starr procedure rectocele

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Dr. Michael Hulse answered:

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

Depends.

Incontinence
There are a variety of procedures that are used to fix both rectocele and stress incontinence. What to expect would depend on which procedure was being performed. It is important for you to understand exactly what is going to happen during your surgery. You need to know risks, benefits and alternatives procedures. You might need to talk to your surgeon to get more specific information.
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Rectocele - what are the consequences of avoiding surgey?

May get worse

Culdocentesis
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.
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Dr. Michael Hulse answered:

What is the treatment for rectocele?

You have options.

Culdocentesis
A rectocele is often asymptomatic and does not need to be repaired. A pessary is a device that is inserted into the vagina to support the pelvic structures - this can be used to treat a rectocele. Surgery can also be performed to repair a rectocele. Be sure your surgeon has a lot of experience with pelvic floor surgery.
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Dr. Abraham Morse answered:

What is the treatment for rectocele prolapse?

Rectocele is treatef

Pessary
In different ways. Pelvic floor exercises, a pessary or surgery are possibilities. You need to see a GYN or Urogynecologist for an evaluation and discussion of what is right for you. I hope this helps.
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Dr. Allen Kamrava answered:

what options are there for treatment of a rectocele?

Many

Proctology
Speak with a colorectal or specialized urogynecologist. It depends on the size and your previous history.
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Dr. Jan Rakinic answered:

What are the common presenting symptoms of rectocele?

Some difficulty w/BM

Fiber
Rectocele is essentially a "ballooning" of the rectal wall, most often toward the vagina, due to weakened supporting tissues. More comon after pregnancy/childbirth. Symptoms include a feeling of incomplete evacuation. Some people have to manually support the perineum to aid evacuation. Effective conservative therapy is fiber supplement (psyllium is best) and more fluid. Surgery results vary.
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Dr. Michael Hulse answered:

Please tell me what does having a rectocele feel like?

Varies.

Culdocentesis
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.
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Dr. Adam T. Newman answered:

What happens if a rectocele goes untreated for long?

Gets worse

Culdocentesis
Rectoceles are not "dangerous" but they can certainly be very uncomfortable. They will not get better on their own, but if you avoid straining, they don't have to get worse.
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What is a rectocele and how can it be fixed?

Poor support

Culdocentesis
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).
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Compare rectocele and rectal prolapse?

Different

Prolapse
In prolapse the rectum folds out of the anus. Recto else occurs with a weakness between the rectum and vagina
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