are honest, so it may have been done or could be a coding error. ...Read more

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Obgyn transcription: "elective appendectomy was performed. patient given preop intravenous ____ (monasid)?" What does this mean?

Obgyn transcription: "elective appendectomy was performed. patient given preop intravenous ____ (monasid)?" What does this mean?

Maybe antibiotic: We frequently give antibiotics prior to certain procedures. That is probably what the surgeon was describing. ...Read more

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Is hemorrhoid surgery a difficult surgery what's the downtime?

Is hemorrhoid surgery a difficult surgery what's the downtime?

Depends : There are different ways hemorrhoids are treated. Internal hemorrhoids are treated by banding them with a rubber band. Painless with some cramping. Large external hemorrhoids removal is painful. Large hemorrhoids that prolapse or protrude can be treated with a stapling technique. A very well tolerated procedure. Surgery for hemorrhoids should always be a last resort. ...Read more

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What type of sugery is done after perforated uterus during abortion?

What type of sugery is done after perforated uterus during abortion?

DEPENDS: Please discuss with your doc, depends on how big it is, where it is , if there is active bleeding depending on the situation options are hospitalization with antibiotis and no surg, vs repair the perf vs hysterectomy. ...Read more

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Had bleeding after menapause. Found polypxs after office procedure to look into uterus with camera. Couldnt reach polyp to remove. Scedule surgery to ?

Had bleeding after menapause. Found polypxs after office procedure to look into uterus with camera. Couldnt reach polyp to remove. Scedule surgery to ?

Yes: Sadly, if a lesion like a polyp is found, it should be removed. Very rarely a cancer can be inside the polyp and it's important to remove any lesion in the uterus in event had cancerous elements. Almost always polyps are benign, so don't worry too much! ...Read more

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Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Depends: The answer to this question really depends on her diagnosis. I assume she has some sort of problem with her pap smear. Usually cervical issues, those conditions found in a pap test, dont require hysterectomy. The leep can be both diagnostic and treat most conditions involving her cervix, but she should consult her doctor as to why either procedure should be done. ...Read more

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I have cystocele(gr1), rectocele(gr3) and rectal prolapse thru anus. What procedure is best method and what is best specialist to perform op? Thanks.

I have cystocele(gr1), rectocele(gr3) and rectal prolapse thru anus. What procedure is best method and what is best specialist to perform op? Thanks.

To urologist / uro-.: Go to experienced urologist or uro-gynecologist for evaluation and surgical correction with modern available concept and procedures. Remember: Corrective surgery is not to cure, but apply what your body/tissue can do so to put together for better anatomical alignment and functional restoration. And aging will still weaken tissues leading to recurrence. So, be realistic although great improving... ...Read more

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I'm having stress incontinence and rectocele repair surgery as back to back procedures. What can I expect afterwards. Can you explain the procedures?

I'm having stress incontinence and rectocele repair surgery as back to back procedures. What  can I expect afterwards. Can you explain  the procedures?

Talk to your surgeon: These are questions you should discuss with your surgeon. They are great questions. But you should not have surgery without asking your own surgeon these questions. ...Read more

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What is a rectocele and how can it be fixed?

What is a rectocele and how can it be fixed?

Poor support: Rectocele:; lack of pelvic support allows rectum ("straight") to sag and bulge to the front, into the vaginal vault. Rectum is no longer straight and can not effectively transmit force, or transport stool out. Ber down and things bulge-kind of like pushing a rubber band. Sometimes physical therapy may help; often surgery needed. (good results generally). ...Read more

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How long is recovery from a rectocele repair ?

Relatively short: You should discuss the planned procedure and post-op care with your surgeon. Generally, a rectocele (posterior) repair recovery time is relatively short. You should be up and walking the day after surgery. You may experience some vaginal and rectal discomfort and pressure. You may be back to relatively normal activities except for heavy lifting and sexual activity within a couple of weeks. ...Read more

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What happens if a rectocele goes untreated for long?

What happens if a rectocele goes untreated for long?

Continued symptoms.: If you are not having symptoms from your rectocele then i would not have it repaired. Noone can tell you exactly what is going to happen with your rectocele. It will not just go away. It may stay just like it is or it may worsen over time. If it gets worse it can still be repaired. Their is no harm in waiting. ...Read more

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What are the common presenting symptoms of rectocele?

Pressure or bulge.: Many women have no symptoms with a rectocele. A rectocele can present with a bulge or mass in the vagina that may protrude through the vaginal opening. Some women have vaginal pressure or pain. Difficulty having a bowel movement is also common and many women will use vaginal pressure to help have a bm. Some woman have difficulty with intercourse or low back pain. ...Read more

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Please tell me what does having a rectocele feel like?

Varies.: A rectocele is often asymptomatic. You may feel something bulging at the vaginal opening, vaginal pressure, discomfort or low back pain. Some women have difficulty having a bowel movement and may need to press into the vagina to help empty the rectum. Some women have difficulty having intercourse. ...Read more

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What is the treatment for rectocele?

Rectocele repair: Either a pessary or surgery. A pessary is a small flexible support that is placed into the vagina -- it holds everything in place, but does not cure the underlying problem. The only way to definitively treat the problem is to undergo a surgical repair which may or may not involve a resuspension of the vagina (if you already had a hysterectomy) or a hysterectomy (if your uterus is also falling). ...Read more

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Can you tell me about rectocele surgery?

Two general methods: Rectocele is basically a hernia of the rectal wall into the vagina. Many women have no symptoms from rectocele and do not need repair. Symptomatic rectocele can be repaired with sutures but comes back frequently. It can also be repaired with mesh. This technique may not come back as often but can have other complications. ...Read more

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What to do if I have an rectocele surgery?

What the surgeon say: Your surgeon will give you all the information both pre / post op. Ask all your questions up front and be informed ...Read more

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How do I know if I have 'rectocele' prolaps?

Not a simple answer: At a certain level, mild rectocele is normal and should not be treated. If you have a rectocele that is symptomatic, you will feel that you have an easier time having bowel movements when you have your fingers placed against the back wall of your vagina. Prolapse in a general term refers to a different process. ...Read more

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What does it mean to have a rectocele prolapse?

Rectocele: Rectocele is simply the rectum herniating or bulging into the vagina. Common symptoms include a feeling of vaginal fullness and sometimes a feeling of incompletely emptying when defecating. There is little risk to having a rectocele and they are very common in women who have delivered babies vaginally so these need only be treated when they are bothering you. Surgery is vaginal and outpatient. ...Read more

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Posterior repair rectocele back to work few days?

Depends : Probably but the answer depends on the surgical technique , how extensive the repair and what kind of job you have. Discuss specifics with your surgeon. ...Read more

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Other than childbirth, what can cause a rectocele?

Other than childbirth, what can cause a rectocele?

Lifting.: Childbirth is the biggest risk factor. Other risks are chronic constipation, repetitive heavy lifting, chronic cough or respiratory issues, connective tissue disorder and obesity. ...Read more

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Rectocele - what are the consequences of avoiding surgey?

May get worse: A rectocele - the rectum bulges into or out of the vagina, may or may not get worse without surgery. Ways to decrease the symptoms of a rectocele include increasing dietary fiber, preventing constipation and straining during bowel movements. Laxatives and stool softeners may also help. Weight loss in obese individuals decreases pelvic pressure. A vaginal pessary may help to decrease symptoms. ...Read more

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What is the recovery like after surgery to correct a rectocele?

Relatively short: You should discuss the planned procedure and post-op care with your surgeon. Generally, a rectocele (posterior) repair recovery time is relatively short. You should be up and walking the day after surgery. You may experience some vaginal and rectal discomfort and pressure. You may be back to relatively normal activities except for heavy lifting and sexual activity within a couple of weeks. ...Read more

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When should I be concerned with my rectocele? It's a grade 3 of 4.

When should I be concerned with my rectocele? It's a grade 3 of 4.

You will know: There is very little risk with an untreated rectocele. Surgery should be based on your symptoms and how much you are bothered by them. Rectoceles can progress and worsen but this usually takes significant time and the bother issue would likely increase also so most women will know themselves when it's time for repair. ...Read more

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I had a total diVinci hyster 11/14. I now have gr 3 rectocele and 3 cystocele. Could they have happened from the hyster? When should I have it repaire

I had a total diVinci hyster 11/14. I now have gr 3 rectocele and 3 cystocele. Could they have happened from the hyster? When should I have it repaire

Here are some ...: The cystorectocele to a degree after hysterectomy is nothing uncommon, but indicates you have weak pelvic supporting muscles & tissues, which may in turn predispose its recurrence although surgical repair may be inevitable. As to when and how to repair it, that should be decided after proper evaluation & counseling though collaborating with surgical specialist of such procedures. Best wish ... ...Read more